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Program Description

Obstetrics and Gynecology

The postgraduate program in obstetrics and gynecology advances five physicians at each level through four years of training in a non-pyramidal system. The program is based at Kings County Hospital and The University Hospital of Brooklyn. SUNY Downstate Medical Center Campus has an active obstetrics and gynecology service providing care for approximately 48,000 outpatient visits, 4,500 deliveries, 1,500 gynecologic admissions and 1,100 ambulatory surgical procedures per year. The program is designed to provide the resident with broad clinical training in all aspects of obstetrics and gynecology in addition to exposure to the subspecialty areas. Residents are assigned to the "core" obstetric and gynecologic services, as well as the subspecialty areas, including Gynecologic Oncology, Family Planning, Reproductive Endocrinology-Infertility, and Maternal-Fetal Medicine. The program is designed to adequately prepare the resident for practice in Obstetrics and Gynecology, subspecialty fellowship, or an academic career.

The department has a substantial commitment to teaching and research. Residents are appointed to the teaching staff of the School of Medicine and participate actively in the medical student teaching program. All residents receive four weeks of vacation per year. In addition, the resident at each PGY level who has the highest CREOG score attends the ACOG national meeting. The Ob/Gyn Department also pays for any resident who has a research paper to present at a national meeting. Health and disability insurance, uniforms, uniform laundry, and on-call rooms are provided. Parking is also available for a modest monthly fee.

Applications are accepted only through the Electronic Residency Application Service (ERAS).

Completed applications and credentials received before November 10 are reviewed by the Education Sub-Committee for selection of candidates to be invited for formal interviews. Formal interviews are conducted by invitation only. Interview dates are in December and January.

First Year Post-MD (PGY-1)

Five residents are selected for a program that includes 10 weeks of medicine, 4 weeks in the Emergency Department, 6 weeks in Gynecology, and 30 weeks on Obstetrics. During the rotation on medicine, the resident rotates through various medical clinics. On the Gynecology rotation, the resident handles basic gynecology and also performs minor surgeries including Laparoscopic Tubal Sterilizations, Diagnostic Laparoscopy, and Dilatation and Curettage. In obstetrics, the resident learns basic obstetrics and sonography. In addition, the resident performs Primary Cesarean Sections and Post-Partum Tubal Ligations. The resident starts to go to a weekly Continuity Clinic, 8 hours a week that continues throughout residency. The resident is also expected to identify a research topic on which to work.

Second Year Post-MD (PGY-2)

The PGY-2 resident spends 10 weeks on Obstetrics, 10 weeks on Gynecology, 10 weeks on Antepartum, 10 weeks on Reproductive Endocrinology and 10 weeks on Gynecologic Oncology. On the Obstetrical service, the resident starts to perform Repeat Cesarean Sections, in addition to learning how to run Labor and Delivery. On Gynecology, the resident starts to perform basic gynecologic surgery including hysterectomies, ovarian cystectomies, and operative laparoscopy. On the Reproductive Endocrinology-Infertility service, the resident learns the basics of this field. In addition, during the 10 weeks on the service there are weekly sessions to practice laparoscopy on a model and there is one laboratory to practice on a pig. The resident continues to go to weekly Continuity Clinic sessions 8 hours per week. The resident is also expected to continue working on his research topic. The resident participates actively in conferences and in supervising interns and medical students.

Third Year Post-MD (PGY-3)

The PGY-3 resident spends 20 weeks on the Obstetrics Service as Chief Resident at SUNY Downstate Hospital, 20 weeks on the Gynecology Service, and 10 weeks on the Gynecologic Oncology Service. The resident further enhances his surgical skills on the Gynecologic Service and learns how to manage Labor and Delivery. The resident also continues to attend the Continuity Clinic.

Fourth Year Post-MD (PGY-4)

Each chief resident spends 10 weeks as Chief of Gynecology and 20 weeks as Chief of Obstetrics at Kings County Hospital. Ten weeks are spent on the Medicine Service and 10 weeks on the Reproductive Endocrinology-Infertility Service. Responsibilities of the chief resident include teaching and supervision of junior house officers and medical students. Two chief residents are elected as the Administrative Chief Residents. Responsibilities include making up the call schedule and vacation schedules.

On-Call Schedule

There is a night-float system in place. Residents not on night-float take calls on Fridays or Saturdays.