Graduate Medical Education

Curriculum

Obstetrics and Gynecology
  • The PGY-1 year introduces the first-year resident to the basics of Obstetrics and Gynecology. In labor and delivery, the intern manages laboring patients and performs vaginal and cesarean births for patients from all St. Luke’s affiliated practices. Our interns become proficient in evaluation of obstetric complaints during their time in triage. In the clinic and on L&D the resident performs vaginal and abdominal ultrasounds and must pass an oral exam with an MFM attending. In gynecologic surgery, the resident develops technical skills in hysteroscopy, endometrial ablation, laparoscopic tubal ligation, and other basic procedures. Our first-year residents focus on Family Planning related GYN procedures in the first half of the year in addition to participating in our complex contraception clinic and working through fundamental Ryan modules. They then progress to more general and advanced GYN procedures in the second half of their year. Residents are introduced to the Gynecologic Oncology service their intern year. They have an opportunity to care for oncology patients on the floor and learn preoperative and postoperative care from the gyn onc attendings during their office hours. Interns also start to go to the operating room to learn about the surgical management of oncology patients.

    Curriculum

    Our first-year residents have a month-long Ultrasound rotation where the learn the hands on fundamental necessary for our field. Every resident has continuity clinic where they have an opportunity to establish and follow their own cohort of patients starting as PGY1.


    Specialty Number of Weeks
    Labor and Delivery (Anderson Campus) 12-16
    Labor and Delivery (Allentown Campus) 8-12
    Night Float 8-12
    Gynecologic Surgery (4 of these weeks are designated as Family Planning) 8-12
    Gyn Oncology 8-12
    Ultrasound 4

  • PGY-2 is a time to further develop one's obstetrical skills, such as complex repeat Cesarean sections and operative vaginal deliveries. The PGY-2 resident also becomes a mentor for the first-year residents, especially on labor and delivery. In the second half of the year, the PGY2 runs the Maternal Fetal Medicine high risk OB unit at Anderson. In Allentown, the PGY-2 resident takes on increasing responsibility in the OR and L&D. The night float rotation is an opportunity to manage the service more independently at Allentown. The skills learned on night float are an important building block to get the PGY-2 ready for their senior rotations at the higher acuity Anderson unit. During this year, the resident is exposed to more complex surgeries in the operating room during their gyn onc and benign gynecology rotations. They have the opportunity to perform more complex laparoscopic procedures as well as laparotomies and various other surgeries. On REI, the resident works in a busy practice which includes a private REI lab and performs surgery with the REI faculty. Finally, we have a designated research month which allows our residents concentrated time for data collection to ensure that a meaningful research project can be completed during their residency. Some of our residents have used this to take advantage of international research opportunities. For more information on the research requirement, please visit our section on Research and Publications. Our PGY-2 residents average two calls per month.

    Curriculum


    Specialty Number of Weeks
    Labor and Delivery (Anderson Campus) 8-12
    Labor and Delivery (Allentown Campus) 8-12
    Maternal Fetal Medicine 4-8
    Night Float (Allentown) 8-12
    Gynecologic Surgery (Allentown) 8-12
    Gyn Oncology 8-12
    Reproductive Endocrinology and Infertility 4
    Research (including international opportunities) 4

  • PGY-3 is devoted to the sub-specialty services of OB/GYN. On MFM, the resident continues to expand their high-risk obstetric knowledge and skills including learning to perform amniocentesis, cerclage, and complex ultrasounds including Doppler studies. While on the Allentown labor and delivery unit the PGY3 serves as the chief of service, building their leadership skills. On Gynecologic Oncology the PGY3 also serves as the service chief. They spend more time in the OR performing and assisting with pelvic dissection by laparotomy, laparoscopy and the robotic approach. Our Urogynecology rotation is well-known as a strong component of the residency program. The resident learns both medical and surgical management of incontinence and pelvic floor relaxation disorders and graduates with confidence in performing cystoscopy and many types of urogynecologic procedures. They have the opportunity to complete an outpatient elective month in general OBGYN or in the subspecialty of their choice. This is an opportunity for our residents use to further explore things like breastfeeding or menopause medicine. Our PGY-3 residents average two calls per month.

    Curriculum


    Specialty Number of Weeks
    Night Float 4-8
    Gynecology (Anderson Campus) 8-12
    Labor and Delivery (Anderson Campus) 8-12
    Labor and Delivery (Allentown Campus) 8-12
    Urogynecology 4
    Oncology 8-12
    MFM 4-8
    Family Planning 4

  • PGY-4 is a time to take on a more supervisory role. Whether in L&D, clinic, or gynecologic surgery service, the chief resident oversees and directs the day-to- day operations of these areas. During the clinic rotation, chief residents are able to take ownership of the care of the most complex patients at the Star Community Health clinic and can book surgical cases that the gyn team will then perform. They also act as mentor to the junior residents in continuity clinic. In the OR, the resident hones his or her technical skills in minimally invasive surgery, including laparoscopic and robotic hysterectomies and complex pelvic dissections. Residents train with traditional laparoscopic instruments and with the da Vinci® Surgical System. Over 85 percent of our hysterectomies are performed either vaginally, robotically or laparoscopically. An advanced gynecologic surgical rotation allows our residents to further enhance their surgical comfort by operating with some of our most skilled GYN surgeons in a variety of specialty areas. Our second Family planning rotation takes placed in PGY4 where our residents rotate at a private facility in the area that provides family planning and abortion services. They have weekly complex contraception clinic in addition to educational sessions with our CFP designated faculty. Our PGY-4 residents average two calls per month.

    Curriculum


    Specialty Number of Weeks
    Night Float 4
    Clinic 8-12
    Gynecologic Surgery (Anderson Campus) 8-12
    Gynecologic Surgery (Allentown Campus) 8-12
    Gynecologic Surgery Advanced Gynecology 4-8
    Labor and Delivery (Anderson Campus) 8-12
    Gynecologic Oncology 4