The first post-graduate year in obstetrics and gynecology is designed to offer residents a diversified experience in obstetrics, gynecology, acute care, and inpatient medicine which will best prepare the resident to become a well-rounded and extremely competent Obstetrician/Gynecologist.
The first year of residency (PGY-1) is divided into: Obstetrics, Gynecologic Oncology, Night Float, Ultrasound, Reproductive Endocrinology & Infertility, Ambulatory care, Emergency Medicine and Internal Medicine.
Reproductive Endocrinology & Infertility
The PGY-1 on OB Days rotation focuses on introducing routine care for pregnant and postpartum women on Labor and Delivery. This resident is the primary provider in OB Triage with direct supervision from a Midwife, PA-C or upper level resident. This resident also covers postpartum patients and all spontaneous vaginal deliveries. As the year progresses, the resident will become primary surgeon on primary cesarean deliveries and participate in labor management.
Night float consists of one resident from each year. The PGY-1 resident’s primary role is OB Triage, Postpartum unit, and attending all spontaneous vaginal deliveries. Weekday night call is a rotation beginning at 5:30 p.m. and ends at 7 a.m., Sunday - Thursday nights. Each weekend is free until Sunday evening.
The PGY-1 year is an introduction to surgical techniques and management of surgical patients. Two months of the year are spent on the gynecologic oncology service. This rotation exposes the resident to an in-depth experience in the management of gynecologic malignancies. Residents are exposed to all current diagnostic and therapeutic modalities in the treatment of gynecologic cancers, in both the inpatient and outpatient settings. Residents participate in surgical procedures as a first assistant with the GYN Oncology attending.
This rotation in advanced ultrasound will include in-depth experience in ultrasound scanning in obstetrics and gynecology. The resident will have hands-on ultrasound experience acquiring ultrasound images with direct supervision by experience ultrasonographers, Maternal Fetal Medicine faculty and Gynecology faculty.
During this rotation the resident will learn to apply knowledge of reproductive physiology and pathophysiology to diagnose and treat gynecologic conditions including menstrual abnormalities, infertility, pubertal disorders, and menopause. The resident will participate in the office and surgical care of REI patients under the direct supervision of the reproductive endocrine faculty.
Exposure to all aspects of caring for women in obstetrics and gynecology clinics forms the basis of this rotation. The resident will cover clinics serving patients with high risk pregnancies in addition to complicated gynecologic disease. The resident also receives first-hand experience with colposcopy and LEEP procedure in addition to routine obstetric and gynecologic visits.
Concentrated instruction in the management of common medical conditions is experienced on the inpatient medicine service and on the emergency medicine rotation. Direct supervision is provided by senior housestaff and attending faculty from the department of medicine and the department of emergency medicine.
The resident has their own continuity clinic and patients. Continuity clinics are half-day clinics during every rotation except OB Days and OB Nights.
Fall: OB Days, OB nights, GYN Oncology, Ambulatory, Emergency Medicine, Reproductive Endocrinology
Spring: OB Days, OB nights, GYN Oncology, Ambulatory, Internal Medicine, Ultrasound