Our residency program curriculum provides training that will allow graduates to pursue either a generalist practice or training in any of the subspecialties in our field. We emphasize teaching and mentorship, graduated levels of patient-care responsibility, primary care training integrated into clinical experience within the department, and significant exposure to the obstetrics and gynecology subspecialties.
Block Schedule
Clinical Rotation Sample by PGY
| PGY1 | PGY2 | PGY3 | PGY4 |
|---|---|---|---|
| Ambulatory | Gynecologic Oncology | Gynecologic Oncology | Gynecologic Oncology |
| Postpartum | Maternal Fetal Medicine | Maternal Fetal Medicine | – |
| Obstetrics | Obstetrics | Urogynecology and Reconstructive Pelvic Surgery | Obstetrics |
| Ultrasound | Reproductive Endocrinology and Infertility | Minimally Invasive Gynecologic Surgery | Preparation for Independent Practice |
| Gynecology | Gynecology | Complex Family Planning | Gynecology |
| Night Float | Night Float | Late Float | Night Float |
| Surgical Intensive Care Unit | Elective/ Global Health |
Description of Clinical Rotations
Ambulatory
During this rotation, PGY-1 residents gain exposure to a wide range of ambulatory Obstetrics and Gynecology through outpatient subspecialty and high-risk obstetric clinics. The experience focuses on building confidence in evaluating and managing common women’s health conditions encountered throughout residency. It is a highly procedure-oriented rotation, providing hands-on experience with colposcopies, ultrasounds, pessary placements, and contraceptive device insertions, including IUDs and implants.
Postpartum
During this rotation, PGY-1 residents will learn to recognize the normal course of the postpartum period and provide comprehensive routine care after delivery. This includes counseling patients on breast care, including breastfeeding and chest feeding; the healing of obstetric lacerations and episiotomies; nutrition and exercise during and after lactation; contraception options, including sterilization; recommended vaccinations; and the long-term health implications of pregnancy-related conditions. Residents will also screen for urinary and fecal incontinence and develop the skills to identify and initiate management of common postpartum complications, including delayed postpartum hemorrhage, infections, urinary tract injury, mastitis, breast abscess, postpartum depression, anxiety, suicidal ideation, and complications related to laceration or episiotomy breakdown.
Obstetrics
This rotation provides residents with progressive responsibility in the care of obstetric patients across inpatient and outpatient settings. Residents gain experience in the evaluation, management, and treatment of both low-risk and high-risk pregnancies throughout the antepartum, intrapartum, and postpartum periods. Training includes labor and delivery management, obstetric triage, outpatient high-risk prenatal care, and operative obstetrics, with increasing responsibility as residents advance. Senior residents take on leadership roles, coordinating patient care, supervising and teaching junior residents, and managing complex obstetric cases while developing the skills necessary for independent practice.
Ultrasound
This PGY-1 rotation provides a foundational introduction to obstetric and gynecologic ultrasound as part of a longitudinal four-year residency curriculum. Residents develop the basic knowledge and technical skills necessary to perform and interpret ultrasound examinations in obstetrics and gynecology, with an emphasis on image acquisition, anatomy, and clinical application. Training includes hands-on scanning experience, image review and feedback, and simulation-based learning when available, helping residents build competency in ultrasound techniques that will be further developed throughout their residency.
Gynecology
This rotation provides residents with progressive training in the evaluation and management of gynecologic patients across inpatient, outpatient, and surgical settings. Residents develop skills in gynecologic consultation, perioperative care, and the diagnosis and treatment of a wide range of benign and complex gynecologic conditions. Surgical training advances throughout residency, beginning with foundational procedures and progressing to more complex operative techniques and major gynecologic surgeries. As residents gain experience, they assume increasing responsibility for patient care, surgical decision-making, team leadership, and resident education, ultimately preparing them to function independently in both clinical and surgical gynecology practice.
Maternal Fetal Medicine
This rotation provides residents with advanced training in the care of patients with high-risk pregnancies across both inpatient and outpatient settings. Residents develop expertise in the evaluation, management, and coordination of care for complex maternal and fetal conditions throughout the antepartum, intrapartum, and postpartum periods. The experience emphasizes multidisciplinary management, continuity of care, and the integration of outpatient and inpatient obstetric services. As residents progress, they assume increasing responsibility for clinical decision-making, labor and delivery management, obstetric triage, and the comprehensive care of medically and obstetrically complicated pregnancies.
Reproductive Endocrinology and Infertility
This rotation provides residents with comprehensive exposure to reproductive endocrinology and infertility, focusing on the evaluation and management of patients with infertility, endocrine disorders, and other reproductive health conditions. Residents gain experience in both outpatient clinical care and surgical management, including diagnostic and operative hysteroscopic procedures. The rotation emphasizes the use of advanced gynecologic ultrasound techniques and ultrasound-guided procedures, as well as the principles and practice of assisted reproductive technologies, including in vitro fertilization. Through direct patient care, procedural training, structured educational activities, and faculty mentorship, residents develop a strong foundation in reproductive endocrinology, fertility treatment, and evidence-based management of complex reproductive health issues.
Gynecologic Oncology
This rotation provides residents with progressive training in gynecologic oncology, encompassing the evaluation, diagnosis, treatment, and longitudinal management of patients with gynecologic malignancies. Residents gain experience across inpatient, outpatient, and surgical settings, developing expertise in cancer staging, perioperative care, multidisciplinary treatment planning, and survivorship care. Surgical training progresses from foundational gynecologic procedures to increasingly complex oncologic operations, including minimally invasive and open surgical techniques. As residents advance, they assume greater responsibility for patient management, operative decision-making, care coordination, education of junior trainees, and leadership within the oncology service, preparing them to provide comprehensive care for patients with gynecologic cancers.
Urogynecology and Reconstructive Pelvic Surgery
During this rotation, the UG3 resident will spend dedicated and focused time learning the clinical and surgical practices of Urogynecology & Reconstructive Pelvic Surgery (Urogyn). It is the goal of this rotation to expose Ob/Gyn residents to the evaluation, diagnosis, treatment selection, and peri-operative consideration required for complex problems in urogynecology and benign gynecology to enable them to care for patients safely and effectively and to refer those who require additional expertise.
Minimally Invasive Gynecologic Surgery
During this rotation, the MIGS resident will focus on improving their minimally invasive surgical skills and learning the fundamentals of Complex Benign Gynecology and Minimally Invasive Surgery including comprehensive patient evaluation, decision making, counseling, perioperative optimization, patient positioning, anatomy, surgical strategy and safety principles, instrumentation, and electrosurgery. Teaching will cover abnormal uterine bleeding, endometriosis, leiomyomas, pelvic pain, etc. It is the goal of this rotation to expose Ob/Gyn residents to the evaluation, diagnosis, treatment selection, and perioperative considerations for complex problems in benign gynecology to care for patients safely and effectively and to refer those who require additional expertise.
Complex Family Planning
During this rotation, residents will gain experience with medical and surgical abortion services. This includes patient counseling, discussion of contraception and family planning, and performing termination procedures. This is an opt-out educational experience in accordance with the ACGME’s Obstetrics and Gynecology Program Requirement (IV.A.6.d). All residents complete the “Termination of Pregnancy Procedure Opt-Out Form” at the beginning of their intern year. The purpose of this rotation is to help prepare residents provide individualized, evidence-based care for women with early pregnancy reproductive concerns while understanding the advocacy issues related to abortion access.
Surgical Intensive Care Unit
PGY1 residents will spend 5 weeks in the surgical intensive care unit. The primary focus of this rotation is to introduce the resident to the pathophysiology and management of the most common presentations of critically ill patients, the problems of which are commonly encountered in the care of gynecologic and obstetric patients. This experience is meant to enhance and complement the resident’s training to care for unstable and critically ill patients on the gynecology service, oncology service, and high-risk obstetric service.
Elective & Global Health
Elective: This 4-week rotation provides the ability to individualize your training and tailor your experiences to something of special interest.
Global Health Elective: This elective provides residents with a global health experience focused on delivering gynecologic care in a resource-limited setting while enhancing their clinical, surgical, and cross-cultural competencies. Residents participate in patient evaluation, surgical planning, and the management of a broad range of gynecologic conditions, gaining exposure to diverse healthcare systems and patient populations. The rotation emphasizes the development of advanced surgical skills, clinical decision-making, teamwork, and adaptability through direct involvement in operative gynecology and collaborative care with multidisciplinary and international healthcare teams. Residents also gain a deeper understanding of global women’s health challenges, healthcare access, and the delivery of high-quality care in underserved communities.
Night and Late Float
This rotation provides residents with comprehensive experience in the management of obstetric and gynecologic patients during evenings, nights, and weekends, emphasizing continuity of care across Labor and Delivery, obstetric triage, inpatient gynecology, and gynecologic oncology services. Residents develop skills in the evaluation and treatment of both routine and complex clinical situations, including obstetric emergencies, inpatient consultations, and urgent surgical care. Training includes increasing responsibility for patient assessment, clinical decision-making, operative procedures, care coordination, and multidisciplinary communication. Senior residents provide supervision, teaching, and leadership for the overnight team while ensuring high-quality care for obstetric and gynecologic patients across a broad spectrum of clinical settings
Call Requirement
Chief Call Shift
This individual primarily oversees in-service residents, including assisting whenever indicated or medically appropriate for upper level intervention. This individual should function as a junior attending, managing the low-risk and high-risk obstetric inpatients, gynecology consults and inpatients along with the rest of the team. The OB Chief Call resident should be present for every delivery, involved in clinical decision making, and present for every operation unless engaged in other clinical activity. This includes cesarean sections, operative deliveries, ER consults, and gynecologic surgeries (assisting/teaching other residents when possible).
Emergency Room Call Shift
This individual is responsible for managing “the lists” during the day including: high risk obstetrics antepartum, gynecology, and gynecologic oncology patients. The ER resident should be primary surgeon in case appropriate circumstances including, but not limited to, cesarean deliveries, emergent gynecologic surgeries (D&C, laparoscopy, and laparotomy). The ER resident is also responsible for taking day shift phone calls from the answering service and seeing ER and inpatient consults.
Labor & Delivery Call Shift
This individual works primarily on Labor & Delivery and Triage learning how to evaluate, manage, and treat women with low-risk pregnancies. The L&D resident should gain an understanding of antepartum, intrapartum, and postpartum care for this patient population. The L&D resident is responsible for accepting the labor board during “Morning Board Turn” and signing out the board to the oncoming team at the end of the shift
Night Float Call Shift
The Night Float team covers night shift (5:30PM – 6:00AM) Sunday – Thursday. The Night Float team is not required to take additional call during the Night Float rotation.