Saint Joseph Hospital

Curriculum

The overall educational objectives of the program of Obstetrics and Gynecology at Saint Joseph Hospital are based on Educational Objectives: Core Curriculum in Obstetrics and Gynecology as published by the Council on Resident Education in Obstetrics and Gynecology. This format is reviewed with each new edition, and continues to allow for the training of physicians in the primary and preventive care of women, pregnancy, and the female reproductive system.  The educational objectives strive to accomplish the following for graduating residents:

  1. To be able to practice the full range of obstetrics and gynecology in a recognized physician-patient relationship.
  2. To successfully complete the certifying examinations of the American Board of Obstetrics and Gynecology.
  3. To serve as a consultant in obstetrics and gynecology to other physicians and health care providers.
  4. To enter advanced training in the subspecialties of obstetrics and gynecology as talents and aspirations dictate.
  5. To establish lifelong habits of scholarship and intellectual curiosity.
  6. To recognize the special and unique role of the obstetrician/gynecologist in their promotion of health and well-being for women and their unborn children.
  7. To obtain and demonstrate competencies in patient care, medical knowledge, practice based learning, interpersonal and communication skills, professionalism, and systems based practice.

We expect our physicians to be able to evaluate the general health care needs of women, and deviations from normal in women, so that they can appropriately refer to other specialists. We strive for compliance with all aspects of the RRC Requirements.

All patients admitted to the service are considered "teaching patients," and house staff members participate in their complete management and care. House staff participation in the care of patients is consistent with the demonstrated experience, ability and comprehension of the resident. Progressive responsibility is the expected norm with culmination in the chief year.

We are affiliated with the University of Colorado and have four medical students rotating with us year round for a six week rotation. The students rotate on L&D, in surgery and in the clinics. They are part of the team and the residents interact closely with them allowing for a lot of medical student teaching.

The hospital provides an in-house clinic for patients without insurance or other means of full payment, and local county clinics regularly refer patients to Saint Joseph Hospital for care. This enables the residents to have both obstetrical and gynecologic continuity clinics throughout their four years of training. Residents follow their own patients and are involved in their patients’ deliveries and gynecologic procedures. There is faculty supervision in the clinic at all times and in-house coverage 24 hours a day. There is a large Hispanic population among our uninsured patients. Proficiency in Spanish is definitely an asset, but not a requirement.

Residents are trained in counseling patients in all aspects of family planning and our practice respects the Ethical and Religious Directives for the Catholic Health Care Services (ERDs). To meet the RRC guidelines on the Family Planning curriculum, teaching and simulations pertaining to family planning are done in the hospital and clinic. Those procedures and surgeries that are not available at Saint Joseph Hospital are done at outside clinics (funded by the Ryan program) and other hospitals with either private attendings or our own faculty.


Intern Year

First-year residents can count on a full obstetrical experience, including a rotation on the high-risk OB service. While spending a rotation block on the Family Medicine Service, interns will begin developing their primary medicine skills. One block has been dedicated to addressing clinical applications of ultrasound. In addition, the first year resident will gain ambulatory clinic experience developing triage skills on both OB and GYN patients, while also having the opportunity to develop their GYN surgical skills.


Second & Third Year

Second and third year residents enjoy increasing responsibility in obstetrics and gynecology cases as well as in the sub-specialty services of urogynecology, reproductive endocrinology and infertility, and gynecologic oncology. Second year residents also have an elective block as part of their year while third year residents are scheduled dedicated "Clinical-research" blocks. Third years (as well as fourth year residents) also participate in the Obstetrics Night Float System and as the "Clinic Chief".


Fourth Year

Fourth year residents share the responsibilities of "OB Chief", "Clinic Chief", "GYN Chief", and "GYN Oncology Chief" taking turns overseeing their entire respective services. They also have an elective rotation where they can pursue additional areas of academic interest, either locally or abroad. 


Rotations

Here is an example of our OB/GYN rotations:

Rotations

PGYI

(Post Graduate Year I)

PGYII

(Post Graduate Year II)

PGYIII

(Post Graduate Year III)

PGYIV

(Post Graduate Year IV)

Ambulatory Clinic

2 blocks

(10 weeks)

 

 

 

Antepartum/High Risk Obstetrics

1 block

(5 weeks)

1 block

(5 weeks)

 

 

 

Clinic Chief

 

 

 1 block

(5 weeks)

1 block

(5 weeks)

Elective

 

1 block

(5 weeks)

 

1 block

(5 weeks)

Family Medicine

1 block

(5 weeks)

 

 

 

Gynecology

1 block

(5 weeks)

2 blocks

(10 weeks)

2 blocks

(10 weeks)

 

 

Gynecologic Oncology

 

1 block 

(5 weeks)

1 block

(5 weeks) 

2 blocks - Chief

(10 weeks)

Gynecology Service Chief

 

 

 

2 blocks

(10 weeks)

Labor & Delivery (Days)

2 blocks

(10 weeks)

2 blocks

(10 weeks)

 

 

Labor & Delivery (Nights)

2 blocks

(10 weeks)

2 blocks

(10 weeks)

1 block

(5 weeks)

1 block

(5 weeks)

Obstetrical Service Chief

 

 

1 block

(5 weeks)

1 block

(5 weeks)

Reproductive Medicine & Endocrinology

 

1 block

(5 weeks)

 

 

Family Planning/Research

 

 

2 blocks

(10 weeks)

 

MIS (Minimally Invasive Surgery)

 

 

 

2 blocks

(10 weeks) 

Ultrasound 

1 block

(5 weeks)

 

 

 

Urogynecology

 

 

2 blocks

(10 weeks)



Didactics & Conferences

Each week, at least three to four hours are devoted to academic sessions that are conducted by the department faculty, volunteer faculty from the private sector, Kaiser Permanente, and the University of Colorado. Lectures are provided from general Ob/Gyn practitioners as well as sub-specialists within the field of Ob/Gyn. To further compliment opportunities to learn, guest lecturers may include faculty from the Departments of Pathology, Family Medicine, Internal Medicine, General Surgery, and Anesthesia. Residents also participate actively, providing lectures and organizing Morbidity and Mortality Conferences and Journal Club. Residents are also encouraged to attend lectures provided by the Colorado Section of ACOG (American College of Obstetrics and Gynecology).

In addition, morning teaching rounds take place each weekday morning, divided equally between disciplines of obstetrics and gynecology with each lasting approximately 30 minutes. These rounds allow a more focused discussion and analysis of cases admitted overnight and provide another opportunity to learn via "mini-lectures,” patient rounds, and evidence-based discussions of the literature.


Electives

Recognizing the importance of extracurricular educational opportunities, the department offers electives during the PGY 2 and PGY 4 year. In the past, residents have taken this opportunity to travel abroad and practice Ob/Gyn in places such as Tanzania, Peru, Nepal, Dominican Republic and Ecuador. Traveling abroad is limited to the PGY 4 Elective. Other residents have stayed local and participated in chronic pain clinics, observed fetal surgery, learned about medical liability or worked on their research projects.

Residents are asked to submit to the faculty for approval a list of educational objectives to be gained by the elective experience as well as point-of-contact information of an official at the institution or practice overseeing the resident's experience and performance in advance.

The "Clinic/Research" block during the PGY 3 year provides the resident additional blocks to further their education in various clinical settings as well as time to further develop their individual research projects.


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