OB/GYN Residency Program

Rotations

During all blocks, residents care for patients under the supervision of hospital- and community-based faculty with a focus on developing graduated autonomy.

PGY-1 Rotations (4 Weeks)

The Gynecologic Oncology team consists of one or two PGY-1s, one PGY-3, and one PGY-4 resident. Residents learn how to diagnose and manage women with gynecologic cancers, perform surgeries for staging and treatment, participate in outpatient clinics where chemotherapy is administered, and prepare and present at our multidisciplinary tumor board. Women & Infants serves as a tertiary referral center, with 7 faculty and 4 fellows, thus providing a busy clinical service with a wide range of patients and presentations as well as a plethora of research mentors and opportunities.

Women & Infants is among the 10 largest obstetrical volume hospitals in the U.S., as such, residents are well-trained to excel in basic obstetrics, including antepartum and postpartum care, spontaneous and operative vaginal deliveries, and cesarean sections. The team consists of 4-6 residents at a time, working together with medical students, midwives and attending physicians. PGY1 resident time is divided into a dedicated two-week block on labor and delivery/postpartum floors/obstetric OR, and a dedicated two-week block in our Women’s Emergency Department.

The Ambulatory Care rotation focuses on primary care with experience in internal medicine consultation, contraception, obstetric medicine and preventive medicine.

The PGY-1 intern is an integral part of the Rhode Island Hospital MICU team, developing critical skill sets revolving around the diagnosis and management of severe and/or complicated medical issues and complications providing a strong foundation for their further training and management of their patients.

One of the strengths of this program is the excellent surgical training that is afforded to residents. There are 9 operating rooms at WIH that are dedicated to gynecologic surgery, both benign and malignant. The complexity of cases increases accordingly during a residents’ training. Examples of basic PGY-1 cases include diagnostic and operative hysteroscopies, tubal ligations, and excisional procedures for cervical or vulvar dysplasia whereas PGY-3 and PGY-4 cases include total laparoscopic hysterectomies, total abdominal hysterectomies, and complicated vaginal surgery. Residents also receive training in office-based gynecology and non-operative gynecologic conditions. All surgical exposure is within our single institution without the need to rotate through another hospital.

Each resident rotates on the urogynecology service twice during their residency, as a PGY-1 and PGY-3. The outpatient emphasis is on identifying patients with urogynecologic problems including urinary incontinence and pelvic organ prolapse, and how to properly diagnose and manage these conditions. Residents also join the urogynecology team in the operating room to learn the techniques involved with the repair of these conditions with a major focus on both vaginal and laparoscopic approaches. Residents are typically credentialed in cystoscopy and TVT upon graduation.

Residents rotate with the REI division during their PGY1 and PGY4 years. The rotation offers a breadth of experiences and exposure in both endocrinology and infertility, including office-based consultations as well as procedures like office hysteroscopy, ultrasound training including sonohysterograms, unique surgical cases, and IVF.

PGY-2 Rotations (6 Weeks)

One of the strengths of this program is the excellent surgical training that is afforded to residents. There are 9 operating rooms at WIH that are dedicated to gynecologic surgery, both benign and malignant. The complexity of cases increases accordingly during a residents’ training. Examples of basic PGY-1 cases include diagnostic and operative hysteroscopies, tubal ligations, and excisional procedures for cervical or vulvar dysplasia whereas PGY-3 and PGY-4 cases include total laparoscopic hysterectomies, total abdominal hysterectomies, and complicated vaginal surgery. Residents also receive training in office-based gynecology and non-operative gynecologic conditions. All surgical exposure is within our single institution without the need to rotate through another hospital.

Women & Infants is among the 10 largest obstetrical volume hospitals in the U.S., as such, residents are well-trained to excel in basic obstetrics, including antepartum and postpartum care, spontaneous and operative vaginal deliveries, and cesarean sections. The team consists of 4-6 residents at a time, working together with medical students, midwives and attending physicians. Residents’ time is shared between the labor and delivery rooms, the antepartum unit, postpartum floors, the emergency room, and the operating rooms.

With one of the busiest Labor and Delivery floors in the U.S., we are lucky to work with both hospital-based and community-based faculty who care for obstetrics patients at Women & Infants Hospital. During this rotation, the PGY-2 rotates with a different community-based group every two weeks, working closely with the attending on call to actively manage the labor courses for their group’s patients. It’s an excellent opportunity to gain increased experience and confidence in intrapartum labor management and learn from a diverse group of experienced faculty who are committed to resident education.

 

All residents are expected to complete a research project and have protected elective time during PGY2 and PGY3 years to work on their research or to do an away rotation (either national or international with several established international electives available). During PGY2 year, residents present a formal research proposal and at the end of their PGY3 year present the results of their project. The Division of Research supports many of these projects with data management and analyses and faculty throughout the department serve as mentors for residents through the research process. Residents participate in a formal comprehensive research curriculum which includes coordinated journal club sessions. Residents learn to evaluate and manage women presenting to the ER at Women & Infants Hospital under the supervision of the Triage Unit. Patients include women of all ages with obstetric, gynecologic, oncologic and non-gynecologic complaints. Residents also learn to manage patients with possible ectopic pregnancies, molar pregnancies, and other abnormal pregnancies.

The high-risk obstetrics team manages a diversity of complicated pregnancies referred from RI, MA and CT, utilizing the experience and resources of our maternal fetal medicine specialists and the level 3 nursery at WIHI. The resident team consists of a PGY-2 and PGY-4 on service, working together to develop management plans and treatment strategies for these patients in conjunction with one of the five MFM fellows. There are daily sit-down rounds with the MFM division allowing for discussion of patient care and clinical scenarios.

Residents rotate through the colposcopy clinic during their PGY2 and PGY4 year. For the PGY2, there is also training in termination of pregnancy and an early options clinic for medication abortion. There is also dedicated training in LEEP procedures during this rotation.

A unique aspect of WIH is our Breast Health Team that is a part of the Department of Obstetrics and Gynecology. PGY-2 residents spend half of a 6-week rotation on the Breast service,  evaluating patients at the Breast Health Center with both benign and malignant conditions and also join the Breast surgeons and fellows in the OR for lumpectomies, mastectomies, and reconstruction. The second half of the rotation is spent working in the Women’s Emergency Room at Women & Infants Hospital.

PGY-3 Rotations (6 Weeks)

Women & Infants is among the 10 largest obstetrical volume hospitals in the U.S., as such, residents are well-trained to excel in basic obstetrics, including antepartum and postpartum care, spontaneous and operative vaginal deliveries, and cesarean sections. The team consists of 4-6 residents at a time, working together with medical students, midwives and attending physicians. Residents’ time is shared between the labor and delivery rooms, the antepartum unit, postpartum floors, the emergency room, and the operating rooms.

Each resident rotates on the urogynecology service twice during their residency, as a PGY-1 and PGY-3. The outpatient emphasis is on identifying patients with urogynecologic problems including urinary incontinence and pelvic organ prolapse, and how to properly diagnose and manage these conditions. Residents also join the urogynecology team in the operating room to learn the techniques involved with the repair of these conditions with a major focus on both vaginal and laparoscopic approaches. Residents are typically credentialed in cystoscopy and TVT upon graduation.

One of the strengths of this program is the excellent surgical training that is afforded to residents. There are 9 operating rooms at WIH that are dedicated to gynecologic surgery, both benign and malignant. The complexity of cases increases accordingly during a residents’ training. Examples of basic PGY-1 cases include diagnostic and operative hysteroscopies, tubal ligations, and excisional procedures for cervical or vulvar dysplasia whereas PGY-3 and PGY-4 cases include total laparoscopic hysterectomies, total abdominal hysterectomies, and complicated vaginal surgery. Residents also receive training in office-based gynecology and non-operative gynecologic conditions. All surgical exposure is within our single institution without the need to rotate through another hospital.

This rotation, from 4pm-2am, assists with the transition time associated with the change of shift in the afternoon and evening hours. The PGY-3 “EMS” resident assigned to this rotation is responsible for signing out the Oncology team in the afternoon and aiding with admissions and transfers to the service during the afternoon and evening hours. They also cover the floor care for in-house benign gynecology patients during their shift. After signing out the gynecologic services, the EMS resident is based in the WIH ED evaluating mainly gynecologic patients and going to the OR with unplanned gynecologic cases including ovarian torsion and ectopics.

The Gynecologic Oncology team consists of one or two PGY-1s, one PGY-3, and one PGY-4 resident. Residents learn how to diagnose and manage women with gynecologic cancers, perform surgeries for staging and treatment, participate in outpatient clinics where chemotherapy is administered, and prepare and present at our multidisciplinary tumor board. Women & Infants serves as a tertiary referral center, with 7 faculty and 4 fellows, thus providing a busy clinical service with a wide range of patients and presentations as well as a plethora of research mentors and opportunities.

All residents complete a research project and have protected elective time during PGY2 and PGY3 years to work on their research or to an away rotation (either national or international with several established international electives available). During PGY2 year, residents present a formal research proposal and at the end of their PGY3 year present the results of their project. The Division of Research supports many of these projects with data management and analyses and faculty throughout the department serve as mentors for residents through the research process. Residents participate in a formal comprehensive research curriculum which includes coordinated journal club sessions.

PGY-4 Rotations (6 Weeks)

Residents rotate through the colposcopy clinic during their PGY2 and PGY4 year. For the PGY4 on this rotation, there are also multiple outpatient clinics designed to provide additional experience in office based management. These include a vulvar disorders clinic, a gynecologic consult clinic, a chronic pelvic pain clinic, and a pediatric gynecology clinic.

The high risk obstetrics team manages a diversity of complicated pregnancies referred from 3 states, utilizing the experience and resources of our maternal fetal medicine specialists and the level 3 nursery at W&I. There are two residents on service during each rotation, working together to develop management plans and treatment strategies for these patients. There are daily sit-down rounds with the MFM division allowing for discussion of patient care and clinical scenarios.

One of the strengths of this program is the excellent surgical training that is afforded to residents. There are 9 operating rooms at WIH that are dedicated to gynecologic surgery, both benign and malignant. The complexity of cases increases accordingly during a residents’ training. Examples of basic PGY-1 cases include diagnostic and operative hysteroscopies, tubal ligations, and excisional procedures for cervical or vulvar dysplasia whereas PGY-3 and PGY-4 cases include total laparoscopic hysterectomies, total abdominal hysterectomies, and complicated vaginal surgery. Residents also receive training in office-based gynecology and non-operative gynecologic conditions. All surgical exposure is within our single institution without the need to rotate through another hospital. 

For one of the two Gynecology rotations, the PGY-4 services as GYN Clinic Chief evaluating and booking our resident clinic patients for surgeries. On Clinic OR days, the PGY-4 takes a junior resident through the cases with a faculty member precepting.

 

Women & Infants is among the 10 largest obstetrical volume hospitals in the U.S., as such, residents are well-trained to excel in basic obstetrics, including antepartum and postpartum care, spontaneous and operative vaginal deliveries, and cesarean sections. The team consists of 4-6 residents at a time, working together with medical students, midwives and attending physicians. Residents’ time is shared between the labor and delivery rooms, the antepartum unit, postpartum floors, the emergency room, and the operating rooms.

Residents rotate with the REI division during their PGY1 and PGY4 years. The rotation offers a breadth of experiences and exposure in both endocrinology and infertility, including office-based consultations as well as procedures like office hysteroscopy, ultrasound training including sonohysterograms, unique surgical cases, and IVF.

The Gynecologic Oncology team consists of one or two PGY-1s, one PGY-3, and one PGY-4 resident. Residents learn how to diagnose and manage women with gynecologic cancers, perform surgeries for staging and treatment, participate in outpatient clinics where chemotherapy is administered, and prepare and present at our multidisciplinary tumor board. Women & Infants serves as a tertiary referral center, with 7 faculty and 4 fellows, thus providing a busy clinical service with a wide range of patients and presentations as well as a plethora of research mentors and opportunities.