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.  There are rotation, or topic, specific educational activities as well as 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 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.

Thursday afternoons are 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.  Organizing this time is the responsibility of the academic chief resident as is based on expressed resident desires or needs.  This year, every Tuesday morning, a different Faculty member will provide a one hour guided lecture on assigned chapters from Williams Obstetrics and Gynecology.  When the national CREOG (Council on Resident Education in Obstetrics and Gynecology) exam approaches, this time will be 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 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 completing a meaningful 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 or presentation at society meetings.  There is support for any resident who attains an invitation to present their research project at a society meeting.

Simulation Series and Fundamentals of Laparoscopic Surgery (FLS)

We maintain a robust SIMulation series that provides for understanding 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 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.

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 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, 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 thinking and problem solving or 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 (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, 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 seamless integrate them into your residency practice as needed for patient care.