Four Year Curriculum Overview
Year One ( Specialty Track Program)
RowanSOM currently offers an OGME-1 Ob/Gyn Track Combined Internship/Residency. This is an AOA approved year made up of 13 four week blocks. All first year residents in this program will complete 4 blocks of Obstetrics, 2 blocks of Gyn Surgery, 1 block of Emergency Medicine, 1 block in the Neonatal Intensive Care Unit, 3 blocks of Internal Medicine, 1 block in the Surgical Intensive Care Unit, 1 block of Maternal Fetal Medicine/Ultrasound, and 1 block of General Surgery. The OGME-1 is on call for the Ob/Gyn service during 7 of the 13 blocks and on general medicine call for the remaining 6 blocks. Call is usually 1 in 5-6 nights on general medicine and 1 week of night float and 2 weekend shifts when on Ob/Gyn. One half day each week is spent in the outpatient Ob/Gyn office.
Educational emphasis is placed upon management of normal labor and delivery, benign gynecologic evaluation, minor gynecologic surgical procedures, as well as emergency room evaluation of obstetrics and gynecology patients during the six blocks on the Obstetrics and Gynecologic Surgery services. During the course of their first year, the residents are expected to learn history and physical examination skills, achieve basic competence in uncomplicated vaginal and cesarean delivery, and gain experience in operative vaginal deliveries, episiotomy repair, and minor gynecologic surgical procedures. Residents are given surgical opportunities from day one of their training in both the C-section OR and the Main OR – something we pride ourselves on. Upon completion of the 13 block year, the trainee will have fulfilled all AOA requirements for an Osteopathic Internship as well as the first year of Obstetrics & Gynecology Residency.
The second year is designed not only to provide a solid foundation in general and high risk obstetrics but also to foster resident competence with minor gynecologic procedures. The residents’ time on Labor and Delivery is focused on performing an in depth history and physical and reaching an appropriate differential diagnosis and management plan for each high and low risk Ob patient. The second year residents rotate through the Antenatal Testing Unit in order to develop their skills in ultrasonography and fetal assessment as well as participate in consultations done by the MFM faculty. Residents will also be offered multiple months of gynecologic surgery where they will gain further experience in minor gynecologic surgeries as well as assist and/or double scrub major gynecologic cases with a senior resident and attending physician.
Monday mornings residents attend the Resident Didactic Sessions. All residents are relieved from clinical duty in order to be present at these sessions from 7:00 AM to 10:00 AM. During the course of the year, the resident will continue to maintain his or her patient base during the half day a week in the continuity clinic. Education here will be focused on the evaluation and management of high and low risk obstetrical patients as well as the management of the common benign gynecologic complaints and diseases. The residents also participate on in-patient rounds with the attending physician and are responsible for the care of the Family Health Center patients, whom they have been managing through the Out-Patient centers.
The role of the third and fourth year residents will primarily be that of gynecologic surgery. The resident will have the ability to participate as primary surgeon on all major cases while on the Gynecologic Surgery service at Kennedy University Hospital – Washington Township. Managing all post-op patients in house, completing gyn consults in the ER and on the general medical floors, and ensuring OR coverage become the responsibility of the third and fourth year resident. All aspects of benign and malignant gynecologic disease are taught and surgical skills are honed during these years of training.
Subspecialty training is also further explored. The third year residents will also rotate at Cooper University Hospital for Gynecologic Oncology and spend time in South Jersey Fertility Associates’ offices for training in Reproductive Endocrinology. The fourth year residents will rotate for one month on the Urogynecology outpatient service (inpatient and surgical experience is gained from years 2-4 while on Gynecologic Surgery Rotations).
Both the third and fourth year residents will maintain a minimum of a half day a week for continuity clinic where the resident will continue to maintain his or her patient base. Education will now focus on not only the evaluation and management of high and low risk obstetrical patients but also the management of more complicated gynecologic complaints and competency in office based procedures.
Third and fourth year residents continue to rotate through labor and delivery to maintain their obstetrical skills and develop their supervisory skills as they oversee the first and second year residents as well as the medical students on service. By the end of the fourth year, the resident will have completed a comprehensive research project and presented their findings at a regional or national conference.