Curriculum: OB/GYN Residency Program

First Year Clinical Curriculum (PGY1)

The exceptional rotations during your intern year are designed to give you the fundamentals of obstetrics, gynecology and primary care in an inclusive, nurturing team based environment. The academic year starts with a two week long boot camp to familiarize you with the everyday duties and procedures of an incoming resident. A speed dating event is also held to get to know the wonderful nurses and ancillary staff you will be working with. The rotations include 4 months of Obstetrics, 2 months of MFM, 2 months of Gynecology, 2 months of Gynecology Oncology, 1 month of Emergency Medicine and 1 month of Family Medicine.

Second Year Clinical Curriculum (PGY2)

The curriculum is designed to strengthen your skills and knowledge while giving you more autonomy. You will be spending 4 months in Obstetrics, 2 months in MFM, 2 months in Gynecology, 2 months in Gynecology Oncology, 1 month in Urogynecology and 1 month in REI.

Third Year Clinical Curriculum (PGY3)

During the third year, residents will gain more mastery and leadership in the field. They will be act as chief residents and represent the department in department and hospital wide quality improvement committees. The rotations include: 2 months of Obstetrics, 2 months of MFM, 3 months of Gynecology, 2 months of Gynecology Oncology, 1 month of Breast and Adolescent gynecology, 1 Elective month to explore subspecialty interests or a global health experience.

Fourth Year Curriculum (PGY4)

The Chief Resident is regarded as a junior attending. As such the Chief is given independence over the management of their patients and resident/nurse midwife/medical students team. The rotations include 4 months of Obstetrics, 2 months of MFM, 2 months of Gynecology, 2 months of Gynecology Oncology, 1 month of Urogynecology, 1 month of Ambulatory Gynecology. Faculty is always available to provide needed assistance.

Ambulatory Clinic

Second year residents will perform their outpatient continuity care one half day a week in a fast paced private practice: Inova Medical Group Ballston. This practice will also welcome chief residents during their ambulatory month rotation. The private practice setting is a complement to the experience received at Inova Cares Clinic and allows residents to experience the full range of OBGYN patients and their unique needs and challenges.

Continuity Clinic

Inova Fairfax Medical Campus OBGYN residency training program offers a true continuity clinic experience where residents are identified as the primary care giver for the same group of patients throughout their residency. Residents perform a certain percentage of their continuity clinic deliveries themselves. Adherence to the 80 hr. work-week is required. Residents are encouraged to manage their own clinics as if they were in their own practice. Interns begin clinics in July of their PGY1 year.

The PGY4s, PGY3s and the PGY1s will have their once-a-week continuity clinic experience at the Inova OB Cares Clinic, located at 6400 Arlington Blvd, Falls Church VA 22046. The clinic offers in office procedures as well as subspecialty obstetrical and gynecological care. The patients will be managed by the residents who in addition to providing them with routine gynecological care, will also plan and perform their deliveries, gynecological surgeries, and referrals to subspecialties.

The PGY2s will have their once-a-week continuity clinic experience at the Inova Medical Group (IMG) OBGYN practice located at Inova Medical Group Obstetrics and Gynecology, 1005 N. Glebe Rd, Suite 430, Arlington, VA 22201.

Rotation Structure

The residency is a four-year program in obstetrics and gynecology that meets all requirements as specified by the ACGME and is fully accredited by the RRC. Residents primarily train at a single site, Inova Fairfax Hospital, where their training covers primary care, as well as basic and sub-specialty obstetrics and gynecology.

Didactics

In addition to traditional bedside teaching, residents have protected didactic time every Friday morning from 8 a.m. to 12 p.m. Our two Chiefs of Education residents have also created a schedule for daily discussions on selected topics between the residents and the teaching faculty of the day.

Our Grand Rounds presented by our staff physicians and renowned international guests occur every Monday. Once a Month, our patient safety based Interdisciplinary Morbidity and Mortality conference allows for lively conversations and give an opportunity to review our patient care systems and improve upon them. The Graduate Medical Education office also organizes monthly Educational Grand Rounds that address topics such as physician wellness, physician advocacy, health equity teamwork and professionalism among others.

Didactics Schedules

Weekly Mondays, 8am-9am	Weekly Wednesdays 715am	Weekly Fridays 8am-12 pm	Monthly, IFH GME Educational Grand Rounds 12 pm
IFH OBGYN Department Grand Rounds, MM Resident Presentations	Gyn Onc Team Faculty, Team members in Gyn Onc Teaching Conferences	IFH OBGYN Residency Didactic Sessions (protected time) resident didactics and simulation training (includes Journal Club, PICO Sessions, primary care, GYN ONC, Obstetrics, Gynecology, Maternal Fetal Medicine, Reproductive-Infertility-Endocrinology, OB Anesthesia, ACLS, Team STEPPS, NPR content	Team Training, Physician Wellness, Patient Experience, Legislation, Physician Advocacy, Compliance, Ethics, Health Equity, Social Media, Financial Management/Repayment Strategies, Digital Tool Kit, Patient Safety, Disaster Preparedness, Patient Hand Offs, Fatigue

In addition to didactics and traditional bedside teaching, residents will also be involved in simulation training that will allow learners to sharpen technical and behavioral skills.

Simulation sessions focused on operative gynecology will include sessions on:

OR instrumentation
pre-operative and intra-operative safety procedures
intra-operative complication management
laparoscopic dexterity drills
cadaver lab

Obstetric simulation for PGY1 residents will focus on:

normal vaginal deliveries
basic suturing techniques
complications such as postpartum hemorrhage and shoulder dystocia
normal labor and delivery management protocols

residents practicing surgery Competency of upper level residents will be evaluated through hospital required, unannounced, labor and delivery critical event simulation exercises. These events, which will include post partum hemorrhage, shoulder dystocia, maternal cardiac arrest, eclamptic seizure, terminal fetal bradycardia and post operative shock, will be conducted using the department’s Noelle patient simulator on labor and delivery or the gynecologic post-op ward.

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