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Rotations - OB GYN at MedStar Franklin Square

Breast

During this one block rotation, residents should understand benign disorders of the breast, the differential diagnosis of breast masses and nipple discharge, breast imaging studies and their correlation with physical findings. They should be able to perform breast aspirations and understand the natural history of and treatment of breast carcinoma.

Critical Care

At the completion of this one block rotation in the Intensive Care Unit, the resident should understand the physiology of spontaneous and mechanical ventilation, ventilator modes, monitoring during mechanical ventilation and weaning from mechanical ventilation. The resident should also gain the ability to interpret ICU monitoring including cardiopulmonary and pulmonary artery occlusion pressures, diagnosing and treating ICU complications such as respiratory failure, neuromuscular blockage, and simple and mixed acid-base disorders.

Emergency Medicine

During this one block rotation, the resident should become skilled in the assessment and treatment of patients who present with acute medical or surgical emergencies.

Genetic Counseling/Ultrasound

During this one block rotation, the resident will work with a master's degree-trained genetic counselor to learn how to elicit a genetic history, understand the benefits/risks of invasive testing and distinguish between the various forms of genetic inheritance. Working with a registered OB sonographer, the resident will work hand-in-hand to develop the skills and knowledge necessary to become credentialed in performing basic first-, second- and third-trimester ultrasonography, measuring AFI and performing a Biophysical Profile.

Gynecology

Residents will spend 12 1/2 blocks on the gynecology service during the course of their residency, where they will learn physiology, diagnosis and treatment of the most common elements of gynecologic therapy. They will develop skills in diagnostic and therapeutic patient management and the ability to diagnose and treat advanced gynecologic conditions. Two blocks will be spent at MedStar Union Memorial Hospital, a Medstar Health Hospital located in the Homeland section of Baltimore City.

Gynecologic Oncology

Residents will spend four and a half blocks on the gynecologic oncology service, during which their goal will be to become skilled surgeons and competent physicians regarding the diagnoses, evaluation, staging and management of patients with gynecologic malignancies. This rotation also affords the opportunity to enhance technical skills and postoperative management of seriously ill patients.

Night Float

Residents will spend 10 blocks on the obstetrics night float rotation during the four years of their residency training. There, they will gain experience in managing laboring patients, deliveries, ER consultations and postoperative complications.

Obstetrics

Residents will spend a total of 13 blocks on the obstetrics service. The cumulative goal, spanning the four years of training in Obstetrics and Gynecology, is to develop independent resident competence in diagnostic and treatment modalities within the field of obstetrics.

Reproductive Endocrinology

Residents will spend two blocks on the Reproductive Endocrinology and Infertility service, working with a sub-specialist in all aspects of diagnosis and treatment of endocrinology and infertility problems including assisted reproductive technology (ART). The relationship of the resident and sub-specialist is best described as preceptee-preceptor.

Urogynecology

The cumulative goal during postgraduate training in Obstetrics and Gynecology is to develop into an accomplished pelvic surgeon. Residents will learn the neurophysiology of urinary and fecal incontinence and be able to define neurologic and anatomic defects that lead to incontinence. Residents will gain experience in urodynamic testing and develop skills in the treatment of pelvic organ prolapse (i.e. anterior and posterior colporrhaphy, enterocele repair and suspension techniques).

Maternal Fetal Medicine

This one-block rotation allows the resident to work closely with our Maternal Fetal Medicine sub-specialists. Residents will continue to develop skills and proper concepts in normal and abnormal obstetrics but will focus on prenatal diagnosis, advanced ultrasound evaluations, and counseling of patients with fetal anomalies and other High Risk obstetrical conditions.

OB/GYN Residency Program

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