Lectures and Conferences

The cornerstone of the educational process is the weekly Grand Rounds/Teaching Day and lecture series designed to cover intensively obstetrics, gynecology, the subspecialties, and primary care. Additionally they are designed to assist residents with their performance in their in-service exam and ABOG exams. These didactic sessions are allocated as protected teaching time from 8am to 2pm each Monday. Protected teaching time means that residents are relieved of all clinical duties during that period. All residents and medical students are expected to attend these lectures.

We hold morbidity and mortality conferences to review recent interesting clinical cases; related scientific publications or position statements from scientific societies, governing bodies. These conferences are resident-run and are presented to the department. Residents select a topic relevant to the cases presented and perform a comprehensive literature search on the topic. Resources such as OVID, Pub-med, Medline, and Up-to-Date are available through the hospital system. Under the supervision of a faculty mentor, the information is then digested, critically evaluated, and reviewed for its application for the care of the patient presented.

Dr. Khaled Zeitoun, is full-time in-house Board Certified Reproductive Endocrinologists who conducts director’s rounds every Monday with our residents, and has spearheaded our residents’ outside rotation opportunity to Harlem Hospital for both GYN, REI, and urogynecology surgeries. This rotation, has allowed the residents to increase their exposure to such case types.

2018–2019 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

12 weeks

Gynecology

12 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

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 takes place at JHMC over the course of all four years, but is emphasized in the third year with a structured two-month rotation at Memorial Sloan-Kettering Cancer Center. The Director of Gynecologic Oncology at JHMC integrates the residents into all aspects of patient care, including operating experiences and post-operative care. In addition, we have a consultant Gynecology Oncologist from our affiliate, Flushing Hospital, who provides backup for surgical management and assists with tumor board presentations. Tumor board presentations include the participation of our attending pathologists, with histological review and discussion. Our educational curriculum includes comprehensive didactic sessions about gynecologic malignancies, risk factors, screening, and treatment. 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. Training in the gynecologic subspecialty fields (oncology, REI, and urogynecology and reconstructive pelvic surgery) 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.

Sub-specialty Training

The Division of Maternal-Fetal-Medicine: The 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 semi-annual 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 & Gynaecology from the Fundamentals of Laparoscopic Surgery curriculum, and AAGL skills development. Following successful completion of the laparoscopic skills program, residents begin a competency-based robotic surgery curriculum in preparation for a career utilizing these minimally-invasive surgical techniques.

REI: At JHMC, as mentioned above, we have a full-time Board Certified REI faculty, Dr.K.Zeitoun, who supervises the weekly REI clinics were the residents learn to manage adolescent gyn and conditions like infertility, Asherman’s Syndrome, premature ovarian failure. We also have 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. They also have a 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 and medical co-morbidities associated with a cancer patient and train them for the real world.