Curriculum

Obstetrics/Gynecology - Curriculum

Rotations | Conferences | Research | Ambulatory Care

Rotations

Duty Hours and Night Float

• Call scheduled no more than every third night, averaged over four weeks
• One (24-hour) day in seven free of patient care, averaged over four weeks
• Limit of 80 duty hours per week, averaged over four weeks
• 24-hour limit on continuous duty, up to 6 hours for transfer, debriefing, didactic activities
• A 10-hour minimum rest between duty periods

PGY 1 Schedule

When the intern is scheduled to be on Friday night there will be no work responsibility Friday until 1800 at which time the intern will report for a 12 hour shift. When an intern is on Saturday the shift will be split into two 12 hour blocks. An intern can expect to have one full weekend off per month.

On Call Coverage PGY2-4

Night Float Team 6:30 pm to 6:00 am
Day Team  6:00 am to 6:30 pm

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Conferences

Our Three Major Scheduled Educational Opportunities

These sessions comprise the organized educational opportunities for residents. Substantial effort is expended to be certain the major learning objectives for residents (the “CREOG Objectives and ACGME Competencies) are addressed with high quality offerings.

Grand Rounds

• Grand Rounds are the academic focus point for the entire Department, held every Wednesday morning, September through June at 7:15 to 8:15 am, except for the eight Wednesdays which are reserved for the Einstein Institutional Curriculum Series. Speakers are invited from the ranks of nationally recognized scholars in medicine, nursing, business, and other disciplines as well as from our own Einstein faculty. The rounds are open to the entire Einstein community and carry one hour’s CME credit for physicians.

Tuesday and Thursday Morning Academic Program

Tuesday: Two 45-minute sessions

• Session One 7:00 am - 7:45 am
• Session Two 7:45 am - 8:30 am

Thursday

• Session One 7:00 am - 7:45 am (followed by morning report at 7:45-8:30 am)
  
  
• In July, August, and September, the FUNDAMENTALS LECTURE SERIES is presented, general material reviewing basics of OBGYN and Primary and Preventive Care. The intent of this program is to provide the basic framework for our educational series for our incoming interns and to provide a review for our more senior residents.
• October through June, the ACADEMIC LECTURE SERIES consist of, the CREOG review series, ambulatory care, Primary care presented by the department of Internal Medicine, common office scenarios, professionalism role playing, evidence based approach to the operating room, journal clubs, selected chapter reviews and resident meetings.

Morning Report

• Morning report is held each Monday, Thursday and Friday and is attended by the on-call attending for the day and the post-call attending as well as the Chairman and Program Director, and other attending physicians as their schedules permit.
• Morning Report is the focus of active training in evidence based practice, providing residents the opportunity to:
  1. Develop the ability to relate clinical information needed to care for patients
  2. Understand the importance of a complete history and physical
  3. Be able to develop a differential diagnosis based on history and physical examination
  4. Learn the appropriate tests needed to refine diagnoses such that a therapeutic plan can be developed
  5. Discuss alternative approaches of management
  6. Learn standard therapies and the be able to justify deviations from standard based on clinical situations unique to each patient
  7. Review recent literature relating to the disease process
  8. Review the pathophysiology of the disease process

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Research:

Residents are required to produce one scholarly product of publishable quality during residency.

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Ambulatory Care:

Paley OBGYN Associates:

Paley OBGYN Associates is the private office practice of the resident obstetrician-gynecologists of the Department of OBGYN and is a full service primary women’s health/obstetrics and gynecology office emphasizing a modern multidisciplinary team approach to women’s health care. Each resident has a continuity office one half-day per week (except when on Nights), following a patient panel over all four years of training. PGY IV, III, and II residents have panels; PGY I residents team with a PGY IV resident for initial intensive work in office skills.. There are also specialty care clinics, including high-risk obstetrics (Maternal-Fetal Medicine), colposcopy, and family planning.

Dr. Philip Horn is our Medical Director of the Paley OBGYN Associates office. He works closely with the residents and the office manager and staff to ensure the best practice learning environment for the residents as well as consistently maintain and uphold the highest standards of patient care and safety. Paley OBGYN uses an electronic medical record (digiChart), a relational medical records system that imports most laboratory data directly from laboratories and our department’s antepartum testing unit.

Care is structured in 10 half-day office sessions per week with the following schedule: