Mercy Graduate Medical Education - OB/GYN Curriculum

OB/GYN Curriculum Overview of Progressive Authority

The yearly curriculum is operated on a 4 week Block schedule consisting of 12 total Blocks each academic year. Goals and Objectives accompany each rotation. These are reevaluated at least annually. Each resident and faculty member receives a written and electronic copy of these along with the handbook annually and is expected to become familiar and competent with the content.

Each year the PD will determine a rotation schedule. Changes may occur year-to­ year depending on the educational needs of the residents and the patient care requirements of the institution.

Overview of Block Rotations by PGY Level

There are no rotations that occur exclusively at an off-site.

PGY1

PGY1 residents have close supervision by a resident and/or faculty/attending to provide guidance in therapeutic decision-making and ultrasound and surgical skill set acquisition. Developing a broad knowledge base in uncomplicated obstetrics and benign gynecology is expected along with application to patient clinical care. Professionalism and appropriate communication to patients, families, and other healthcare co-workers is also emphasized to develop effective behaviors that are built upon in later years.

The PGY1 year consists of 7 Obstetric Blocks, 3 Gynecology Blocks, 1 NICU/Breast Block, and 1 ICU Block. This year provides a strong base of normal obstetrics and post­ partum and introduces high/risk obstetrics during the second half of the year. Gynecologic surgery skills are expanded throughout the year from hysteroscopy, D&C, cervical excision to laparoscopy and abdominal hysterectomy in the second half of the year.  A rotation in the ICU provides a comprehensive education in care of critically ill patients, volume and blood product replacement, and respiratory failure.

Sample Schedule

  • GYN-1
  • L&D-1
  • Post-partum/C-section-1
  • Triage-1
  • Amb GYN-1
  • NF-1
  • GYN-1
  • High Risk OB-1
  • GYN-1
  • NF-1
  • NICU/Breast-1
  • L&D-1
  • ICU-1

PGY2

In the PGY2 year, residents are able to approach complicated obstetrical cases and a more in-depth evaluation of gynecologic surgical and office care. Critical self-assessment of patient care provided fosters resident self-improvement. Communication skills require further development as rotations in complicated obstetrics and more detailed gynecologic surgery address a higher level and acuity of care. More independent practice is allocated to residents upon advancement to the PGY2 year but with close supervision provided by the PGY3 and PGY4 residents on more advanced clinical and surgical cases. Additionally completion of their first formal scholarly activity case report project requires the resident to critically evaluate the literature and utilize speaking and authorship skills when presenting and writing their case reports.

As a PGY2, the residents rotate through 2 Blocks on L&D Days, 2 Blocks on Night Float, 1 Block on Ultrasound, 2 Blocks on Gynecology, 1 Block on Urogynecology, 1 Block on REI, 1 Block on Oncology, 1 Block on Minimally Invasive Gynecology, and 1 Block of Family Planning. This very diverse year builds on several principles mastered as a PGY1 but with more detailed gynecologic surgery, including Oncology, Urogynecology and Advanced Hysteroscopy and high-risk obstetric responsibilities.

Sample Schedule

  • NF-2
  • REI-2
  • L&D-2
  • ULTRASOUND-2
  • ONC-2
  • GYN-2
  • FAMILY PLANNING-2
  • URO-2
  • L&D-2
  • MIS-2
  • NF-2
  • GYN-2

PGY3

During the PGY3 year, education and supervision become a focus of the resident's activities. Complex obstetric cases and gynecologic cases necessitate an in-depth understanding of all aspects of pelvic anatomy, technical skills, and emergent situations. The resident's role becomes one of manager of the various services and increasing independence is allowed to the resident with the availability of assistance from the PGY4 and/or faculty, in-house obstetric hospitalist, or private attending.

While a PGY3, the resident serves as the upper-level resident while on Oncology, Urogynecology, and Maternal-Fetal Medicine. In addition, 2 Blocks of L&D Days, 2 Blocks of NF, 2 Blocks of Gynecology, and 1 Block of REI further develop surgical skills and knowledge base. The PGY3 resident is expected to assist the PGY2 is providing care to the high-risk obstetric patients on L&D as well as educate the medical students. This is a key year in the educational development of the physician as the PGY3 resident role expands beyond reporter and interpreter. For promotion to the final year of residency, the PGY3 should be well versed in nearly all subspecialty areas of obstetrics and gynecology.

Sample Schedule

  • ONC-3
  • URO-3
  • MFM-3
  • L&D-3
  • GYN-3
  • NF-3
  • L&D-3
  • GYN-3
  • REI-3
  • NF-3
  • ONC-3
  • MFM-3

PGY4

The final chief year of residency provides an experience rich in autonomy yet with supervision available if necessary from the in-house obstetric hospitalist, faculty, and private attending physicians. Teaching skills are emphasized throughout the year, and it is expected the resident will fully review their own learning style and teaching weaknesses and strengths.

Knowledge in each of the 5 Obstetric Blocks (2 L&D Days, 2 NF, 1 C-section), 2 Gynecology Blocks, and 2 Minimally Invasive Surgery Blocks requires the supervision and guidance of the chief residents to lead the other residents on service. Independent management of the patients fosters the development of PGY4 residents to become fully functioning practicing physicians. In addition, 2 Blocks as the Teaching Admin chief provide opportunity to develop formal teaching and assessment skills. 

Sample Schedule

  • NF-4
  • GYN-4
  • L&D-4
  • MIS-4
  • TEACHING/ADMIN
  • CSC-4
  • TEACHING/ADMIN
  • URO-4
  • L&D-4
  • MIS-4
  • NF-4
  • GYN-4

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