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 the program: seven PGY-1's and six each in the PGY-2, -3, and -4 classes.

Both the Obstetric and Gynecologic Services at the NewYork-Presbyterian/Weill Cornell Medical Center have a Day Team (7am-7pm) and a Night Team (6pm-8am). The night float team consists of a Chief, a PGY-3-OB, a PGY-2-Oncology, and a PGY-1-Gynecology. Weekend calls consist of a 12 hour overnight shift on Friday, a 24 hour Saturday shift, and a 12 hour day shift on Sunday.

All rotations listed below are done at the NewYork-Presbyterian/Weill Cornell Medical Center, unless indicated by (*) NYHQ = The New York Hospital Medical Center of 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.

The first year Resident will gain supervised skills in obtaining an outpatient history, performing a general physical examination, making diagnoses, and formulating a plan of care for outpatient medical, obstetrical and gynecologic patients.

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 become versed in general and pelvic examinations, and develop basic diagnostic skills such as Pap smears, cultures, microscopic examinations, intrapartum fetal heart rate interpretation, 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.

In the second half of the year, Residents will be partnered with various faculty members to learn the office management of Gynecology. During these two months, all Residents will spend ½ day per week in the Breast Clinic learning the workup and diagnoses of breast masses and breast pathology.

The PGY-1 rotation schedule is as follows:

7 weeks Obstetrics
1/2-1 day/week Ob/Gyn Continuity Clinic
7 weeks Ob/Gyn-(NYHQ)*
14 weeks Gynecology
7 weeks Gyn Oncology
3 weeks Ambulatory Gynecology
4 weeks Antepartum Testing/Ultrasound
8 weeks Nights (gyn)
4 weeks Vacation

Click here for a sample PGY-1 schedule

*Please note that it is the policy of the NewYork-Presbyterian/Weill Cornell Medical Center that all residents be eligible for medical licensure in the State of New York at the completion of their first year of training.


PGY-2

The second year Resident will continue to upgrade the skills learned in the first year. In Obstetrics, they will gain experience in complicated cesarean sections and operative deliveries, and manage the busy antepartum service under close supervision by a diverse team of MFM Attendings and 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 their own 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.

The PGY-2 rotation schedule is as follows:

9 weeks Obstetrics
1/2-1 day/week Ob/Gyn Continuity Clinic
9 weeks Ob/Gyn-(NYHQ)*
9 weeks Nights (Gyn Onc)
8 weeks Gynecology
9 weeks High Risk Ob/Ultrasound (AP)
4 weeks Vacation

Click here for a sample PGY-2 schedule


PGY-3

The third year Resident will continue to hone the skills learned in the first two years, with focus on higher-level operative skills and learning the management of the resident teams, under supervision of the Chief Resident.

Third years will gain extensive experience in the operating room as the primary surgeon under supervision for many major cases in Gynecology and Urogynecology. For five weeks of the year, each third year manages the Ob/Gyn service at New York Hospital - Queens, where he or she will first-assist on all of the major Oncology staging cases. In addition, every third year 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:

1/2-1 day/week Ob/Gyn Continuity Clinic
9 weeks Ob/Gyn-(NYHMC-Q)*
5 weeks Gyn-Oncology / Chief of Service (NYHQ)*
9 weeks Gynecology
9 weeks Nights (OB)
9 weeks Oncology
4 weeks Vacation

Click here for a sample PGY-3 schedule


PGY-4

The fourth year Residents will have the responsibility to determine the diagnosis and care for all patients on their service, as well as to 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 PGY4 will manage the Resident Clinic and learn the preoperative management of patients for surgeries.

The PGY-4 rotation schedule is as follows:

9 weeks Obstetrics
1/2-1 day/week Ob/Gyn Continuity Clinic
4 weeks Ob/Gyn (NYHQ)*
9 weeks Nights
9 weeks Gynecology
9 weeks Oncology
8 weeks Endocrine/Ob-Gyn Ambulatory
4 weeks Vacation

Click here for a sample PGY-4 schedule