Obstetrics & Gynecology Residency Program Education
During the first year of training, two blocks are spent in obstetrics as the labor and delivery resident, and two blocks are spent on the benign gynecology service. One block is spent on the obstetrical ultrasound service. One block is split between the surgical service learning the diagnosis and treatment of breast disease, and the Neonatal Intensive Care Unit learning the principles of newborn resuscitation and gaining an appreciation of neonatal medicine. One block is divided between the Emergency Trauma Center and Family Medicine. One block is spent on the reproductive endocrinology and infertility service. Two blocks are devoted to the night float rotation.
During the second year of training, the resident spends two blocks on the gynecology service, two blocks on the high risk obstetrics inpatient service, one block on the reproductive endocrinology and infertility service, one block on the gynecologic oncology service, one block in the surgical intensive care unit, one block on the urogynecology service, and two blocks on the night float rotation.
During the third year of training the resident spends two blocks on the benign gynecology service, two blocks on the gynecologic oncology service, two blocks on the maternal-fetal medicine service, and one block on the urogynecology service, gaining experience and acquiring increasing responsibility. One block is devoted to outpatient menopausal medicine, one block is devoted to an elective, either intramural, national or international, and one block is spent on the night float rotation.
During the fourth year of training the resident spends two blocks as the Obstetrical Chief Resident, two blocks as the Benign Gynecology Chief Resident, two blocks as the Gynecologic Oncology Chief Resident, one block as the Urogynecology/Reproductive Endocrinology and Infertility Chief Resident, two blocks as the Clinic Chief Resident, and one block on the night float rotation.
On the gynecologic oncology service, residents acquire knowledge and skills in radiation oncology and chemotherapy, as well as participating fully in the full spectrum of surgery for malignant gynecologic disease. The experience begins with one block during PGY II, two blocks during PGY III, and is capped by two blocks as the Gynecologic Oncology Chief Resident during PGY IV. While on the reproductive endocrinology and infertility service, residents acquire knowledge and skills in the workup and treatment of the infertile couple as well as the use of the associated reproductive technologies. Residents likewise gain experience in the full spectrum of operative laparoscopy and hysteroscopy. In addition, residents are assigned to the reproductive endocrinology outpatient private offices.
While on the urogynecology service, residents spend time in the outpatient offices of the urogynecologists learning the diagnosis, workup, and treatment of the incontinent patient. In addition, residents gain experience in cutting edge operative procedures in the OR.
One month of elective time is scheduled during PGY III. This affords the resident an opportunity to obtain a concentrated educational experience during rotations, such as: an international experience, additional reproductive endocrinology, anesthesiology, additional urogynecology, research elective, etc. The program is individualized in that each resident, in consultation with the department chairman, plans the elective and chooses the setting in which the resident would like to be.
A state-of-the-art simulation laboratory is available for use by the residents at any hour, and in addition, the faculty takes all residents through the various stations in the laboratory on a monthly basis.
In addition to a world class traditional faculty, the Department has recently developed a focused faculty teaching group whose sole purpose is resident education. This faculty group has no responsibility for "private" patients of their own, but is responsible solely for the clinic service and for teaching the residents in all clinical venues: operating room, labor and delivery suite, emergency trauma center, Ob/Gyn Clinic, postpartum floors, etc.
The resident is responsible for the care of private as well as clinic patients on the obstetrics, gynecology, and on all subspecialty services. All services are set up so as to maximize resident participation commensurate with experience and level of training. The obstetrics service includes the full spectrum of patients from natural childbirth to the highest-risk obstetrics. Accordingly, the labor floor has a complement of 22 private labor/delivery/recovery rooms, two operating rooms, complete monitoring with laser disc storage of fetal heart rate tracings, total computerization, and four ultrasound machines. In addition, two separate floors are devoted exclusively to postpartum patient care.
The two antenatal testing units, an early pregnancy testing unit and a late pregnancy testing unit each has its own real time ultrasound machines as does the labor floor and the clinic. Residents have the use of all available high technology equipment.
A very active benign gynecology service affords the opportunity to participate at all levels in the management of the entire spectrum of gynecologic disease. A very busy gynecologic oncology service presents the resident with an extensive didactic and hands-on experience. As experience increases, the resident performs a wide variety of surgical procedures under supervision. Residents acquire maximal hands-on experience in advanced laparoscopic procedures as well as robotic surgeries.
Departmental in-depth subspecialty expertise is available on-site in infertility endocrinology, maternal-fetal medicine, gynecologic oncology, and urogynecology.
A brand new attractive and well-equipped clinic area provides the setting in which residents follow their own outpatients under the supervision of attending faculty. The clinic is equipped with its own laser, urodynamic instruments, three ultrasound machines, a cryosurgical unit, and two colposcopes.
Residents also serve as consultants to more junior residents and medical students who rotate through our department for their core obstetrics/gynecology rotation as well as for senior electives.
The program of regularly scheduled departmental educational conferences (averaging two per day) is arranged so that residents are able and expected to attend. The full range of obstetrics and gynecology and associated topics is presented and discussed by both the AMH attending staff and regular outside speakers. This is in addition to morning report and teaching rounds which occur in all services.
A monthly pathology conference, an ultrasound conference, a genetics conference, a twice monthly urogynecology conference, a twice monthly REI conference, a two times per month maternal fetal medicine conference, and a once per month perinatal/neonatal conference are part of this program. The morning conference schedule is rounded out with a weekly gynecologic oncology Tumor Board, three gynecologic oncology lectures per month and two Morbidity and Mortality conferences per month. In addition, a monthly journal club is held at the home of a faculty member. Residents are encouraged to attend the monthly meetings of The Obstetrical Society of Philadelphia as guests of the AMH attending staff.
A Resident Education Resource Center containing videotapes, slides, books, journals, and other educational material, is located in the labor and delivery suite. It represents an oasis for self-instruction during regular working hours and while on call.
In addition to the possibility of attending a profusion of local meetings, funds are made available during PGY II, PGY III, and PGY IV to attend national meetings and postgraduate courses.
Time is made available and residents are encouraged to carry out clinical investigation and contribute to the obstetrical and gynecology literature during their residency. Each resident is required to complete at least one research project prior to completing the program.
Each year residents take the CREOG in-service examination prepared by the Council on Resident Education in Obstetrics and Gynecology to demonstrate annual growth in basic and clinical knowledge.