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Obstetrics/Gynecology Residency Program

Curriculum - Descriptions of Rotations

Benign Gynecology

Benign gynecology clinics occur in the Hofheimer Hall gynecology offices and at the Sentara Norfolk General Hospital (SNGH) Ambulatory Care Center (ACC).

Structure

During this rotation, residents attend two general gynecology clinics where they perform comprehensive office gynecological examinations, office procedures and colposcopy. They see geriatric patients, manage menopause and perform contraceptive counseling. Residents learn to examine patients with common gynecological problems to develop differential diagnoses and treatment plans for such conditions as abnormal/dysfunctional uterine bleeding, benign pelvic masses, infections of the vagina and vulva, problems of the cervix, chronic pelvic pain, endometriosis, pathophysiologic conditions of the breast, ectopic pregnancy and first-trimester pregnancy loss. Clinics provide training in geriatric medicine, pediatric and adolescent gynecology, precocious puberty and pre-operative and post-operative care.

Residents learn principles of gynecological surgeries, endometrial biopsy, the pathophysiology of HPV and its role in abnormal Pap smears, indications for colposcopy, Pap smear screening intervals and other treatment modalities for squamous intraepithelial lesion.

The generalist division also provides inpatient gynecology consultative services to the Children's Hospital of The King's Daughters. Patients seen under these circumstances often have underlying hematological, endocrine and rheumatic disorders; thus, residents learn to treat children with chronic medical conditions.

Teaching

Residents learn through didactics, bedside teaching and hands-on experience while caring for patients on the ambulatory and inpatient gynecology service.

Supervision

The gynecology generalists supervise all outpatient and inpatient clinical activity.

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Revised: June 13, 2008