During this one block rotation, residents should understand
benign disorders of the breast, the differential diagnosis of
breast masses and nipple discharge, breast imaging studies and
their correlation with physical findings. They should be able to
perform breast aspirations and understand the natural history of
and treatment of breast carcinoma.
At the completion of this one block rotation in the Intensive
Care Unit, the resident should understand the physiology of
spontaneous and mechanical ventilation, ventilator modes,
monitoring during mechanical ventilation and weaning from
mechanical ventilation. The resident should also gain the ability
to interpret ICU monitoring including cardiopulmonary and
pulmonary artery occlusion pressures, diagnosing and treating ICU
complications such as respiratory failure, neuromuscular
blockage, and simple and mixed acid-base disorders.
During this one block rotation, the resident should become
skilled in the assessment and treatment of patients who present
with acute medical or surgical emergencies.
During this one block rotation, the resident will work with a
master's degree-trained genetic counselor to learn how to elicit
a genetic history, understand the benefits/risks of invasive
testing and distinguish between the various forms of genetic
inheritance. Working with a registered OB sonographer, the
resident will work hand-in-hand to develop the skills and
knowledge necessary to become credentialed in performing basic
first-, second- and third-trimester ultrasonography, measuring
AFI and performing a Biophysical Profile.
Residents will spend 12 1/2 blocks on the gynecology
service during the course of their residency, where they will
learn physiology, diagnosis and treatment of the most common
elements of gynecologic therapy. They will develop skills in
diagnostic and therapeutic patient management and the ability to
diagnose and treat advanced gynecologic conditions. Two blocks
will be spent at MedStar Union Memorial
Hospital, a Medstar Health Hospital located in the Homeland
section of Baltimore City.
Residents will spend four and a half blocks on the gynecologic
oncology service, during which their goal will be to become
skilled surgeons and competent physicians regarding the
diagnoses, evaluation, staging and management of patients with
gynecologic malignancies. This rotation also affords the
opportunity to enhance technical skills and postoperative
management of seriously ill patients.
Residents will spend 10 blocks on the obstetrics night float
rotation during the four years of their residency training.
There, they will gain experience in managing laboring patients,
deliveries, ER consultations and postoperative complications.
Residents will spend a total of 13 blocks on the obstetrics
service. The cumulative goal, spanning the four years of training
in Obstetrics and Gynecology, is to develop independent resident
competence in diagnostic and treatment modalities within the
field of obstetrics.
Residents will spend two blocks on the Reproductive Endocrinology
and Infertility service, working with a sub-specialist in all
aspects of diagnosis and treatment of endocrinology and
infertility problems including assisted reproductive technology
(ART). The relationship of the resident and sub-specialist is
best described as preceptee-preceptor.
The cumulative goal during postgraduate training in Obstetrics
and Gynecology is to develop into an accomplished pelvic surgeon.
Residents will learn the neurophysiology of urinary and fecal
incontinence and be able to define neurologic and anatomic
defects that lead to incontinence. Residents will gain experience
in urodynamic testing and develop skills in the treatment of
pelvic organ prolapse (i.e. anterior and posterior colporrhaphy,
enterocele repair and suspension techniques).
This one-block rotation allows the resident to work closely with
our Maternal Fetal Medicine sub-specialists. Residents will
continue to develop skills and proper concepts in normal and
abnormal obstetrics but will focus on prenatal diagnosis,
advanced ultrasound evaluations, and counseling of patients with
fetal anomalies and other High Risk obstetrical conditions.
OB/GYN Residency Program