Curriculum And Clinical Experiences

First Year

  • 20 weeks of Obstetrics
    • 10 weeks on Labor and Delivery – days
    • 10 weeks on Labor and Delivery – Night Float
  • 10 weeks of Benign Gynecology
  •  4 weeks of Primary Care
  •  4 weeks of Reproductive Endocrine
  •  4 weeks of Internal Medicine in the Intensive Care Unit
  •  4 weeks of Family Planning
  •  2 weeks of Neonatal Care/Nursery
  •  1 week of Palliative Care

Second Year

  • 20 weeks of Obstetrics
    • 10 weeks on Labor and Delivery – Days
    • 10 weeks on Labor and Delivery – Night Float
  • 10 weeks of Gynecologic Oncology
  • 10 weeks of Maternal Fetal Medicine
  • 10 weeks of Gynecology Clinics – Procedures and Simulation

Third Year

  • 10 weeks of Benign Surgical Gynecology
  • 10 weeks of Maternal Fetal Medicine
  • 10 weeks of Minimally Invasive Surgical Gynecology-Kaiser Fontana
  • 10 weeks of Labor and Delivery/Gynecology – Night Float
  •  6 weeks of Reproductive Endocrinology and Infertility
  •  4 weeks of Elective

Fourth Year

  • 10 weeks of Benign Surgical Gynecology – Kaiser Los Angeles
  • 10 weeks of Minimally Invasive Surgical Gynecology – Kaiser West Los Angeles
  • 10 weeks of Labor and Delivery – Days
  • 10 weeks of Gynecologic Oncology
  • 10 weeks of Urogynecology

Teaching Program

Department Education Activities

There is a full breadth of educational activities and requirements in our OBGYN Residency program.  Thursday afternoon is designated “Educational Time” for both the residents and faculty.  On Thursday afternoons we rotate 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 include monthly Internal or External Speakers and attend Medical Center wide Grand Rounds.

Outside of Thursday Educational Time, we maintain a Tuesday morning lecture series.  Every Tuesday morning a different Faculty member provides a one hour lecture on a CREOG (Council on Resident Education in Obstetrics and Gynecology) topic.  When the national CREOG exam approaches, this time is used by our subspecialists to for concentrated teaching and review.

Within specific rotations there is provision of 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 Urogynecology 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.

Required for graduation from our OBGYN program is at least one research project and one quality improvement project.  The goal is for determination of the individual resident’s research topic within the second post graduate year.   This enables appropriate time for a robust project and allows for flexibility within the third year elective rotation.  The research project must be of sufficient quality to present at the Southern California Kaiser T. Hart Baker OBGYN Symposium in September of the fourth year.  This research project must also be submitted to the Southern California OBGYN Assembly and the LAMC Research Symposium.  Many of these research projects are ultimately submitted and accepted for publication in relevant journals.

 

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 thinking and problem solving, ultrasounds and procedures necessary during that appointment.  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 (complex contraception consults, office MVAs, 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 undergoing personal evaluation and training in our simulation laboratory.  Our goal is that you will competently be able to integrate gynecologic office procedures early in your training practice.