Obstetrics/Gynecology
Residency Program
Curriculum - Descriptions of Rotations
Residents learn principles of
urodynamics and the evaluation of female patients with urinary
incontinence. They follow patients from the initial exam through the
diagnostic work-up to the operating room and throughout postoperative
care.
Structure
Third-year residents participate in
office urodynamics and perform urogynecology procedures. The third-year
urogynecology resident and the second-year and fourth-year residents on
the gynecology service perform all pelvic reconstruction surgery at
Sentara Norfolk General
Hospital (SNGH), thereby gaining experience in
operative urogynecology, including the management of vaginal prolapse
and pelvic support defects, cystoscopy, pelvic reconstruction,
postoperative complications and the medical and surgical management of
female incontinence, including pessary insertion.
In the office setting, residents learn
to differentiate between types of incontinence and to perform and
interpret urodynamic testing. Surgical experience focuses on pelvic
reconstruction including cystocele, rectocele, and enterocele repairs;
uterine and cuff prolapse; and the latest urology procedures including
slings and TVTs.
Teaching
The urogynecologist assigns readings
and reviews one-on-one with the resident to expand knowledge in
assessing pelvic organ prolapse and female incontinence.
Supervision
The urogynecologist supervises the
residents' learning and patient procedures.
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