Obstetrics & Gynecology Residency Program Education
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, robotic surgery 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 program director, 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 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, eleven maternal observation and monitoring beds (MOMU) and two operating rooms. In addition, two separate floors are devoted exclusively to postpartum patient care.
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.
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 daily departmental educational conferences is arranged so that residents are able 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. New to our program is the addition of protected educational time on Wednesday afternoon.
Morbidity and Mortality conference is held every Thursday morning with cases presented by residents. Discussion of cases occurs with input from the OB/GYN specialists and subspecialists. Interdisciplinary conferences are held each month to strategize care for some of our most complex cases. Tumor Board is held weekly. A journal club occurs monthly at the home of a faculty physician. 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 DVDs, 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.