Curriculum

Year I

The focus of Year I is to the necessary skills to manage normal and high-risk obstetric patients. Residents learn to perform deliveries, cesarean sections and manage pregnancy complications.

There are rotations in other services: a month in emergency medicine; a month in the intensive care unit; two weeks in the neonatal ICU; two weeks in maternal fetal medicine for training in obstetric ultrasound; a month of gyn; and a month of introduction to clinical and basic research techniques.

Outpatient clinic starts in the first year and provides experience in ambulatory primary and preventive health care.

A month of basic tools of research prepares residents for a required research project, presentation and published paper during Year III.

Year II

The second year emphasizes medical and surgical gynecology.

Participation in gynecologic surgery and post-operative care is introduced.

Five months are dedicated to the gynecology service, including primary and preventive care, ambulatory problems, gynecologic ultrasonography, gynecologic surgery, emergency gynecology and management of outpatient women’s health care.

Several months of “night float” provides exposure to emergency gynecology and obstetrics patients with senior resident and attending guidance.

Year III

Subspecialty areas are emphasized this year.

Residents evaluate new urologic, oncologic, endocrine and infertility patients.

They have rotations with subspecialty faculty in these disciplines. The resident has two months on the obstetric service as senior resident.

Several months are spent on the oncology service.

Specific rotations are spent on reproductive endocrinology and maternal fetal medicine.

The length of rotations vary depending on service need and resident preference.

Year IV

The fourth year is divided equally among all three resident chiefs.

The gyn chief performs complicated surgical procedures, including vaginal, laparoscopic, laser and pelvic reconstructive cases and is responsible for all patients admitted to the GYN service.

The obstetrics chief is in charge of labor, delivery and the perinatal unit.

The clinic chief organizes and directs the outpatient facility.

The chief resident will rotate administrative duties such as schedules, delegation of residents, interaction with hospital administration, and student clerkship rotations.

First Year Rotations

3 months Obstetrics
4 months Obstetric Night Float
1 month Emergency Care
1 month Gynecology
1 month Medical Intensive Care
1 month Basic Research
2 weeks Neonatal ICU
2 weeks Maternal Fetal Medicine/Obstetric Ultrasound

Second Year Rotations

3 months Obstetrics
5 months Gynecology
3 months OB/GYN Night Float
1 month Clinical Research

Third Year Rotations

5 months Gynecologic Oncology
2 month Uro-Gynecologic Surgery
1 months Reproductive Endocrinology
1 month Maternal Fetal Medicine
1 month Night Float
1 month Elective
1 month OB

Fourth Yeara Rotations

4 months Chief of Obstetrics
4 months Chief of Gynecology
4 months Chief of Outpatient Clinic

Chief residents will divide administrative chief resident responsibilities.

Obstetrics at University Medical Center

University Medical Center (UMC) is the primary training institution for the School of Medicine.

The seventh floor is dedicated to obstetrical inpatient care. There are 11 labor and delivery rooms and two operating rooms. Thirty-three inpatient beds, an antepartum triage unit, facilities for ante and postpartum intensive care, and three nurseries support this service. The obstetric service has 24 hour in-house attendings, anesthesia and neonatal faculty and is designated a Level III unit.

Gynecology at University Medical Center

Gynecologic inpatient facilities include two general surgical floors, an oncology wing and a full service operating suite of 21 rooms covering all surgical needs.

The oncology Service is the largest in Las Vegas. Adjuvant radiation or chemo therapy is provided in the primary facility.

Outpatient Clinics

Ambulatory OBGYN care is offered at the University of Nevada School of Medicine, the school's Patient Care Center and University Medical Center Lied Clinic.

Routine prenatal and high-risk obstetrical care is provided by residents, supervising attendings, and certified nurse midwives.

The Patient Care Center provides full service gynecologic care to women of all ages.

Subspecialty services are available for more complex cases involving oncology, endocrinology or urology issues. The Lied Clinic is an outpatient service of University Medical Center.