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Department of Obstetrics and Gynecology, VCU Medical Center, Virginia Commonwealth University Department of Obstetrics and Gynecology Virginia Commonwealth University VCU Medical Center

VCU Department of Obstetrics and Gynecology

Residency Program

Rotation Overview

The residents receive their education under the direction of the full-time faculty who rotate their various responsibilities.


 

Intern/PGY-1
Labor and Delivery Days Two months
Labor and Delivery Nights One month
Gynecology Two months
Gynecologic Oncology Two months
Ambulatory OB/GYN Clinics Two months
Emergency Medicine One month
Internal Medicine Wards One month
Medical and Respiratory ICU One month

The Intern level (PGY-1) is designed to give a broad base of medical experience to the first year resident. Our philosophy is that graduate education entirely focused on issues of Obstetrics and Gynecology does not adequately prepare the individual for practice. Therefore, the PGY-1 residents receive a thorough education in Internal Medicine, including critical care, with rotations in the surgical/medical emergency room, the Medical Intensive Care Unit and general medicine. They obtain the basic foundation of experience in both obstetrics and gynecology, including ambulatory and inpatient settings. These rotations in Obstetrics and Gynecology allow the residents to develop their skills in physical diagnosis, primary care and pre and post-operative technique.

Junior Assistant Resident/PGY-2
Labor and Delivery Days Two months
Labor and Delivery Nights Two months
Gynecology Two months
Reproductive Endocrinology and Infertility Two months
Acute Care OB/GYN Clinic Two months
Gynecology Oncology One month
Family Planning One month

The PGY-2 is an enjoyable year with increased responsibility in Labor and Delivery, the ORs and on services. The PGY-2 resident is our key resident to managing the board in Labor and Delivery. This responsibility hones skills and increases knowledge in obstetrics. PGY-2 residents are very active surgically and learn multiple other skills including gynecologic ultrasounds and infertility/endocrinology.

Assistant Resident/PGY-3
Labor and Delivery Days and Antepartum Service Two months
Labor and Delivery Nights Two months
Gynecology Two months
Gynecologic Oncology One month
Urogynecology/General Gynecologic Surgery Two months
Ambulatory OB/GYN Clinics Two months
Elective/Float One month

The PGY-3 is a year during which opportunities for increased independent function are accelerated. They have enhanced opportunity for decision-making. They act as the inpatient hospital consultant for other services with faculty backup. They serve as the primary managers of patients in Labor and Delivery, and also act in a consulting role in the emergency rooms and in outpatient clinics. The residents have found the PGY-3 year to be one of very rapid growth and development in both their technical skills and judgement. This is a very rich and rewarding year because, in addition to the development of independent function, it has above it two layers of supervision: the PGY-4 residents and the faculty.

During the second half of the PGY-3 academic year, residents are given the option to pursue an away elective during their elective/float rotation. This allows for the enhancement of those pursuing fellowships or may have an international focus.

Senior Resident/PGY-4
Labor and Delivery Days Two months
Labor and Delivery Nights Two months
Gynecology Two months
Gynecologic Oncology (includes two months of Community Gynecologic Oncology) Four months
Ambulatory OB/GYN Clinics Two months

The PGY-4 year is one in which the resident now has the opportunity to further sharpen the management and decision making that has been developed in the previous years. He or she acts as a consultant to junior residents in all matters of patient management and evaluation. They also act as consultants for difficult problems when dealing with patients in other departments. They act in a supervisory and educational manner on all of the inpatient services. They work side-by-side with the appropriate faculty members who act as their consultants on a daily basis.