Curriculum and Clinical Experiences

First Year-Intern Year

  • 15 weeks of Obstetrics
    • 10 weeks on Labor and Delivery – Days
    • 5 weeks on Labor and Delivery – Night Float
  • 10 weeks of Benign Gynecology
    • 2 five-week rotations
  •  4 weeks of Family Planning (Planned Parenthood Los Angeles)
  •  4 weeks of Ultrasound (Kaiser West Los Angeles)
  •  4 weeks of Internal Medicine in the Intensive Care Unit
  •  3 weeks of Reproductive Endrocrinology
  •  3 weeks of Primary Care
  •  2 weeks of Neonatal Care/Nursery
  •  1 week of Palliative Care

Second Year

  • 20 weeks of Obstetrics
    • 2 five-week rotations on Labor and Delivery – Days
    • 2 five-week rotations on Labor and Delivery – Night Float
  • 10 weeks of Gynecologic Oncology
    • 2 five-week rotations
  • 10 weeks of Maternal Fetal Medicine
    • 2 five-week rotations
  • 8 weeks of Gynecology Clinics – Procedures and Simulation
  • 5 weeks of Urogynecology

Third Year

  • 10 weeks of Labor and Delivery/Gynecology-Night Float
    • 2 five-week rotations
  • 10 weeks of Benign Surgical Gynecology
    • 2 five-week rotations
  • 10 weeks of Minimally Invasive Surgical Gynecology-Kaiser Fontana continuous
  • 8 weeks of Maternal Fetal Medicine
  •  6 weeks of Reproductive Endocrinology and Infertility
  •  4 weeks of Elective
  • 2 weeks Clinics

Fourth Year-Chief Year

  • 10 weeks of Obstetrics-Labor and Delivery
  • 10 weeks of Benign Surgical Gynecology-Kaiser Los Angeles
  • 8 weeks of Minimally Invasive Surgical Gynecology – Kaiser West Los Angeles
  • 10 weeks of Gynecologic Oncology
  • 10 weeks of Urogynecology
  • 2 weeks of Clinics

Teaching Program

Department Education Activities

There is a full breadth of educational activities and requirements in our OBGYN Residency program.  There are rotation educational conferences as well as weekly scheduled group educational activities. 

Within each rotation there is dedicated time for teaching and learning.  The residents on service are not only required to attend these learning activities, but they are often integral to the way they are run.  In benign gynecology there is a weekly surgical case review on Monday afternoons.  In Female Pelvic Medicine and Reconstructive Surgery there is a weekly Thursday morning lecture on pelvic anatomy and relevant topics.  In Maternal Fetal Medicine there is a Multidisciplinary Perinatal Conference (MFM, Anesthesia, Pediatric/Adult Cardiology, Neonatology, Social Work and more) that brings together the individual disciplines needed for the maternal-fetal issues at hand.  Gynecologic Oncology arranges their Multidisciplinary Conference in a similar fashion (Gynecology Oncology, Radiation Oncology, Pathology, Pharmacy, Social Work) to aid in providing a cohesive approach to each patient’s clinical and social needs. 

Furthermore, Thursday afternoons are designated “Educational Time” (ET) for both the residents and faculty.  During this ET time we rotate through a series of educational activities that include Case Management Conference, “Interesting Case” presentations, Journal Club, Fetal Tracing Conference, OBGYN Ultrasound Series, combined OBGYN/Radiology Conference and Quality Assessment and Improvement Conference.  In addition, we host internal and external speakers as well as attend Medical Center wide Grand Rounds. We reserve the first Thursday ET of each month to run a simulation series that encompasses teaching in simple and complex OBGYN procedures.   

Outside of Thursday Educational Time, we maintain a weekly CREOG (Council on Resident Education in Obstetrics and Gynecology) based lecture series.  Organizing this time is the responsibility of the academic chief resident.  It varies yearly depending on the identified needs of the group as well as those of the academic chief resident.  This year, the resident group organized the “top 40 ACOG bulletins that every resident should know”. These were paired with a significant, or landmark, article for a one-hour review led by a faculty member. When the national CREOG (Council on Resident Education in Obstetrics and Gynecology) exam approaches, this time is used by our subspecialists for concentrated topic teaching and review. In addition to this, we maintain access to a large internet-based question bank so that residents may quiz themselves on CREOG style questions and self-evaluate for areas needing strengthening. 

Required for graduation from our OBGYN residency program is at least one research project and one quality improvement project. Our goal is that each resident will have a defined project by the end of the second year. This enables appropriate time for completing a meaningful project and allows for flexibility within the third-year elective rotation. The research project must be of sufficient quality to be submitted as an abstract for presentation at an appropriate society meeting.  This research project must also be submitted to the LAMC Research Symposium in the fourth year of residency.  Many of our resident research projects are ultimately submitted and accepted for publication.   There is GME support for any resident who attains an invitation to present their research project at a society meeting. 

 Another popular resident activity is creating surgical videos.  Because we are a referral center, we have multiple opportunities to be involved in unique clinical cases that involve equally unique surgical approaches.  Our residents take full advantage of such situations by taping and editing educational videos that often are submitted and accepted for presentation at various society meetings.  


SIMulation Series and Fundamentals of Laparoscopic Surgery (FLS)
We maintain a robust SIMulation series that provides for learning about and practicing procedures prior to providing them to patients.   There is at least one SIMulation event during ET time scheduled on a monthly basis.  We concentrate on gynecologic procedures from the very basic (ie, endometrial biopsy, IUD placement, manual vacuum aspiration) to the more complex (ie, hysterectomy, pelvic side wall dissection, laparoscopic vascular injuries).  Some of our SIMulations are staged with the exact instruments that would be used in a realistic operating room in our new SIMulation center.

We house our Fundamentals of Laparoscopic Surgery (FLS) curriculum in the second year of residency. During the PGY2 clinics rotation, there is one half day a week dedicated to 1:1 time with one of our fellowship trained Minimally Invasive Surgeons to review the full FLS curriculum and practice the FLS skill set.  During this time, particular needs for handedness and ergonomics are also addressed.  It is expected that you will schedule and pass your FLS in second year.  This helps create a strong base for translating these skills into the operating room early in your residency training. 

In addition, all our residents participate in Obstetrical Critical Events Training (CETT) which concentrates on learning and practicing skills needed to approach acute situations on labor and delivery.  This is a long-standing program that sequentially includes all health care providers who rotate through labor and delivery.  The resident will undergo CETT along with attending OBGYNs, CNMs, Anesthesia attendings, L&D nursing and operating room staff and will practice simulation events such as eclamptic seizure, postpartum hemorrhage, shoulder dystocia, acute hypertensive events, pulmonary emboli, cardiovascular events, fetal intolerance to labor and code-cesarean. 

Ambulatory Clinics

Continuity clinics are scheduled weekly depending on the resident’s rotation and year of training.  Initially, interns and attending physicians see patients together.  The intern is ultimately graduated to independence depending on the patient case and the intern’s aptitude.  There is always a Staff/Faculty Clinic Mentor available within the Resident Clinic who supervises and assists with clinical reasoning and problem solving or ultrasounds and procedures necessary during individual patient appointments.   There is a resident work room, examination rooms and nursing staff dedicated to resident clinics. 

Integrated into the PGY2 curriculum is a 10-week Gynecology Ambulatory Clinics Rotation.  During this rotation there is 1:1 teaching and mentoring in specific clinic procedures and specialty clinics.  Included are two half days in dysplasia clinic (office colposcopy, cervical/vaginal/vulvar biopsy, LEEP), two half days in complex contraceptive clinic (medically complex contraception consults, office manual vacuum aspiration, preoperative evaluations for D&Es, laminaria placement), one half day off-site staffing our high school clinic, one half day performing office hysteroscopy and one half day concentrating on FLS and undergoing personal evaluation and training in our simulation laboratory.  Our goal is that you will become competent with gynecologic office procedures early in your training in order to more seamlessly integrate them into your clinical practice as needed for patient care. 

In the third and fourth years we have embedded a short periods of time in the outpatient clinics.  We have found that this concentrated time is useful for helping the resident reorient to office procedures and increase their own efficiencies in preparation for independent practice.