Introduction to Residency in Obstetrics and Gynecology

1
Introduction to Residency in Obstetrics and
Gynecology

• Shelly Holmström, MD
• Assistant Professor in Obstetrics and Gynecology
• University of South Florida

2
Residency Training

• Four years in duration
• Rotations
• Obstetrics
• Gynecology
• Gynecologic oncology
• Reproductive endocrinology
• Ultrasonography
• Primary care

3
Fellowship Training

• Three years in duration
• Four subspecialties
• Maternal fetal medicine
• Gynecologic oncology
• Reproductive endocrinology
• Urogynecology/pelvic reconstructive surgery

4
Board Certification

• Written examination
• Taken last week in June of fourth year of
  residency
• Must pass to sit for oral examination
• Oral examination
• Collect cases in office practice, obstetrics
  and gynecology
• Submit cases for review
• Exam taken in Dallas, TX in November, December or
  January
• Three hour test
• Half is standardized scenarios

5
Practice Patterns
6
NRMP Statistics

• PGY-1 2002 2003
• Number of positions 1130 1151
• Number of U.S. seniors applying 920 828
• Number of total applicants 1389 1367
• Positions per U.S. senior 1.2 1.4
• Positions per total applicants 0.8 0.8
• Positions filled, U.S. seniors () 850(75.2) 786(
  68.3)
• Positions filled, total applicants () 1067
  (94.4) 1050 (91.2)
• Number of unfilled positions 63 101

7
Private Practice

• Typical work week
• 41 to 60 hrs
• 85 patient contacts (80 office, 20 inpt)
• 80 of patients are 15 to 45 years old
• 70 patients receive all or most of their care
  from an ob/gyn

8
Private Practice

• Typical day in the life of an ob/gyn
• 730 to 9 AM Surgery/hospital rounds
• 9 to 1130 AM Office hours
• 1130 AM to 130 PM Surgery/lunch
• 130 to 5 PM Office hours
• 5 to 6 PM Telephone calls, hospital rounds,
  administrative duties
• Greatest flexibility

9
Academic Practice

• Responsibilities
• Teach medical students and residents
• Direct patient care
• Research (basic science or clinical)
• Administration

10
Public and Community Health

• City, county or state level
• Planners, consultants or administrators in health
  agencies
• Federal level
• Centers for Disease Control and Prevention
• Indian Health Service
• National Health Service Corps

11
Health Maintenance Organizations

• Work exclusively for a health care delivery
  system
• Salaried position with set hours and
  responsibilities
• Delineated work schedule
• May offer more balanced lifestyle

12
Pursuing a residency Program in Obstetrics and
Gynecology

• Where do you want to live?
• What type of program do you want?
• What are your career goals and lifestyle
  preferences after residency?

13
Selecting an Advisor

• Same field you plan to enter
• Established faculty member
• Strong commitment to student education
• Flexible schedule

14
Meetings with Advisor

• Year Approximate Purpose Deadline
• 3rd March-May Select advisor plan 4th yr
  curriculum
• 4th July Preliminary list of programs
• August Review draft of ERAS personal
  statement identify faculty to write
  letters of recommendation
• Late September Final list of programs, final
  draft of ERAS and personal statement
• November Plan interview schedule
• Late Jan-early Feb Review interview experience
• Early-mid Feb Prepare/submit final rank list

15
Obtaining Information

• APGO Directory of Residencies in Obstetrics and
  Gynecology
• www.apgo.org
• Graduate Medical Education Directory
• AMA
• FRIEDA (www.ama-assn.org)
• Advisors, mentors
• Residents in ob/gyn at USF