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Curriculum

Curriculum overview (each block is 3-4 weeks in length)

PGY 1

  • OB – 2 blocks
  • Gyn – 2 blocks
  • Night Float – 2 blocks
  • Gyn Oncology – 2 blocks
  • High Risk OB Clinic – 2 blocks
  • OB Surgery – 1 block
  • Triage and Peds/Adolescent Gynecology – 2 blocks
  • Postpartum – 1 block

PGY 2

  • OB – 2 blocks
  • Gyn – 2 blocks
  • Night Float – 2 blocks
  • Gyn Oncology – 2 blocks
  • High Risk OB Clinic – 2 blocks
  • OB Surgery – 1 block
  • Triage (nights) – 1 block
  • Triage (days) – 1 block
  • Urogynecology – 1 block

PGY 3

  • OB – 2 blocks
  • Gyn – 2 blocks
  • Night Float – 2 blocks
  • Gyn Oncology – 2 blocks
  • High Risk OB Clinic – 2 blocks
  • Elective – 1 block
  • Triage (nights) – 1 block
  • Triage (days) – 1 block
  • Reproductive Endocrinology and Infertility – 1 block

PGY 4

  • OB – 2 blocks
  • Gyn – 2 blocks
  • Night Float – 2 blocks
  • Gyn Oncology – 2 blocks
  • High Risk OB Clinic / OB surgery– 2 blocks
  • Minimally Invasive Surgery – 2 blocks
  • Urogynecology- 1 block
  • Reproductive Endocrinology and Infertility – 1 block

Obstetrics

The obstetrics blocks will provide education on the various aspects of inpatient care for the pregnant and immediately postpartum patient. Residents are involved with cases with gradual increases in the levels of autonomy through the course of the academic year. On labor and delivery, residents learn to interpret fetal heart tracings, perform vaginal deliveries, operative deliveries, and Cesarean sections. Our program has resident involvement in surgical cases early and often, refining skills in repairs after vaginal delivery, as well as in the operating room with Cesarean sections. Residents will function as the primary surgeon typically in the latter half of their first year.  Residents also provide coverage for the antepartum unit. Here they learn to manage complications of pregnancy (including preterm labor, pre-eclampsia, multifetal gestations, PPROM, etc.). They provide care for both resident and private patients in order to maximize educational opportunities. Lastly, residents provide postpartum care for patients following delivery.

Gynecology

The gynecology blocks educate residents on inpatient/outpatient management of gyn issues. The majority of these rotations involve time in the operating room to develop surgical skills. There is a gradual increase in the complexity of cases year to year. Residents operate with the faculty of our program as well as with private OB/GYNs from the community to maximize surgical experience. Orlando Health Winnie Palmer Hospital has been designated as a Center of Excellence for Minimally Invasive Gynecology Surgery. Our residents receive education on the various routes from gyn surgery (open, laparoscopic, robotic, and vaginal). Residents typically graduate with a high number of cases under their belt (usually at 70-90th percentile compared to cases done by residents across the nation).

High Risk OB

Residents on this service participate in providing antepartum outpatient care to women with high risk conditions. These patients have various conditions/comorbidities complicating pregnancy. Residents, under the supervision of Maternal Fetal Medicine faculty, help to manage these conditions to provide optimal care to both mother and baby.

Gyn Oncology

This rotation focuses on gyn cancers that occur in the female pelvis. Residents participate both in the outpatient and inpatient care of these complex patients, from initial evaluation in the office, to surgical management in the operating room, and postoperative care. Residents also participate in a multidisciplinary tumor board. They are educated about all aspects of treatment of gyn cancer from surgical to medical management, with chemotherapy and/or radiation. Although this is one of the more demanding rotations, due to complexity of the cases, it is also one of the most rewarding and educational for residents. They perform very difficult and challenging surgeries under the guidance of gyn oncology attending physicians.

OB Surgery

This rotation is designed for resident’s surgical experience. The majority of cases are cesarean sections and the role of the resident is to develop and refine their surgical skills by functioning as the primary surgeon in these cases. Residents start doing C-sections in the latter half of their intern year. There is gradual progression to more complex cases over time.

Triage

This rotation involves time in our triage/Women’s ED unit. Residents, along with nurse practitioners and attending physicians, evaluate and treat every patient that walks in through the doors of Winnie Palmer Hospital.  This involves management of early pregnancy issues (ectopic pregnancy, miscarriage, hyperemesis), to full term labor checks and everything in between. Residents will experience a multitude of clinical scenarios in this unit, going from simple, routine pregnancy concerns in one room, to emergent, life threatening conditions in the next room. Residents also learn/perform ultrasounds while on this rotation. Residents develop clinical skills, efficiency, and rapid decision-making skills on this rotation.

Pediatric and Adolescent Gynecology

Residents on this rotation learn about the evaluation, diagnosis, and treatment of gynecologic disorders in the pediatric/adolescent population. They are involved in the outpatient, inpatient and surgical care of this special population.

Urogynecology

This rotation educates residents on disorders of the female pelvis involving the bladder, and pelvic support/pelvic reconstruction.  Residents participate in outpatient evaluation, diagnosis and development of a treatment plan. They are also involved in the surgical cases to correct these disorders (for both bladder issues and/or pelvic support).

Reproductive Endocrinology and Infertility

This rotation educates residents on the causes and treatment options for infertility. Abdominal and vaginal ultrasound are key in this subspecialty and as such, residents enhance their sonography skills on this rotation. In addition, they learn about endocrinology disorders that affect female patients.

Minimally Invasive Surgery (MIS)

This rotation focuses in developing and refining surgical skills for laparoscopic and robotic gyn surgery. Residents spend some time in the office with MIS faculty. However, the majority of the time is in the operating room, where they learn and then develop proficiency in surgical techniques. Orlando Health Winnie Palmer Hospital has one of the highest rates in the US (greater than 80%) for hysterectomy performed by minimally invasive surgical techniques. Furthermore, Orlando Health Winnie Palmer has been designated as a Center of Excellence for Minimally Invasive Gynecology Surgery.

Elective

This block is designed to allow residents to explore aspects of OB/GYN for which they have a passion. Residents can do away rotations at other institutions (possibly to explore as a site for fellowship). Residents that participate in the Global Health Track may use this time for a rotation at a partner hospital in Kenya, where they will participate in training Kenyan OB/GYN physicians. Unfortunately, much of this travel has not been an option in 2020 due to COVID-19. However, when we determine it is safe for our residents to participate in clinical venues away from WPH, this will again be a viable option. Finally, this time can also be used to work on scholarly activity/research projects.