MedStar Health Consumer Website

A A A Bookmark and Share

 
Curriculum - Obstetrics and Gynecology at MedStar Washington

Obstetrics and Gynecology

The obstetrics and gynecology curriculum is designed to meet the training objectives of the Council on Residency Education in Obstetrics and Gynecology. As such, the program provides ample opportunities for residents to achieve the knowledge, skills and behaviors essential to the practice of obstetrics and gynecology, and to the delivery of ambulatory primary health care for women.

The training is structured to provide residents with instruction and progressively independent experience in all areas of women's health, and adequately prepares them for the American Board of Obstetrics and Gynecology examination. Since 1997, the program has had a 100% pass rate on the written ABOG exam, a testimony to the strength and quality of its curriculum.

PGY-1

The first year of the residency program includes rotations in internal medicine, emergency medicine, surgical intensive care, sonography and gynecology, with most of the emphasis on basic obstetrics.

At the end of year 1, residents will be able to:

Obstetrics

  • Perform a normal vaginal delivery
  • Perform a cesarean section delivery, with assistance
  • Repair perineal lacerations
  • Perform and interpret appropriate antepartum fetal assessment
  • Complete a basic antepartum history and physical examination
  • Exhibit an understanding of obstetric analgesia
  • Perform and comprehend basic ultrasound techniques

Gynecology

  • Perform a basic gynecologic examination
  • Exhibit knowledge in well-woman health care maintenance
  • Understand surgical techniques and principles (sterile technique, etc.)
  • Perform basic laparotomy and laparoscopy
  • Perform dilatation and curettage
  • Understand contraceptive principles and know options for family planning
  • Treat basic pelvic infections
  • Exhibit an understanding of the management of the unstable post-operative patient
  • Understand basic management of common inpatient and outpatient medical conditions (hypertension, diabetes, thyroid disorders, etc.)

PGY-2

Along with increased responsibilities in obstetrics and gynecology, second year residents receive focused training in gynecological urology, maternal fetal medicine, gynecologic oncology, ambulatory care, family planning, breast disease and adolescent gynecology.

At the end of year 2, residents will be able to:

Obstetrics

  • Perform vacuum and forceps delivery, with assistance
  • Complete postpartum sterilization
  • Perform a biophysical profile
  • Perform a normal and/or abnormal vaginal delivery, independently
  • Perform an uncomplicated cesarean section delivery, independently
  • Independently manage postpartum hemorrhage
  • Perform amniocentesis for lung maturity assessment
  • Exhibit basic principles of primary ambulatory care for women
  • Manage common medical conditions in women
  • Understand assessment and basic management of depressed/unstable neonate

Gynecology

  • Perform a complete abdominal hysterectomy, with assistance
  • Perform a vaginal hysterectomy, with assistance
  • Perform operative laparoscopy
  • Perform diagnostic hysteroscopy
  • Adequately manage the unstable post-operative patient
  • Perform office evaluation of incontinence and pelvic floor dysfunction
  • Understand assessment and triage of common acute medical emergencies (chest pain, respiratory distress, hyper/hypo-tension, etc.)
  • Understand presentation and screening protocols for gynecologic malignancies
  • Perform a comprehensive breast examination and evaluation/manage common breast abnormalities
  • Understand the needs of and approach to the adolescent patient

PGY-3

Third year residents have intensive subspecialty rotations in endocrinology/infertility, maternal-fetal medicine, breast disease and adolescent gynecology. Residents may also schedule a one-month elective during this time. Residents' duties are divided between obstetrics and gynecology with additional responsibility in all areas of patient care.

At the end of year 3, residents will be able to:

Obstetrics

  • Perform vacuum and forceps delivery, independently
  • Perform an external version of a breech fetus
  • Perform a genetic amniocentesis
  • Perform a vaginal breech delivery, with assistance
  • Repair genital track trauma and/or laceration
  • Medically manage high-risk patients, including hypertension, diabetes and pre-term labor
  • Manage normal and abnormal courses of labor, independently

Gynecology

  • Exhibit a complete understanding of gynecologic oncology
  • Manage an ectopic pregnancy
  • Evaluate and manage endocrinopathies
  • Complete an infertility work-up, including demonstrating knowledge of assisted reproductive technologies
  • Perform a vaginal hysterectomy, with assistance
  • Recognize and medically manage common gynecological disorders, independently

Other

  • Research - Present research topic at Grand Rounds

PGY-4

Fourth year residents serve as chief residents in obstetrics, gynecology, gynecologic oncology, urogynecology, and labor and delivery night float. In association with the attending physician, the senior resident assumes responsibility for all patients treated by the service. In obstetrics, the senior resident manages the antepartum and postpartum clinics, develops schedules, acts as a consultant in labor and delivery, and performs or assigns all operative obstetrics. In gynecology, the senior resident delegates operating room duties, develops schedules and performs surgery. In gynecologic oncology, the senior resident manages the tumor and colposcopy clinics, performs surgery, and supervises chemotherapy and radiation therapy. In urogynecology, the chief participates in all pelvic floor reconstructive procedures and attends clinic sessions in the Continence Center.

At the end of year 4, residents will be able to:

Obstetrics

  • Perform a uterine artery ligation, with assistance
  • Perform a cesarean hysterectomy, with assistance
  • Perform an emergency cesarean section, independently
  • Perform a hematoma evacuation
  • Manage severe preeclampsia
  • Manage an unstable patient
  • Manage intrapartum emergencies

Gynecology

  • Perform basic operative gynecologic oncology procedures, independently
  • Perform pelviscopy, independently
  • Perform colposcopy, independently
  • Independently manage post-operative complications
  • Perform patient counseling as appropriate
  • Perform surgical correction of incontinence and pelvic floor dysfunction

Other

  • Present appropriate Ob/Gyn topic at departmental Grand Rounds

For more information, please contact:

Mary Nguyen, Program Manager, Ob/Gyn Academic Services

Mary Nguyen
Program Manager, Ob/Gyn Academic Services
Graduate Medical Education Programs
Department of Obstetrics and Gynecology
MedStar Washington Hospital Center
110 Irving Street, NW Suite 5B-63
Washington, DC 20010
Phone: 202-877-8035
Fax: 202-877-5435
Email: Mary.P.Nguyen@MedStar.net

Or:

MedStar Georgetown University Hospital
Phone: 202-444-8533
Fax: 202-444-4018

Jacqueline A. DeLeon, Academic and Fellowship Program Coordinator

Jacqueline A. DeLeon
Academic and Fellowship Program Coordinator
Department of Obstetrics and Gynecology
MedStar Washington Hospital Center
110 Irving Street, NW Suite 5B-63
Washington, DC 20010
Phone: 202-877-7127
Fax: 202-877-5435
Email: Jacqueline.A.DeLeon@MedStar.net