Program Schedule

PGY-1

Transitioning from medical student to residency interns are given graduated levels of responsibility and independence.  Off service rotation are conducted in the first year to establish general knowledge and skill with colleagues within our departments.  Interns will start to learn obstetric triage and intrapartum management.  Intern surgical experiences include cesarean sections and minor laceration repair.  Minor gynecologic cases; include LEEP, hysteroscopy, and tubal ligation.  Interns are first call for ER consultations.

Rotations:

• Obstetrics (3 months) – The obstetrics intern learns the management of normal labor, delivery, postpartum care, and triage.  While on rotation to labor and delivery PGY-1 may also scrub in on scheduled cesarean deliveries.  The intern is responsible for management of the postpartum floor, and triage with the supervision of our staff.
   
  
• Gynecology (2 months) – Intern gynecologic surgical experience includes mostly minor cases, including LEEP, hysteroscopy and tubal ligations.  However during this rotation they may work with a multitude of providers and learn surgical procedures with different specialists.  Interns are on call for Emergency department consults and benign gynecology post operative patients.
  
  
• Night Float (2 months) – This rotation helps develop autonomy and independent thinking, as well as provide even work-flow within the duty hours guidelines set forth by the ACGME.  The Interns works with the Night Float team that will include a staff provider, midwife, PGY2, and a Family Medicine provider.
  
  
• Ambulatory  (2 months) – This rotation is designed to develop skill in the management of outpatients.  As the junior member of a team, the Intern on service will learn the basics of physical examination and office management of obstetric and gynecological issues.
  
  
• Off Service Rotations (1 month) – In addition to expanding your knowledge base, these three rotations expose interns to colleagues in other departments.  These relationships are later useful for residents in order to collaborate in other departments to care for complicated patients.

o   Emergency Department (1 month)

o   ICU (1 month) – Combined medical and surgical ICU

o   Inpatient Medicine (1 month)

PGY-2

During their second year, residents are challenged with managing all intrapartum patients on our busy Labor and Delivery unit, and participate in more advanced surgeries both in general gynecology and gynecology oncology. They also begin preoperative planning by evaluating, scheduling, and performing family planning surgeries.

Rotations:

•  Obstetrics (3 months)
  
  
• Night Float (2 months)
  
  
• Maternal Fetal Medicine

o   In combination with ultrasound and genetics  (1 month)

o   In combination with Ambulatory (1 month)

• Gynecology Oncology (2 months)
  
  
• Women’s Health (1 month) – Outpatient management of premenopausal and postmenopausal patients; office and surgical management of benign and malignant breast disorders; family planning.