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Curriculum Overview | Gynecology | Gynecologic Oncology | Inpatient Service | Obstetrics | Night Float | Primary Care Experience | Reproductive Endocrinology & Infertility | Ultrasound & Genetics | Urogynecology

Curriculum - Descriptions of Rotations

Obstetrics

Sentara Norfolk General Hospital (SNGH) is the obstetrics training site.

Structure

Residents provide antepartum and postpartum care to all patients. First- and second-year residents examine low-risk outpatients at the EVMS Hofheimer Hall clinics three mornings per week.

The in-house resident team includes a first-, second-, third- and fourth-year resident during the daytime. At night, residents take in-house call as part of the Night Float rotation.

Residents have graduated responsibility for the care of obstetrics patients. The first-year resident cares for uncomplicated obstetrics patients. Second- and third-year residents are involved in the initial evaluation of more complicated patients and patients transported to SNGH from other sites. The chief resident assumes a leadership role in the management decisions.

Residents on the inpatient service learn proper procedures for managing complications associated with normal pregnancy and labor. They perform operative vaginal deliveries, including repair of episiotomies and lacerations. They perform Cesarean sections and postpartum and Cesarean sterilizations. Residents assist in all Cesareans on private patients of the community attendings, as well.

Teaching

The inpatient teaching of obstetrics also occurs at the bedside and during daily morning rounds when there is an official change of service. All charts of high-risk, low-risk, antepartum and postpartum patients are reviewed at this time. During walking rounds with faculty members on labor and delivery, the day's agenda is established. Faculty members scrub on all surgical cases.

SNGH has a dedicated 24-hour in-house obstetrics anesthesia team. During the first year rotation in low-risk obstetrics, residents observe regional and general anesthesia procedures. The lecture component of obstetrics anesthesia occurs during monthly Grand Rounds and resident didactic sessions during protected educational time on Thursday mornings.

Located at SNGH, the clinical skills simulation laboratory includes a laparoscopic simulator, mother/baby interactive model, advanced childbirth simulator, knot-tying trainer, episiotomy trainer and interactive pelvis and female perineum. The laboratory equipment aids residents in mastering basic and advanced skills at graduated intervals with direct faculty instruction. The mother/baby interactive model gives residents additional practice in using forceps and vacuum.

Supervision

Attending physicians of the Division of Maternal-Fetal Medicine and the Division of General Obstetrics and Gynecology provide continuous on-site teaching and supervision of residents.

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