Obstetrics/Gynecology
Residency Program
Curriculum - Descriptions of Rotations
Ultrasonography training and
experience are ongoing throughout the four years of residency; however,
focused hands-on experience occurs during the formal ultrasound/genetics rotation.
Structure
The first-year resident participates in the ultrasonography/genetics
rotation. The Center for Advanced Fetal Therapy at Hofheimer Hall (EVMS)
and Sentara Norfolk General
Hospital (SNGH) provides NST, biophysical
profile, contraction stress test, Doppler flow studies, amniocentesis
and 3-D ultrasound. Faculty and the diagnostic center are AIUM-certified.
The prenatal diagnosis and genetics program is staffed by 12 licensed
ultrasonographers, five board-certified or board eligible genetic
counselors and seven perinatologists who provide ultrasound imaging for
prenatal diagnosis of fetal malformation, birth defects and complex
gynecologic pathology. The program provides a wide array of services,
including prenatal and preconception genetic counseling, detailed
ultrasound imaging, first-trimester screening for Down Syndrome,
chorionic villus sampling, amniocentesis and parental and fetal DNA and
enzyme analysis, when appropriate.
Teaching
The MFM faculty teaches hands-on diagnostics during the ultrasound/ genetics rotation. The department chair, who completed fellowships in
maternal-fetal medicine and ultrasound and prenatal diagnosis, leads an
annual ultrasound two-day course that residents attend. All
ultrasonographers are certified through the American Registry of
Diagnostic Medical Sonographers.
First-year residents follow a panel of patients and are involved in
counseling patients. Residents read journal articles, which they review
with a genetic counseling supervisor.
Residents are trained to counsel patients with hemoglobinopathies,
cystic fibrosis, genetic diseases of patients of Jewish decent, issues
related with perinatal loss and counseling regarding the more common
congenital anomalies, many hereditary disorders and advanced maternal
age.
Supervision
A registered diagnostic medical sonographer oversees resident bedside
training in gynecology and obstetrics ultrasound. The perinatologists
and genetic counselors supervise resident learning and participation on
this service.
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