Residency Training Program Rotations

Rotations

The training program in Obstetrics and Gynecology is a four-year program that affords the residents increasing responsibility with each successive year. There are currently twenty-five residents in our program: seven PGY-1's and six each in the PGY-2’s, -3’s and -4’s.

Both the Obstetric and Gynecologic Services at the NewYork-Presbyterian/Weill Cornell Medical Center have a Day Team (7 a.m.-7 p.m.) and a Night Team (6 p.m.- 8 a.m.). The night float team is scheduled Sunday to Friday AM.

All Rotations are done at the NewYork-Presbyterian/Weill Cornell Medical Center unless indicated by (*) NYPQ = The NewYork-Presbyterian Queens.

We are in compliance with the New York State regulations regarding residents' work hours. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certification and continuing education in accordance with requirements of The New York Heart Association, Inc. is required. Residents must complete these certification courses before starting residency. Courses are available at Cornell free of charge, and can be arranged through Patrisha Harripersaud, our Residency Coordinator.

Our interns and residents fine-tune their clinical skills in our SAIL (Skills Acquisition & Innovation Laboratory) facility, a state-of-the-art simulation center that houses simulations stations for surgical skills including hysteroscopic, laparoscopic and robotic modules. These sessions are level specific and administered by faculty from all specialties throughout the four years.

PGY -1

Internship rotations in Obstetrics expose the interns to triage and labor management, and provide them with experience in vaginal and cesarean deliveries. The Gynecology and Oncology services teach the interns the fundamentals of the postoperative management of inpatients, as well as the workup and diagnoses of Gynecologic Emergency Room patients. In addition, they will perform a significant number of supervised ambulatory surgeries.

Residents in their PGY-1 year become proficient in general and pelvic examinations, and develop basic diagnostic skills such as Pap smears, cultures, microscopic examinations, contraception management, assessment and care of early pregnancy complications and ultrasonography. In the first half of the year, residents spend approximately one-month learning ultrasound alongside the fellows and attendings in the division of Maternal and Fetal Medicine.

The PGY-1 rotation schedule is as follows:

 

PGY-2

The second-year resident will continue to build on the knowledge and skills learned in the first year of residency. In Obstetrics, they will gain experience in complicated cesarean and operative deliveries, and manage the busy antepartum service under close supervision by a diverse team of MFM faculty/fellows. They will become comfortable in the management of normal and abnormal labor through broad experience at both Cornell and New York Hospital-Queens.

With regards to Gynecology, the second-year residents see patients in a specialized Colposcopy and Urogynecology Clinic, as well as their usual continuity patients. In the operating suite, the second-year resident begins to learn the basics of performing hysterectomies and more advanced laparoscopy, including the management of ectopic pregnancies and adnexal surgery. It is not uncommon that our second-year residents perform numerous hysterectomy and myomectomy surgeries during their second year of residency.

The PGY-2 rotation schedule is as follows:

 

PGY-3

The third-year Resident will advance to a more focused skill set on on higher-level operative skills and learning the management of the resident teams, under supervision of the Chief Resident.

The third-year resident will gain extensive experience in the operating room as the primary surgeon under supervision for many major cases in Gynecology and Urogynecology. They spend eighteen weeks of the year on the gynecology services between our two major hospitals with busy surgical services. Each third-year resident manages the Ob/Gyn and Gyn Oncology services at (NYP-Q) NewYork-Presbyterian Queens where they are first-assist on all of the major Oncology staging cases. In addition, every third-year resident will rotate for a month with our Reproductive Endocrinologists at the Center for Reproductive Medicine and Infertility.

The PGY-3 rotation schedule is as follows:

 

PGY-4

The fourth-year residents assume more of a leadership and teacher role for the services they rotate in – be it obstetrics, gynecology or the subspecialties. They lead junior residents through operative cases under supervision by the attending. They will supervise junior residents in uncomplicated deliveries and gynecologic procedures and will be the primary surgeon for complicated obstetrical and gynecologic cases. For two months, the PGY-4 will manage the resident clinic and learn the preoperative management of patients for surgeries.

The PGY-4 rotation schedule is as follows: