Obstetrics and Gynecology Residency

Introducción

Residents at Baylor Scott & White have access to benefits that include:

• Participation in the total healthcare management of all patients
• The presence of medical students of the Texas A&M University System Health Science Center College of Medicine
• A continuous series of seminars, conferences, lectures, and comprehensive medical library facilities
• Emphasis on developing skills in clinical research
• Laparoscopic training at an advanced surgical skill lab that is an American College of Surgeons Level 1 accredited education institute
• Support for global health initiatives
• Comprehensive simulation center
• Two textbooks provided intern year, in addition to the $500 book allowance
• Progress throughout residency monitored by the Clinical Competency Committee (CCC)
• Monthly evaluations of residents are completed in New Innovations by faculty. The residents evaluate the faculty twice a year as well. 
• 24-hour access to resident gym
• Meal allowances

Surgical cases

Rotations

PGY-1

• Labor and Delivery (OB service) day shift: three months
• Gyn surgery: three months
• Ambulatory OB/GYN (clinic): two months
• Night labor and delivery: two months
• Ultrasound/research: one month
• Family practice/breast/endocrinology: one month

PGY-2

• Labor and delivery (OB service) day shift: three months
• Night labor and delivery: two months
• Gyn Surgery: three months
• Ambulatory OB/Gyn (clinic): two months
• Urogynecology: one month
• Reproductive endocrinology: one month

PGY-3

• Labor and delivery: three months
• Night labor and delivery: two months
• Gyn surgery/Gyn oncology: three months
• Ambulatory OB/Gyn (clinic): two months
• Veteran's Administration (VA Hospital): one month
• Pediatric/menopausal medicine: one month

PGY-4

• Labor and delivery (OB service): three months
• Gyn surgery: three months
• Ambulatory OB/Gyn (clinic): two months
• Veteran's Administration (VA Hospital): two months
• Electives: two months

Training is provided through graduated levels of responsibility in both clinical and surgical skills. A faculty member is in-house 24 hours a day, 365 days a year.

OB/Gyn clinics, managed by the resident staff to provide outpatient care to patients in consultation with the senior staff, are held every day. Residents participate in the care of a robust population of patients from various socioeconomic and cultural backgrounds that prepares them well to care for the diverse needs of women in both general and specialty careers.

Continuity of care provided in outpatient clinics and during hospitalizations.

Call schedule

Our program’s call system is structured to allow residents ample time for study, family, rest and recreation.

Weeknight call

Our call schedule is based on a "night float" system whereby residents work the obstetrics night rotation.

The night call residents work from 6:30 p.m. to 8 a.m., Sunday through Thursday nights. The night call residents typically leave the hospital by 8:30 a.m., following morning "board" rounds. PGY-4 residents take call from home.

Weekend call

The PGY-1, PGY-2 and PGY-3 resident assigned call on Friday evening work from 5 p.m. until Saturday at 8 a.m. The PGY-1, PGY-2 and PGY-3 resident assigned call on Saturday work from 8 a.m. Saturday until 8 a.m. Sunday. The PGY1, PGY2 and PGY3 residents assigned call on Sunday work from 8 a.m. Sunday until 6:30 p.m. PGY-4 residents take call from home.

Conferences

Our core curriculum conferences are held weekly with Monday and Thursday 7 a.m. lectures and Thursday afternoon lectures from 3 to 5 p.m. In addition to direct teaching from Baylor Scott & White senior staff, we bring in several outside consultant speakers each year to benefit the department's continuing education program and to supplement the skills and talents of senior staff. Our curriculum is designed to prepare residents for CREOG and ABOG exams, as well as prepare them for their future practice.

We require our residents to maintain certification in Basic Life Support, Advanced Cardiac Life Support and Neonatal Resuscitation. The residents are an integral part of our teaching program as they participate in the education of medical students as well as non-Ob/Gyn residents.

The Division of Gynecology has achieved both a national and an international reputation in pelvic relaxation surgery, utilizing numerous innovative procedures such as the lateral vaginal wall urethropexy and vaginal approach to apical vaginal pelvic relaxation, using uterosacral ligament suspensions of the vaginal cuff. This reputation has led to statewide, national and international referrals, resulting in a superb experience for the residents in surgical gynecology.

Investigación

Scholarly activities are an integral part of our program. Our interns begin their research experience with a one-month research rotation. During that month, a project reflecting each intern's interest is developed under the tutelage of a research mentor.

Each resident completes one hypothesis-driven and one quality improvement research project for presentation at the Bunkley Resident Research Day; case studies are option.

Many residents submit their projects to national and regional academic societies. Our residents have an excellent track record for successful competition in these venues. Manuscripts from Resident Research Day projects also routinely are submitted for publication so that each resident has an opportunity to be published in peer reviewed journals.

These research projects were presented at our 2021 Bunkley Day Proceedings:

• Enhanced recovery after cesarean delivery decreases opioid use and hospital length of stay: A quality improvement initiative (Kelly Cuen, MD)
• Prevalence of pelvic floor disorders in female crossfit athletes (Hina Virani, MD)
• The association between patient satisfaction and inadequate regional anesthesia for cesarean delivery: A prospective observational study (Emma Frank, MD)
• Abruption and Covid-19: A case series (Kelly Palmer, MD)
• Robotic-assisted and conventional laparoscopic hysterectomy in ambulatory verses inpatient settings (Jennifer Chae-Kim, MD)

Specialty/subspecialty exposure

Complicated obstetrics clinics, designed to manage all complicated OB patients screened from other clinics and referred from area physicians, are held twice each week in consultation with the maternal fetal medicine staff.

Subspecialty clinics, directed by senior staff in association with assigned resident staff, give the resident experience in specialized diagnostic and therapeutic techniques. These include:

• Oncología Ginecológica
• Reproductive endocrinology
• Urogynecology
• Colposcopy
• Pediatric & adolescent gynecology
• Antepartum testing unit
  • Ultrasonography
  • Fetal heart rate monitoring
  • Amniocentesis
  • Genetic testing

Graduates selected for subspecialty fellowships

• Mark Crozier, MD, Gyn Oncology at MD Anderson Cancer Center
• Robert Mannel, MD, Oncology at University of California - Irvine (Currently Chairman of OB/GYN at Univ. of Oklahoma)
• Henry Galan, MD, Maternal-Fetal Medicine at University of Texas at Houston
• Mark Reedy, MD, Oncology at University of Kentucky
• Kim Coates, MD, Urogynecology at Duke University
• Eddie Richards, MD, Oncology at University of Kentucky
• Tristi Muir, MD, Urogynecology at Cleveland Clinic
• Amy Harrell, MD, Urogynecology at Princess Anne Hospital, Southampton, UK
• Chris Allemand, MD, Reproductive Endocrinology and Infertility at Mayo Clinic
• Raymond Foster, MD, Female Pelvic Medicine and Reconstructive Surgery at Duke University
• Susan Hudson, MD, Reproductive Endocrinology and Infertility at Mayo Clinic
• Jessica Ehrig, MD, Maternal-Fetal Medicine at University of Colorado
• Chase Cawyer, MD, Maternal-Fetal Medicine at University of Alabama
• Anthony McDowell, MD, Oncology at University of Kentucky