About Our Curriculum
Residency in Obstetrics and Gynecology: Curriculum
The majority of rotations during the four years of residency are either four or eight weeks in duration, each focusing on progressive responsibility within the framework of the ACGME milestones and sub-competencies. In the last year ("chief year") of your training, you will serve as the leader of each service.
Residents spend eight weeks each year dedicated to the gynecology service. After learning the basics of ambulatory and in-patient gynecologic care, residents spend progressively more time in the operating room, which culminates with the chief residents supervising and teaching junior residents through procedures. While on the gynecology service, trainees spend time with our highly-skilled faculty in: minimally invasive gynecologic surgery, urogynecology, colposcopy and vulvar clinics, and transgender health. Each resident will be FLS-certified by the time they graduate.
Residents spend eight weeks (24 weeks total) during their PGY 1, 3, and 4 years on Gynecologic Oncology. During the rotation, residents experience the full breadth of oncological care. Residents discuss each patient’s clinical course and treatment options at a weekly Gynecologic Oncology Tumor Board — a multidisciplinary conference attended by division members, as well as pathologists, radiologists, medical oncologists, and radiation therapists. Residents participate in genetic cancer counseling sessions and medical chemotherapy ambulatory management. Clinical education also includes simulated surgical practice and assisting the oncology faculty in the operating room.
Residents will spend two four-week blocks in the PGY 1, 2, and 4 years on Labor and Delivery, where approximately 5,300 births take place every year. During this rotation, residents perform vaginal, cesarean, and operative assisted vaginal deliveries while working with the faculty practices. Residents learn to triage, oversee a busy service, and coach patients through their deliveries.
High Risk Obstetrics
Residents work on this expanding service for four weeks during the PGY 1 and 2 years and eight weeks during PGY 3. During this rotation, residents treat patients from all over New England, thanks to community affiliations and our maternal transport program. Time is spent in the Center for Maternal-Fetal Medicine diagnosing and counseling patients with complicated pregnancies, as well as on the floors and on Labor and Delivery assisting in high risk deliveries. Additionally, residents will treat and operate on patients from our New England Center for Placental Disorders, many of whom require cesarean hysterectomies.
Each resident spends two four-week blocks per year on the Nights rotation working closely with three of their co-residents. The first-year resident manages all post-operative and non-obstetrical inpatients. The second-year resident begins to strengthen their leadership skills by running the board on labor and delivery and participating in cesarean sections. The third-year resident guides the first year resident, participates in operative deliveries, and attends hospital-wide consults. The chief resident on Nights oversees the entire patient census, provides guidance to the PGY 2, attends chief service patient deliveries and urgent surgeries, and acts as educator to the junior residents and students.
Cambridge Health Alliance
The rotation at Cambridge Health Alliance is an eight-week rotation in the PGY 3 year that allows the resident to practice as a generalist practitioner in the community setting, while collaborating with Cambridge health alliance faculty, Family Medicine residents, , and Physician Assistants. During this rotation, the residents begin to work more autonomously in preparation for their chief year, when they will assume advanced leadership roles as chief residents.
Clinic Chief is an eight-week rotation in the chief year of the program during which the chief residents have their own weekly pre-operative clinic from which patients will be booked for surgery. The resident serves as the primary surgeon under the guidance of our dedicated surgical teaching staff. Additionally, the clinic chief is the point person for junior residents and nursing in the ambulatory setting.
This two-week rotation takes place during the PGY 1 year in the Center for Maternal-Fetal Medicine. In order to hone their obstetrical ultrasound skills, the resident works closely with faculty and sonographers. By the completion of this rotation, residents are proficient in basic obstetrical ultrasounds and have gained additional experience with advanced obstetrical ultrasounds.
Each resident spends a four-week block in the PGY 2 and PGY 3 years (eight weeks total) during which they have protected time to work on scholarly projects, travel abroad for global health electives or pursue subspecialty electives at outside institutions locally or nationally.
Each resident spends two weeks in their PGY 1 year working in the Emergency Department under the guidance of that program's leadership. This rotation expands the breadth of the residents’ knowledge and prepares them for urgent triaging and medical care beyond obstetrics and gynecology.
The Division of Family Planning offers two four-week rotations in the PGY 1 and PGY 2 years as part of the national Kenneth J. Ryan Residency Training Program. Residents learn to provide all methods of contraception and to address the family planning needs of patients with complex medical conditions. Residents may perform ambulatory procedures including manual vacuum aspiration, dilation and evacuation, and intrauterine device and contraceptive implant insertions.
The Ambulatory Gynecology rotation consists of a four-week block in the PGY 2 and PGY 3 years (eight weeks total) where the resident is immersed in all the subspecialty ambulatory clinics, such as colposcopy, vulvar clinic, gynecologic minor procedures, and urogynecology.
Mount Auburn Hospital
Each PGY 4 resident spends eight weeks working alongside the faculty gynecologists and urogynecologists at our affiliate Mount Auburn Hospital in Cambridge. Residents enhance their surgical skills by assisting on complex gynecologic surgeries with an emphasis on minimally invasive vaginal and robotic approaches.
Quality Assurance and Quality Improvement
Unique to the BIDMC Residency in Obstetrics and Gynecology is our four-year integrated curriculum in Quality Assurance and Quality Improvement. This specialized curriculum has dedicated Goals and Objectives that teach residents to provide high quality, evidence-based medicine with the incorporation of equity and cost consciousness, all within a supportive environment. Curricular activities include participation in Quality Assurance Committee patient review, OB and GYN Leadership committees where they work on and often design process improvement measures, M&M’s, and Chief Resident Case Review. This all culminates in their Chief Resident Quality Improvement capstone project which they present at departmental Grand Rounds and involves a root-cause analysis.
Reproductive Endocrinology and Infertility
During this four-week rotation, PGY 1 residents participate in all clinical services at the program’s principal site, Boston IVF. Boston IVF is one of the largest assisted reproductive technology programs in the United States, with faculty assisting in more than 35,000 births. The residents’ clinical experience includes evaluation and management of new patients and those returning for consultation. Residents acquire skills performing ultrasound, sonohysterograms, and hysterosalpingograms; they also assist in ambulatory surgery and advanced reproductive technology procedures.