Obstetrics and Gynecology Residency Curriculum | Loyola Medicine

Obstetrics and Gynecology Residency Curriculum

Didactic Educational Program

The department's educational program is comprised of a series of formal lectures, informal seminars, clinicopathologic conferences, morbidity/mortality conferences and journal clubs. Wednesday mornings are designated for formal resident education and all Ob/Gyn residents are releaved of their clinical duties to attend. Clinical coverage is provided by assigned faculty members in the residents’ stead.

Following is a brief description of the departmental educational conferences:

  • Patient Care Conference - Salient points of specific patient management problems from the previous week are discussed. Assigned residents review the cases from their service and searches the literature regarding those particular problems. During the interactive discussions, residents are called upon to discuss basic science and clinical management issues related to each specific case. 
  • Grand Rounds - A venue for visiting professors, specialist or experts in a specific specialty to provide a formal lecture to the department.These lectures help maintain, develop or increase the knowledge, skills and professional performance of the healthcare professional audience.
     
  • Morbidity/Mortality Conferences - The Gynecology and Obstetrics monthly M&M conferences offers critical discussion of selected cases amongst residents/faculty. A quarterly Perinatal M&M is held jointly by the MFM division and the department of Neonatology, and specific high-risk obstetrical cases are reviewed by all involved services.
     
  • Journal Club - A monthly conference which allows residents, clinicians and research faculty to critique selected articles from medical journals.
  • Weekly Didactic & Surgical Skills Workshops - Resident lecture series run by both department and visiting physicians which provides an hour long lecture and discussion of specifica CREOG educational topics followed by an hour-long surgical skills workshop in the SSOM simulation lab for hands-on learning. 
  • Other clinical conferences at Loyola include a multi-disciplinary Gynecologic Tumor Board, Urogynecology conferences and weekly suspecialty teaching sessions.

Clinical Training Program

The clinical rotation schedule for our residency is designed to provide:

  • A broad-based clinical experience in general and sub-specialty Obstetrics and Gynecology, including ambulatory and primary care aspects
  • Opportunities to become skillful in the performance of surgical and technical procedures related to our specialty
  • Graded responsibility and interpersonal skills suitable to become an effective and compassionate physician

These training goals are accomplished by providing complete clinical experiences on a variety of hospital and ambulatory services. Residents, faculty and nursing specialists form functional patient care teams in these settings. Faculty play the role of senior consultants with Chief Residents being responsible for patient management decisions and coordinating the energies of each team. Formal and informal teaching by residents and faculty takes place daily to include the educational needs of all learners. Residents are assigned graded clinical and teaching responsibilities as they progress through the program. Our faculty prides itself on balancing resident autonomy with active faculty supervision.

Obstetrics

Residents rotate on both inpatient and outpatient services. The Obstetrics service/rotation provides antepartum, intrapartum and postpartum care for both high-risk and normal pregnancies. Residents are exposed to genetics, sonography, critical care obstetrics, vaginal and operative delivery and a wide variety of antepartum complications during this rotation.

General Gynecology

The General Gynecology service provides operative and consultative services for the medical center. During this rotation, residents gain experience a wide variety of surgical procedures, including exploratory laparotomy, total abdominal hysterectomy, vaginal hysterectomy, laparoscopic and robotic hysterectomy, and salpingo-oophorectomy. They also become proficient in minimally invasive techniques including operative hysteroscopy, laparoscopic suturing and knot-tying, single site surgery, and robotic pelvic surgery. Our residents have access to the simulation center 24 hours per day, to allow them to complete skills on the laparoscopic trainer according to the Fundamentals of Laparoscopic Surgery guidelines. As residents gain experience and demonstrate competence, they will evolve to performing procedures as the primary surgeon. 

Additional educational experience offered during the Gynecology rotation include the following:

  • Pediatric and Adolescent Clinic: With faculty who specialize in pediatric and adolescent gynecology, residents learn strategies for examining and providing care for the pediatric gynecology patients, including the common issues of this patient population and the multidisciplinary approach needed for their care. Dr. Afriyie-Gray directs this rotation. 
     
  • Hines VA Ambulatory Clinic: Under the direct supervision of Dr. Freager Williams, the Tuesday Hines VA clinic allows residents to provide gynecologic care for women veterans of the armed services. Common care topics for this population include contraceptive management, outpatient surgical procedures and major gynecologic surgeries.
     
  • Loyola Sexual Wellness Program: This program was established by Dr. Mary Lynn in affiliation with LUMC's Psychiatry and Behavioral Neurosciences faculty to assist couples experiencing intimacy problems in their relationships. Residents work with LUMC therapists to provide couples counseling sessions in an effort enhance their relationships and work through their behavioral and/or physical problems that are affecting their relationships.

Female Pelvic Medicine and Reconstructive Surgery

The Female Pelvic Medicine and Reconstructive Surgery rotation provides experience in surgical and non-surgical urogynecology. During this rotation, the resident will advance their knowledge of the subspecialty and function under the supervision of the FPMRS faculty, fellows and staff. It is expected that the resident acquires the skills necessary to evaluate and treat women with routine pelvic floor disorders, including urinary incontinence, fecal incontinence, and pelvic organ prolapse.  In addition, the resident learns to assist with care of tertiary care patients, while gaining an understanding of appropriate indications for subspecialty consultation.  Residents develop competence with performance of a comprehensive new patient evaluation, in order to determine whether empiric treatment or further evaluation is necessary to plan treatment.  Residents will gain experience with patient counseling regarding first-line treatment options, including midurethral sling and common primary prolapse procedures. 

Gynecology Oncology

The Gynecologic Oncology service provides multi-disciplinary care for the oncology patient and residents are exposed to radical procedures, chemotherapy, radiation therapy and breast management. The surgical education on this rotation is robust, allowing residents to develop and strengthen their skills in laparotomy, laparoscopy, and robotic surgery. Learning the finer points of complex cancer staging procedures and postoperative care are the highlights of this rotation. Residents also participate in ambulatory faculty oncology clinics to learn the workup and management of gynecologic cancers from the beginning, following them through their surgeries to the postop period as well.

Maternal-Fetal Medicine

The Maternal-Fetal Medicine resident rotation provides an educational and clinical experience in which the resident is introduced to the sub-specialty of high-risk obstetrics. This includes learning about the variety of medical maternal complications and perinatal genetic diagnosis, as well as the critical care of complex perinatal complications. At the end of the rotation, residents will be able to effectively manage patients with a variety of high-risk issues, including a history of preterm birth, abnormal fetal growth or multiple gestation. They will also feel comfortable managing patients with pre-existing medical conditions such as insulin dependent diabetes, chronic hypertension, thyroid disease, cardiovascular disease, pulmonary disease, and renal disease.

Reproductive Endocrinology and Infertility

The resident on the Reproductive Endocrinology service rotates between two campuses, LUMC and Fertility Centers of Illinois. Residents are exposed to the proper evaluation of the infertile couple, reproductive endocrinopathies and the management of the postmenopausal woman. Training in operative laparoscopy/hysteroscopy and assisted reproductive technologies in provided on both an in-patient and ambulatory basis.

The Family Planning rotation at the University of Illinois, Chicago campus provides the  Ob/Gyn residents with the comprehensive educational skills needed for the management of contraception and family planning. PGY 2 and PGY 3 residents rotate on this service under the direct supervision of the faculty at the University of Illinois at Chicago.

The Resident Continuity Clinic provides a dedicated ambulatory experience for resident education at Loyola. This daily resident-managed clinic functions on a par with private faculty clinics. Residents provide primary care, routine and high-risk prenatal care, sonography and general and sub-specialty gynecologic services under faculty supervision. A faculty consultant attends each clinic session to review patient care plans and teach ambulatory concepts.

Mock Ob/Gyn Resident Rotation Schedule

Month

PGY Year

PGY-1

PGY-2

PGY-3

PGY-4

July

SICU

Gyn-Oncology

MFM

Gyn-Oncology

August

Gyn-Oncology

Gyn-Oncology

MFM

Gyn-Oncology

September

Gyn-Oncology

Gyn - NF

Family Planning

OB - NF

October

OB - NF

FPMRS

Benign Gyn/VA

Obstetrics

November

Ultrasound

REI, Ped/Adol & Endocrine

FPMRS

Obstetrics

December

OB - NF

Gyn-Oncology

FPMRS

Gyn-Oncology

January

Benign Gyn/VA

Ambulatory

Ambulatory

OB - NF

February

Benign Gyn/VA

OB - NF

Gyn - NF

Benign Gyn/VA

March

Benign Gyn/VA

Obstetrics

REI, Ped/Adol & Endocrine

Benign Gyn/VA

April

Obstetrics

Family Planning

OB - NF

Float

May

Obstetrics

Gyn - NF

Obstetrics

Ambulatory

June

EM

MFM

Elective

Benign Gyn/VA

Abbreviation Key

Benign Gyn - Benign Gynecology

Gyn Oncology - Gynecology Oncology

Gyn NF - Gynecology Night Float

MFM - Maternal Fetal Medicine

VA – Gynecology Clinic

OB NF- Obstetrics Night Float

REI, Peds/Adol & Endocrine- Pediatric & Adolescent Gynecology, Endocrine Clinics, Monday & Wednesdays REI- Tuesday, Thursday and Friday

SICU - Surgical Intensive Care Unit

Ultrasound - Obstetrics Ultrasound

FPMRS - Female Pelvic Medicine & Reconstructive Surgery

Float - Coverage for residents on vacation and high acuity surgical cases

EM- Emergency Medicine

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