Resident clinical rotations are designed to maximize their educational experience, rather than fulfill service requirements. Call is compliant with the Accreditation Council for Graduate Medical Education (ACGME) duty hour requirements.
PGY-1: First year residents immediately start seeing pregnant patients in the obstetrics triage area, running the labor and delivery floor, and performing vaginal deliveries. They also perform primary cesareans and participate in outpatient gynecology, including colposcopy and minor gynecologic surgeries. They also learn obstetrical ultrasound in the Ultrasound Clinic.
PGY-2: Second year residents care for complicated obstetrical patients with an emphasis in MFM, supervise first-year residents, perform repeat and more complicated cesareans, and perform more difficult gynecologic surgeries, including hysteroscopy and laparoscopy. They learn emergency and critical care medicine and perform gynecologic consults.
PGY-3: Third year residents spend the majority of their time on gynecological rotations, with an emphasis on advanced laparoscopic surgeries and vaginal surgeries. While on obstetrics, they perform advanced procedures including difficult cesareans and operative obstetrical procedures. They also spend time in reproductive endocrinology and gynecologic oncology, and have a one-month elective. They are often the leaders of their team when on call.
PGY-4: The chief resident spends three to four months on the OB-GYN, and night float services, and serves as the clinical and academic team leader, being responsible for the decision making, allocation of residents, resident and student learning, and organization of the service. During this year, the chief resident acts fairly independently with consultation and oversight from the faculty. The most difficult and advanced minimally invasive and vaginal gynecologic procedures, robotic surgery and operative obstetrical procedures are performed. The following is a typical resident rotation schedule:
|Rotation||PGY 1||PGY 2||PGY 3||PGY 4|
|Ob||4 months||–||1 month||3 months|
|Gyn||3 months||3 months||5 months||5 months|
|Night Float||3 months||2 months||2 months||3 months|
|Other||Primary Care, 3 months
Private Practice, 1 month
|ER, 1 month
Gyn Onc, 2 months
|REI, 1 month
Gyn Onc, 2 month
Elective, 1 month
|Clinic, 1 month|
Morning report, Journal Club and grand rounds presentations are part of the educational curriculum. In addition, protected conference times on Friday mornings give time for residents to hear presentations from guest speakers on MFM, Gyn-Onc, family medicine and urogynecology as well as learning the business aspect of OB-GYN practices with coding presentations, job hunting tips and how to review contracts.