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Obstetrics & Gynecology

GENERAL

DIVISIONS

RESEARCH

FACULTY

FELLOWSHIPS

RESIDENCY

Residency Curriculum

The goal of the residency program curriculum is to provide residents with the experience, knowledge, and surgical skills necessary to enter general Obstetric and Gynecology practice after 4 years of residency training.  The residency curriculum is structured to meet the CREOG Educational Objectives, 9th Edition

The curriculum allows time for exploration of subspecialty services such as Maternal Fetal Medicine, Reproductive Endocrinology & Infertility, Gynecology Oncology, and Urogynecology.

Each year, the resident will have 5 week rotations through various services. As the resident physician progresses through the residency, they will have more independence and responsibility leading up to the 4th year, chief resident. The chief resident will have sufficient independent operating experience to become technically competent and have enough total responsibility for management of patients to ensure proficiency in the diagnostic and treatment skills that are required of a specialist in obstetrics and gynecology in office and hospital practice.

Sample rotations for each respective year are given below:

1st Year

2nd Year

3rd Year

4th Year/Chief

Obstetrics/L&D Benign Gynecology Central Baptist-Gyn Obstetrics/L&D
Benign Gynecology Central Baptist-Gyn Central Baptist-Gyn Night Float
Central Baptist-OB Ambulatory Night Float-OB Repro Endo
Night Float-OB MFM Benign Gynecology Gyn Oncology
Gyn Oncology Night Float-Gyn Gyn Oncology Benign Gynecology
Obstetrics/L&D Obstetrics/L&D Gyn Oncology Benign Gynecology
Ambulatory Central Baptist-Gyn Night Float-OB Night Float
Night Float-OB MFM Elective Norton
Gyn Oncology Ambulatory Norton Gyn Oncology
Benign Gynecology Night Float-Gyn Benign Gynecology Obstetrics/L&D


Residents maintain continuity clinics throughout their four years of residency. The first and second year residents see obstetric patients and the third and fourth year resident see mainly gynecology patients. Also, residents experience continuity of care on various rotations. For example, during the benign gynecology rotation residents run a gynecology continuity clinic. Also, the MFM and Obstetric rotation residents run a prenatal clinic for the community's Hispanic population.


Obstetrics/L&D


The intern’s obstetrics rotation consists of a 5-week rotation on days (6am-7pm) with shared weekend call, and also a 5-week rotation on the OB night float team (7pm-9am) without weekend call. The intern’s responsibilities consist of:

• Postpartum rounds with the chief resident at 7am
• Obstetric triage
• Management of uncomplicated labor
• Spontaneous vaginal deliveries
• Primary cesarean deliveries
• Postpartum tubal sterilization
• Medical and surgical treatment of miscarriages

The second year resident’s obstetrics rotation consists of two 5-week rotations on Labor and Delivery days (7am-7pm) with shared weekend call. The second year’s responsibilities consist of:

• Obstetric triage
• Management of all patients on Labor and Delivery, supervision of the intern’s management and primary management of high risk patients and maternal transfers from surrounding hospitals
• Operative vaginal deliveries
• Repeat cesarean deliveries
• Cerclage placement
• Presentation of patients during check-out rounds at 5:00pm

The third year resident’s obstetrics rotation consists of two 5-week rotations during the night float rotation.


The chief resident’s obstetric rotation consists of two 5-week blocks on Labor and Delivery (7am-7pm) with shared weekend call. The chief’s responsibilities include:

• Management of postpartum rounds with the interns at 7am
• Presentation of postpartum patients at attending rounds at 7:30am
• Assist with coordination of the operating room schedule
• General supervision of all resident activities on Labor and Delivery
• Supervision of obstetric triage
• Assist junior residents during operative vaginal deliveries, cesarean deliveries, post-partum tubal sterilizations, cerclage placement and during the surgical treatment of miscarriages
• Supervision of medical student activities and education on labor and delivery



Benign Gynecology


The first year resident has two 5-week rotations on the benign gynecology service. The resident works Monday-Friday (6:30am-6:00pm) with shared weekend call. The first year’s responsibilities include:

• AM Rounds
• Minor surgical procedures
• Selected major surgical procedures
• Post-operative care of surgical patients
• Gynecology consults from the Emergency Dept. and general medical floor
• Student Health Clinic 1-day/week
• Pre-operative gynecology clinic ½-day/week
• Opportunity to practice laparoscopic skills in the MIS simulation laboratory
• See also, Central Baptist (2nd year)

The second year resident gains experience with benign gynecology during their night float rotation and Central Baptist Rotation

•See also, Night Float (2nd year)
•See also, Central Baptist (2nd year)


The third year resident has two 5-week rotations on the benign gynecology service. The resident works Monday-Friday (6:30am-6:00pm) with shared weekend call. The third year’s responsibilities include:

• AM Rounds
• Minor surgical procedures
• Major surgical procedures
• Post-operative care of surgical patients
• Gynecology consults from the Emergency Dept. and general medical floors
• Pre-operative gynecology clinic 1-day/week
• Opportunity to practice laparoscopic skills in the MIS simulation laboratory
• Gynecology Ultrasound ½-day/week

The chief resident has two 5-week rotations on the benign gynecology service. The resident works Monday-Friday (6:30am-5:00pm). The chief’s responsibilities include:

• Supervision of AM Rounds
• Minor surgical procedures with the other residents and attending physicians
• Major surgical procedures with the other residents and attending physicians
• Supervision of the post-operative care of surgical patients
• Supervision of gynecology consults
• Pre-operative gynecology clinic 1-day/week
• Opportunity to practice laparoscopic skills in the MIS simulation laboratory
• Chief gynecology continuity clinic ½-day/week
• Supervision of medical student education



Gynecology Oncology


The first year resident has two 5-week rotations on the gynecology oncology service. The resident works 6:30am-6:00pm Monday-Friday with shared weekend call. The first year’s responsibilities include:

• AM Rounds
• Daily floor management of floor patients
• Gynecology Oncology consults, transfers, and daily admissions
• Pre-operative inpatient work-up
• Management of inpatient chemotherapy admissions
• Post-operative care of surgical patients
• Afternoon rounds
• Opportunity to participate in the surgical pig lab 1 day/month

The second year resident has two 5-week night float rotations on the Gynecology service. The night float shift is from Sunday-Thursday night from 6pm-8am. All weekends are free from call. The second year’s responsibilities include:

• See, Night Float (2nd year)

The third year resident has two 5-week rotations on the Gynecology Oncology service. The resident works 6:30am-6:00pm Monday-Friday with shared weekend call. The third year’s responsibilities include:

• AM Rounds
• Minor surgical procedures
• Major surgical procedures
• Management of post-operative patients
• Assist the first year resident with management of floor patients when available
• Assist the first year resident with consults, transfers, and daily admissions when appropriate
• Afternoon rounds
• Opportunity to participate in the surgical pig lab 1 day/month

The chief resident has two 5-week rotations on the Gynecology Oncology service. The resident works 6:30am-5:00pm Monday-Friday. The chief’s responsibilities include:

• AM Rounds
• Minor surgical procedures
• Major surgical procedures
• Gynecology Oncology Attending clinic 1 day/week
• Management of post-operative surgical patients
• Afternoon rounds
• Assist the first year resident with management of flood patients when available
• Assist the first year resident with consults, transfers, and daily admissions when available
• Supervision of medical student education
• Opportunity to participate in the surgical pig lab 1 day/month



Night Float


The first year resident has two 5-week night float rotations on Labor and Delivery. The night float shift is from Sunday-Thursday night from 7pm-9am. All weekends are free from call. The first year’s responsibilities include:

• Postpartum rounds with the chief resident at 7am
• Obstetric triage
• Management of uncomplicated labor
• Spontaneous vaginal deliveries
• Primary cesarean deliveries
• Medical and surgical management of miscarriages

The second year resident has two 5-week night float rotations on the Gynecology service. The night float shift is from Sunday-Thursday night from 6pm-8am. All weekends are free from call. The second year’s responsibilities include:

• Coverage of benign gynecology and gynecology oncology patients
• Gynecology consults
• Emergency gynecological surgeries, i.e., ectopic pregnancy, ovarian torsion, miscarriages
• Morning rounds with the Gynecology Oncology service, including presentation of patients to the rounding fellow

The third year resident has two 5-week rotations on Labor and Delivery night float. The night float shift is from Sunday-Thursday night from 7pm-9am. All weekends are free from call. The third year’s responsibilities include:

• Management of all patients on Labor and Delivery, supervision of the intern’s management and primary management of high risk patients and maternal transfers from surrounding hospitals
• Management and supervision of triage patients
• Consultant for the emergency department
• Supervision of interns and medical students during spontaneous vaginal deliveries
• Operative vaginal deliveries
• Cesarean deliveries
• Call coverage for antepartum patients
• Presentation of labor and delivery patients during attending rounds each morning at 7:30am

The chief resident has two 5-week rotations on night float. The night float shift is from Sunday-Thursday night from 5pm-7am. All weekends are free from call. The chief’s responsibilities include:

• General supervision of all resident activities on Labor and Delivery and the Gynecology service
• Supervision of obstetric triage
• Assist junior residents during operative vaginal deliveries, cesarean deliveries, and during the surgical treatment of miscarriages
• Perform and assist the gynecology resident with emergent surgeries
• Management and disposition of obstetric and gynecology consults with the respective resident
• Supervision of medical student activities and education on night shifts



Central Baptist


The first year resident has one 5-week rotation at Central Baptist Hospital. The resident works 6:30am-7pm Monday-Friday with shared weekend call at the University of Kentucky. The first year’s responsibilities include:

• AM Rounds on all post-operative patients
• ½-day/week obstetrics clinic
• Primary or assistant surgeon on all cesarean deliveries
• Primary or assistant surgeon on all postpartum sterilization procedures
• Primary or assistant surgeon on all cerclage placements
• Primary or assistant to all operative vaginal deliveries when available
• One grand rounds presentation per rotation

The second year resident has two 5-week rotations at Central Baptist Hospital. The resident works 6:30am-5:00pm Monday-Friday. The resident has gynecology home-call which is shared between the 2nd and 3rd year resident during the week and on the weekends. The second year’s responsibilities include:

• AM Rounds on all post-operative patients
• Two half-days in REI clinic at Central Baptist Hospital
• Primary or assistant surgeon on all minor gynecological surgical procedures performed in the outpatient surgery center with emphasis on infertility surgeries
• Primary or assistant surgeon on all major gynecological surgical procedures
• One grand rounds presentation per rotation

The third year resident has two 5-week rotations at Central Baptist Hospital. The resident works 6:30am-5:00pm Monday-Friday. The resident has gynecology home-call which is shared between the 2nd and 3rd year resident during the week and on the weekends. The third year’s responsibilities include:

• AM Rounds on all Oncology patients
• 1 day/week in Gyn Oncology clinic at Central Baptist Hospital
• Primary or assistant surgeon on all major gynecological surgical procedures with emphasis on Gynecology Oncology and Pelvic Reconstructive surgery
• Primary or assistant surgeon on all minor gynecological surgical procedures when available
• One grand rounds presentation per rotation



Maternal Fetal Medicine


The first year resident gains experience with Maternal-Fetal Medicine during:

Labor and Delivery rotation
Ambulatory rotation
Night Float-OB
Central Baptist-OB

The second year resident has two 5-week rotations with the Maternal-Fetal Medicine service. While on the MFM service, the resident shares call on Labor and Delivery on the weekends. The second year’s responsibilities include:

• Management of antepartum patients
• Review of daily non-stress testing results
• Coverage of high-risk clinics two ½-days/week
• Diagnostic and therapeutic amniocentesis
• Fetal ultrasound clinic
• Presentation of antepartum patients during attending rounds at 7:30am

The third year resident gains experience with Maternal-Fetal Medicine during:

Labor and Delivery rotation
Ambulatory rotation
Night Float rotation

The Chief resident gains experience with Maternal-Fetal Medicine during:

Labor and Delivery rotation
Chief night float



Reproductive Endocrinology


The first year resident gains exposure to reproductive endocrinology and infertility by the following:

• Didactic lectures during Tuesday morning education conferences
• See, Benign Gynecology
• Research opportunities

The second year resident gains exposure to reproductive endocrinology and infertility by the following:

• Didactic lectures during Tuesday morning education conferences
• See, Benign Gynecology (2nd year)
• Research opportunities
• See, Central Baptist (2nd year)
• Elective opportunity

The third year resident gains exposure to reproductive endocrinology and infertility by the following:

• Didactic lectures during Tuesday morning education conferences
• See, Benign Gynecology (3rd year)
• Research opportunities
• See, Central Baptist (3rd year)
• Elective opportunity

The chief resident gains exposure to reproductive endocrinology and infertility by the following:

• A 5-week rotations in the reproductive endocrinology and infertility clinics and IVF labs with opportunity for intrauterine insemination, gynecological ultrasound, egg harvesting, sperm analysis, embryo analysis, and in-vitro fertilization
• Didactic lectures during Tuesday morning education conferences
• See, Benign Gynecology (Chief)
• Research opportunities
• Elective opportunity

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Page last updated Saturday, September 17, 2011