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Obstetrics and Gynecology Residency
The Department of Obstetrics and Gynecology offers a four-year program accredited by the Residency Review Committee of the Accreditation Council for Graduate Medical Education.
The Cedars-Sinai program has ACGME approval for six residents at each level and is designed to offer increasing levels of responsibility.
The first year of residency provides a broad experience in obstetrics and gynecology with rotations in general obstetrics, general gynecology, and gynecologic oncology. Additionally, first-year residents pursue educational experiences in ultrasound, breast clinic, surgical intensive care, ambulatory and emergency medicine.
The second year of residency includes rotations in obstetrics, gynecologic surgery, gynecologic oncology, and reproductive endocrinology and infertility. The residents spend approximately three - four months at California Medical Center in which they get exposure and training in high-risk obstetrics; this rotation provides autonomy and leadership opportunities to the residents in which they supervise both OBGYN and family medicine junior residents and medical students from other institutions. Other educational rotations are neonatal intensive care unit, anesthesia and an introduction to urogynecology and reproductive endocrinology.
The third year residents spend most of the year on gynecology, obstetrics, gynecologic oncology and reproductive endocrinology and infertility. They rotate for approximately three - four months at California Hospital Medical Center. There is abortion/family planning rotation with Planned Parenthood.
The third year residents rotate for approximately three - four months at California Hospital Medical Center. They spend four weeks at Kaiser Permanente in Hawaii. This provides a combined ambulatory and surgical experience for the residents in a very conducive environment. An external gynecological surgical rotation is also provided currently at Olympia Medical Center. The third year residents also have an elective rotation which can be utilized for international experience, research, rotations in other institutions, and fulfilling procedural requirements.
The chief resident (fourth) year includes four - five weekly blocks of ambulatory, obstetrics, gynecology, and reproductive endocrinology and urogynecology rotations. The chief resident supervises junior residents and acts as a junior consultant on the service while under guidance by faculty.
The objective of our residency training program is to provide a diverse and in-depth experience for each resident so that upon completion of the program they will have the ability to practice competently and independently with the confidence and skills required to enter clinical practice, urban or rural, or pursue an academic or administrative career with a sincere interest in improving health care for women within a patient safety culture environment.
Cedars-Sinai is an acute care tertiary center. Obstetrics and Gynecology (OBGYN) residents are trained by specialists in Maternal-Fetal Medicine (MFM), Gynecologic Oncology, Reproductive Endocrinology and Infertility (REI), and Minimally Invasive Surgery/Urogynecology. There are over 70 voluntary teaching faculty members who supervise residents in general OBGYN. Residents learn from exposure to the largest OBGYN clinical service in California, benefit from training by fellows in REI, Gynecologic Oncology, and MFM fellowship programs, teach UCLA medical students and students from all over the world, can participate in NIH funded research project, and are trained in patient safety and quality improvement.
California Hospital Medical Center (CHMC) provides care to a low income, mainly Hispanic population with about 400 deliveries and 500 obstetrical triage visits monthly. Cedars-Sinai residents are the most senior residents on each team and they supervise family practice residents and OBGYN interns from USC & Harbor UCLA training programs. Residents learn to manage a primarily low-income, high-risk obstetrical population, and participate in elective and emergency gynecologic cases, either scheduled through the residents’ continuity clinic or admitted through the CHMC emergency department. CHMC and Cedars-Sinai faculty are immediately available to supervise all of the residents' patient care activities.
Kaiser Foundation Hawaii Region is a large health maintenance organization with a gynecology service that generates about 500 major and 480 minor surgical procedures yearly. This is a combined gynecology in-patient and ambulatory rotation for our residents. The third year residents spend four weeks on this rotation. Progressive patient responsibility and surgical participation is emphasized. The Kaiser faculty members supervise all of the residents' patient care activities. This rotation serves to enhance the gynecological experience of the residents in pelvic floor surgery, vaginal hysterectomies and ambulatory gynecology, especially in contraception and urogynecology. This rotation also teaches the residents to provide health care in a managed care environment.
The Los Angeles Free Clinic, which was renamed The Saban Free Clinic (now the Saban Community Clinic), sees approximately 5,000 patients yearly and provides ambulatory continuity experience for residents. An assistant residency director supervises the clinic. Residents deliver their continuity prenatal patients in the hospital and follow them postpartum in the clinic. They schedule surgical cases for their patients, perform the surgery at Cedars-Sinai and continue follow-up post-operative care in their clinics. The residents give their business cards to their patients, stay in contact, and arrange follow-up care for their own patients. To emphasize the importance of this aspect of residency education, Cedars-Sinai covers the cost of the surgeries performed by residents at Cedars-Sinai on continuity patients.
Olympia Medical Center is community hospital near Cedars-Sinai. Cedars-Sinai residents rotate through to learn and perform surgical procedures under the supervision of the Cedars-Sinai faculty members.