University of Nevada School of Medicine - Post-Graduate Residency & Fellowships

RESIDENCY CURRICULUM

YEAR I
The focus of this year is to develop skills needed to effectively manage normal and high-risk obstetric patients. The resident learns to perform deliveries, cesarean sections and manage medical complications of pregnancy. The resident rotates onto other services; one month on the UMC Department of Emergency Medicine where hands-on experience is gained in emergency care; one month on the Medical Intensive Care Unit provides experience with critically ill patients; one month in the Neonatal ICU for exposure to critically ill newborns. One month with Maternal Fetal Medicine offers experience and training in OB ultrasound and high-risk obstetrics; one month of GYN provides an introduction to basic Gynecology and the operating room. Their Continuity Clinic starts in the first year and gives them experience in ambulatory primary and preventive health care.

YEAR II
Education in the second year emphasizes medical and surgical gynecology. Participation in gynecologic surgery and postoperative care is stressed. Seven months are dedicated to the gynecology service where experience includes: primary and preventive care, ambulatory problems, gynecologic ultrasonography, gynecologic surgery, emergency gynecology and overall management of outpatient women’s health care.

YEAR III
Subspecialty areas are the focus of this year. The resident is the primary physician evaluating new urologic, oncologic, endocrine and infertility patients. They practice with subspecialty faculty in these disciplines. The resident spends two months on the Obstetric service as senior Resident, under the Chief. A four-month rotation is done on the University Medical Center Oncology Service. Six weeks (each) are spent on Reproductive Endocrinology and Maternal Fetal medicine. Two months are spent performing benign GYN surgery.

YEAR IV
The senior year is divided equally among all three Chiefs. The GYN Chief will perform complicated surgical procedures, including vaginal, laparoscopic, laser and pelvic reconstructive cases. The GYN Chief is responsible to the attending physician for all patients admitted to the GYN service. The Obstetric Chief is in charge of labor, delivery and the antepartum perinatal unit. The Clinic Chief will organize and direct the University Women’s Center Outpatient facility. A Chief Resident will be designated responsible for administrative duties such as schedules, delegation of resident responsibilities, interaction with hospital administration, and student clerkship rotations.

FIRST YEAR ROTATIONS
3 months Obstetrics
3 to 4 months Obstetric Night Float
1 month Emergency Care
1 month Maternal Fetal Medicine
1 month Medical Intensive Care
1 month Gynecology
1 month Benign Pelvic Surgery
1 month Neonatal ICU

SECOND YEAR ROTATIONS
3 ½ months Obstetrics
3 ½ months Gynecology
3 months OB/GYN Night Float
2 months Benign Pelvic Surgery

THIRD YEAR ROTATIONS
4 months Gynecologic Oncology
2 months Reproductive Endocrinology
2 months Benign Pelvic Surgery
1 month Maternal Fetal Medicine
1 month Uro-Gynecologic Surgery
1 month Night Float
1 month Elective
1 month OB

FOURTH YEAR ROTATIONS
4 months Chief Resident, Obstetrics
4 months Chief Resident, Gynecology
4 months Chief Resident, Outpatient Clinic
One of the Chief Residents will be Administrative Chief.

OBSTETRICS AND GYNECOLOGY AT UMC
University Medical Center of Southern Nevada (UMC) is the primary training institution for the residency program. Inpatient and outpatient training opportunities are provided at UMC, where the entire seventh floor is dedicated to obstetrical inpatient care. There are eleven labor/delivery rooms and two suites for cesarean sections, thirty-three inpatient beds, an antepartum testing unit, facilities for ante and postpartum intensive care, and three nurseries (well baby, intermediate care and neonatal intensive care) The Obstetric service has 24 hour in-house Attendings, anesthesia and support faculty and is designated Level III category. Gynecologic inpatient facilities are on two general surgical floors with surgical rotations at affiliated hospitals in town.

OUTPATIENT CLINICS
Ambulatory OB/GYN care is offered at the University Women’s Center (UWC) outpatient clinic. Routine prenatal and high-risk obstetrical care is provided by residents, supervising physicians, and certified nurse midwives. The UWC also provides full service gynecologic care to women of all ages. In addition, sub-specialty services are available for more complex cases involving oncology and urology problems.