Obstetrics/Gynecology
Residency Program
Curriculum
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PGY-2s: Allyson Hilliard, M.D., Melissa March, M.D.,
Norie Sadjadi, M.D., Jenny Wang, M.D. |
The first-year resident rotates through
ambulatory and inpatient internal medicine, maternal-fetal medicine and
night float, benign gynecology, obstetric clinics, ultrasound/ genetics,
and continuity care clinics.
Emphasis is placed on history and
physical exam skills, normal obstetrics, and benign gynecology.
Residents learn and perform uncomplicated vaginal and Caesarean
deliveries and gain experience with operative vaginal deliveries, and
minor and major gynecological surgery procedures.
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Nicole Gillman, M.D., and Lacy
Long, M.D., PGY-3. |
During the second-year, the resident
rotates through gynecologic surgery, maternal-fetal medicine and night
float, benign gynecology, gynecologic oncology, and the continuity care
clinics.
During this year, residents increase
the level of participation in major gynecologic surgeries, including
oncology cases.
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Night-Call team: attendings Peter
Heyl, M.D. and Nicole Gillman, M.D. with Hakan Duran, M.D., REI
Fellow. |
The third-year rotation includes more
advanced gynecologic surgery, continuity care clinics, more exposure to
complicated obstetrics and surgical experience in urology gynecology.
The third-year resident assumes chief-level responsibilities on the
reproductive endocrinology service and the urogynecology service.
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The gynecologic surgery rotation
takes place at Sentara Norfolk General Hospital and
Bon Secours DePaul
Medical Center. |
In the fourth year, residents again rotate
through maternal-fetal medicine, benign gynecology, gynecology oncology
and the ambulatory care clinics.
At this point, the resident assumes full
responsibility for his or her patients and greater teaching
responsibility for fellow residents and medical students.
The Gynecologic Oncology
rotation at EVMS is designed for the second, third and fourth years of training.
Experience and continuity are maximized for the senior resident, who
rotates for three consecutive months.
Experiences included
in this rotation emphasize the assessment of would-be malignancies,
including the effective evaluation of the pelvic mass, vulvar and
cervical dysplasia, gestational trophoblastic disease and other
potential malignant processes.
The resident also is trained in choosing
the most appropriate times to refer to the oncologist. The three-month
senior-level rotation is a surgical experience, as the resident gains
significant experience in laparotomy, laparoscopy and vaginal surgery.
The junior rotation emphasizes the clinical evaluation process and
contributes to the formation of strong fundamental surgical principles.
As part of the dynamic
working academic relationship the department enjoys with the community,
the Gynecologic Oncology rotation is undertaken with the supervision of
Virginia Oncology Associates
gynecologic oncologists.
Each resident is matched the majority of his/her time with a single
attending physician, assisting in the outpatient office two days per
week and performing surgery two to three days per week.
In addition to the
inpatient and outpatient clinical experience, residents participate in
Multidisciplinary Tumor Board presentations and the instruction of medical students and
have the opportunity to conduct a senior research project with Virginia
Oncology faculty.
The senior experience
culminates in an oral examination based on a case list prepared by the
senior resident. This exercise is designed, in part, to simulate the
experience of the oral examinations given by the American Board of
Obstetrics & Gynecology for board certification.
Stacey Rogers,
M.D., is Educational Director of the rotation. Two sponsoring sites
host the rotation - Bon Secours DePaul Medical Center and
Sentara Leigh
Hospital.
Urogynecology is a
one-month rotation in the PGY-3 year in which one resident at a time
studies exclusively with EVMS urology attendings and the director of
the rotation, who specializes in urology and pelvic reconstruction.
Residents are supervised in the operating room and examine patients
with our attendings in an outpatient setting. In addition, reading is
assigned to expand knowledge while learning to assess pelvic organ
prolapse and female incontinence.
In the office setting,
residents learn to differentiate between types of incontinence and to
perform and interpret urodynamic testing. They also learn medical
management of incontinence including pessaries, as well as surgical
work-up and postoperative complications. 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.
The rotation provides an
opportunity to develop advanced vaginal surgical skills and a broad
understanding of female urological issues as the resident follows
patients from the initial exam through the diagnostic work-up to the
operating room and during postoperative care. Top |
