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Residency Program Overview
The Department of OB/GYN offers a
comprehensive four-year program, beginning at the PGY-1 Level, with four
positions at each level. Both the OB and GYN services at Erlanger Medical
Center are extremely active with approximately 3,500 births and more than
5,000 gynecological procedures managed each year. Our program functions in
cooperation with Erlanger's Clinical Laboratory, equipped for basic as well
as advanced techniques, including hematology, bacteriology, and cytogenetics.
Residents are involved with the faculty in clinical research projects.
Resident research for the Department of OB & GYN is directed by one of our
faculty members, Stephen DePasquale, M.D. Clinical research and
publications are further supported by the Director of Research for campus,
Gregory Heath, DHSc, MHP.
The educational
program and curriculum are based on the educational objectives established
by the Council on Resident Education in Obstetrics and Gynecology (CREOG).
The first year of training provides a broad base of clinical experience via
rotations in obstetrics, gynecology, emergency department, family medicine
and general internal medicine (to emphasize and improve overall diagnostic
skills). During the second year, residents are involved in a greater level
of responsibility in general obstetrics and gynecology and their related
subspecialties involving antepartum and intrapartum surveillance, techniques
of laparoscopy, gynecological diseases, ultrasonography, and oncology.
Current techniques in the management of infertility and high-risk pregnancy
are also highlighted. Third and fourth year residents rotate on the OB and
GYN Services, as well as rotations on the Reproductive Endocrinology and
GYN Oncology Services. Each of the senior residents assumes administrative
chief resident responsibilities for several months during the senior year of
the program.
The program utilizes a Night Float system which assigns at
least two residents to five night time shifts each week (Sunday evening
through Thursday evening). The Night Float team covers OB and GYN patients
on the resident services. The program is ensuring that, on average,
residents have at least one day in seven free from clinical responsibilities
and approximately two weekend days and one week night on call when not
assigned to the Night Float Team. The average call frequency per resident
(for those not on night float) is approximately 4 nights per month.
Twelve full-time and 27 active volunteer faculty members combine their
efforts to supervise this progressive program. Full-time faculty members
represent the areas of general obstetrics and gynecology, reproductive
endocrinology, gynecologic oncology, maternal-fetal medicine, advanced
endoscopic surgery, and gynecologic-urologic surgery.
The chair, program director, and full-time faculty practice within the main
Erlanger complex, making them easily accessible to residents. This close
interaction is also characteristic of our volunteer faculty. In accordance
with the Residency Review Committee requirements for accreditation, faculty
supervision is available on a 24-hour, in-house basis. Our attending
physicians share call responsibilities to make sure that at least one
faculty member is always on call within the hospital complex, providing
supervision and teaching for our residents and their patients.
The Department maintains a computerized database of all resident patient
care statistics (procedures, diagnoses, outcomes, problems, etc.). These
are important not only for program accreditation with the national OB/GYN
Residency Review Committee but individually to each resident for board
certification and hospital privileges once in practice. Computers are
available in the OB/GYN Resident Call area where this information can be
maintained.
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