Third Year of Residency
Two Months Elective
Residents are encouraged and supported in their goals to further pursue particular areas of interest and are given the flexibility to construct a two month elective rotation. Residents are to spend four weeks of their elective time locally, creating a valuable opportunity to focus on research or additional topics of interest to the resident (recent examples include obstetric anesthesia, perinatal genetics, etc.). The resident also has the option to arrange for an "away" rotation of 4 weeks duration. This time is intended to get experiences that are not available at our program, such as rotations which provide unique infectious disease or surgical experiences. Examples of these are the many international rotations our residents have set up in countries with high prevalence of HIV and/or tropical infections and oncology fellowships at Sloane Kettering. Some of the countries our residents have gone to include: Tanzania, Cameron, Uganda, and Philippines
Oncology
During this rotation, the resident refines her/his skills in the management of difficult medical and surgical gynecologic cases (all types of hysterectomies, robotic surgery, endoscopic surgery, and the management of post-operative complications. The resident has supplemental exposure seeing patients in the breast clinic, the oncology clinics as well as in the weekly continuity clinic.
Night Float
The resident acts as the senior resident in the hospital. The resident is in charge of the Night Float team, which consists of the Night Float resident, a PGY-1 or 2, and a Family Medicine Resident. The resident oversees and directs the management of all patients, learning how to triage patients and oversee the junior residents. During this rotation, the resident hones her/his skills in independent decision making with increasing levels of responsibility. The resident works with CNMs, private practice and faculty attendings and is supported by 24 hour in-house attending coverage.
Maternal Fetal Medicine
This is similar to the same rotation during the second year. The resident attends three high-risk clinics including one diabetic cli. The resident also gains further experience in performing OB ultrasounds in the Fetal Diagnostic Center. The resident covers labor and Delivery one day a week. Additionally the resident has the option to spend a day at Planned Parenthood learning how to perform pregnancy terminations. If the resident opts out of this experience she/he spends additional time in the high-risk obstetric clinic.
Family Planning & Genetics
The resident will spend two days per week at Planned Parenthood. One full day will be spent performing surgical terminations and one day will be dedicated to learning contraceptive counseling. An additional half day will be spent at UVMC in our family planning clinic (LARC/IUD placement). One day a week will be spent working with a pediatric gynecologist with the time focused on learning how to take care of adolescent gynecological issues. Time will also be spent learning the basics of genetic counseling and working with our geneticist.
Urogynecology
This rotation entails working with a urogynecologist both in the office and operating room. The rotation focuses on evaluation of incontinence and pelvic floor disorders, urodynamic testing, and indications for urogynecologic procedures. The resident assists and learns to perform urogynecologic procedures as the first assist in the operating room.