Lectures and Conferences

Our academic year begins with our summer weekly Boot Camp series which provides hands- on training in knot tying and suturing, vaginal delivery, C- section, laparoscopy, annual exam and sonography skills. Boot Camp creates a low stakes environment for junior residents to train their hands, and for senior residents to practice their teaching and mentoring skills.

The backbone of our didactic curriculum begins in the fall with our weekly Academic Mornings each Friday from 8am- 12pm. Our Academic Morning begins with a Grand Rounds presentation, covering breakthrough topics delivered by prominent Obstetricians and Gynecologists in the region. Our Resident Lecture Series follows with lectures given by core faculty members. It is structured into a two- year repeating curriculum to cover the breadth and depth of the fields of obstetrics, gynecology, the subspecialties, and primary care. The third hour is our weekly case review, alternating between GYN and OB where the residents present an interesting case from the week for discussion with faculty. In addition to adding to knowledge base, this exercise is designed to enhance our graduates’ performance on the ABOG certifying exams. The final hour is given to our chiefs to embrace their role as teachers, and create an educational curriculum for their junior residents. Typically, this has consisted of preparation for the CREOG in-service examination the first half of the year, PROLOG and chapter reviews for the second.

Our Academic Mornings are protected time. All residents and medical students are relieved of clinical duties to attend.

Simulation

Our simulation curriculum is robust. It begins with our summer Boot Camp sessions as described above. Fundamentals of Laparoscopic Skills training is incorporated into the formal didactic curriculum beginning in the intern year. Multi- disciplinary in situ simulation drills are scheduled bimonthly. Planned drills include maternal cardiac arrest on the antepartum floor, shoulder dystocia and postpartum hemorrhage on the labor floor, and ectopic pregnancy in the emergency department.

Research

The goals of our research program is for our residents to gain a greater understanding of the scientific method through a mentored research experience. We want to train our residents to read papers as well as write papers. We have built into our curriculum a bimonthly Research Forum with faculty mentors and an embedded statistician and epidemiologist. At each forum, we deconstruct and analyze a contemporary article, and then each resident is required to provide a status of their research project. From conception through design, analysis and completion, each project is a collaborative effort stressing the team model of research. By the end of intern year, our residents should have an IRB approved protocol. By the end of the third year, analysis should be complete and our residents present their finished projects.

2020- 2021 CURRICULUM
PGY 1
Ambulatory Care/ Continuity of Care Clinic (COC) 4 weeks
Maternal-Fetal Medicine and Generalist Services MFM/ Antepartum 4 weeks
Obstetrical Service Night Float (NF) 8 weeks
Obstetrical Service 16 weeks
Gynecology 16 weeks
Vacation 4 weeks
  52 WEEKS
 
PGY 2
Ambulatory Care/ Continuity of Care Clinic (COC) 4 weeks
Maternal-Fetal Medicine and Generalist Services MFM/ Antepartum 4 weeks
Obstetrical Service Night Float (NF) 8 weeks
Obstetrical Service 16 weeks
Gynecology 12 weeks
Reproductive Endocrinology and Infertility (REI) Cornell 4 weeks
Vacation 4 weeks
  52 WEEKS
 
PGY 3
Ambulatory Care/ Continuity of Care Clinic (COC) 4 weeks
Maternal-Fetal Medicine and Generalist Services MFM/ Antepartum 4 weeks
Memorial Sloan-Kettering Cancer Center (MSK) GYN- Oncology Service 8 weeks
Obstetrical Service Night Float (NF) 8 weeks
Obstetrical Service 8 weeks
Gynecology 12 weeks
Elective 4 weeks
Vacation 4 weeks
52 WEEKS
PGY 4
Ambulatory Care/ Continuity of Care Clinic (COC) 4 weeks
Maternal-Fetal Medicine and Generalist Services MFM/ Antepartum 4 weeks
Board Reviews 4 weeks
Obstetrical Service Night Float (NF) 8 weeks
Obstetrical Service 12 weeks
Gynecology 16 weeks
Vacation 4 Weeks
52 WEEKS

Clinical Training

Training in the gynecologic subspecialty fields is included in all of the gynecology rotations throughout the course of the residency. Residents perform a wide range of operative procedures and have historically graduated from the program with a vast array of surgical skills.

The first year obstetrics resident is responsible for labor and delivery coverage and postpartum management. This responsibility includes evaluating and managing laboring patients and participating in operative and vaginal deliveries with the attending physician and midwife. This intern scrubs on appropriate major cases in the main operating room with the attending and a senior resident, and in ambulatory surgery cases (hysteroscopy, dilatation and curettage, laparoscopic tubal ligations) as the primary surgeon. During the second year they get opportunity to augment the first year experience in labor and delivery management, progressing towards more complicated cesarean sections and operative vaginal deliveries. On the “high-risk” service, residents work directly with the Maternal-Fetal Medicine division in the management of complicated pregnancies. The second year resident also participates in the Reproductive Endocrinology and Infertility (REI) rotation at New York Presbyterian Hospital/Weill-Cornell Medical Center. This introduces residents to a wider and more specialized clinical and educational experience. The rotation includes out-patient sessions (clinic and private office), operating room time, and all of the weekly and monthly conferences that are required of the REI fellows. Training in Gynecologic Oncology is emphasized in the third year with a structured two-month rotation at Memorial Sloan-Kettering Cancer Center. In addition, we have a consultant Gynecology Oncologist from our affiliate, Flushing Hospital, who provides backup for surgical management. Daily supervised rounds occur on all in-patients with our full-time faculty. During the chief year, residents run their individual services and have a teaching responsibility toward their junior residents and the medical students.

During the chief year, residents run their individual services and have a teaching responsibility toward their junior residents and the medical students, and perfect their skills to be future attending roles. The administrative chief resident also will be actively involving in administrative roles in organizing resident meeting, acting as resident advocate, and liaising with senior staff and orienting new residents.

Sub-specialty Training

Maternal-Fetal-Medicine: he residents are educated and trained on evidence based medicine for “High Risk OB patients” and are trained to manage the High risk/Diabetic Clinic. They receive ultrasound training including Doppler Studies and are constantly educated on Labor and Delivery and in the daily AM rounds. Our department also conducts bimonthly group and individual simulation exercises for Obstetrics emergencies such as Code C/S, Code D (Shoulder Dystocia), Code H (Hemorrhage), and knot tying, surgical instrument, circumcision simulations on a one-to-one basis.

Gynecology/MIS: The department offers a structured curriculum for laparoscopic skills labs. The program consists of dedicated laparoscopy labs that are supervised by faculty members, and individual laparoscopic sessions as needed during the Gynecology rotation. The dry lab curriculum incorporates the Fundamentals of Laparoscopic Surgery (FLS) skills (http://www.flsprogram.org/), and AAGL core measures for skills building. In addition to structured, hands-on laparoscopy labs, dedicated core lectures are provided on surgical anatomy, electro surgery, and laparoscopic hysterectomy techniques. All residents also participate in a robotic training program. Residents are trained in advanced robotic-assisted surgical training with the Da Vinci surgical system and a simulator pack, under the guidance of faculty from the minimally invasive gynecologic surgery division. Residents are given the opportunity to participate in a laparoscopic skills learning and assessment program which is adapted for Obstetrics & Gynecology from the Fundamentals of Laparoscopic Surgery curriculum, and AAGL skills development.

REI: The REI didactic lecture series which broadens this subspecialty’s learning experience. These learning activities happen year around in addition to the dedicated rotation at Centre for Reproductive Medicine and Infertility at the Weill-Cornell Medical College as a part of the third year curriculum. Oncology: Our residents are constantly trained at JHMC.

UROGYN: Lectures series that concentrates main Urogyn topic will be carried out through the year. Residents from all levels will have opportunities to scrub in to Urgoyn procedure, so they will have one-to-one teaching opportunities with our subspecialists. During GYN or Ambulatory month, dedicated resident can join the urodynamic sessions in Urogyn clinics.

GYN ONC: The residents have a two- month dedicated oncology rotation at Memorial Sloan-Kettering Cancer Center This provides them with a complete experience from conducting a pre-operative work-up for a oncology case to management of complications of radiation, oncology Surgery, robotic surgery and medical co-morbidities associated with the cancer patient and train them for their future practice.