The PGY 1 rotation in obstetrics is divided into three 4-week blocks, alternating with the Night Float and Ambulatory Care rotations. Responsibilities include the initial evaluation of the parturient, management of the low-risk patient, and immediate postpartum care – all performed under the supervision of the senior residents and faculty. The resident becomes accomplished in spontaneous vaginal delivery; learns the techniques of intrapartum and antepartum fetal heart rate testing, amniocentesis, ultrasonography, and cesarean delivery; and is introduced to the techniques of vacuum and forceps delivery.
This rotation is divided into two 6-week blocks, alternating with the Night Float rotation. Obstetrics II is devoted almost exclusively to the care of patients in the Labor and Delivery suite. The resident will be primarily responsible for all operative vaginal and cesarean deliveries.
The PGY 3 rotation in Obstetrics is divided into two 6-week blocks. The duties are similar to those of the second-year resident, but a greater degree of skill and independent decision-making is expected. The antepartum evaluation and management of high-risk patients is the resident’s primary responsibility. The resident also receives additional training in ultrasound and genetic counseling.
The PGY 4 rotation is divided into two 6-week blocks, alternating with Night Float. When assigned to Obstetrics, the chief resident manages the entire service under the supervision of the Maternal-Fetal Medicine faculty. Experience is gained in the administrative aspects of obstetric care, including risk management and case presentation. In addition, the chief resident has a major responsibility for the instruction of junior residents and medical students.
The PGY 1 residents are assigned to the Ambulatory rotation. This rotation is divided into three 4-week blocks, alternating with the Obstetric and Night Float rotations. The first-year resident will divide her/his time between the High Risk Obstetrics Clinic, Continuity of Care Clinic, and Prenatal Diagnosis Clinic. During this rotation, the resident will develop skills in primary care and preventive medicine in addition to gaining knowledge regarding the medical complications of pregnancy and experience in the techniques of prenatal diagnosis.
Night Float Rotation
In the first, second, and fourth years of training, residents spend a total of 12 weeks on the Night Float rotation. The Night Float second- and fourth-year residents work Sunday through Thursday nights while the Night Float intern works Sunday through Friday nights. The Night Float team is, collectively, responsible for covering the Labor & Delivery suite, the ER, and the wards.