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Program Curriculum - Details of Primary Services Benign Gynecological Surgery Service
Gynecological Oncology Service During the gynecological oncology rotation, our residents obtain proficiency in difficult abdominal surgical procedures such as ovarian cancer debulking, radical hysterectomy, radical vulvectomy, and regional lymph node dissection. Lead by Dr. William Griffin, and as of July 21, 2008, our new Division Chief, Dr. Mark Hunter, our oncology service performs ovarian and endometrial cancer surgeries and provides pre- and post-operative care. Through collaboration with our radiation oncology and medical oncology colleagues, our residents gain familiarity with administration of local radiation (i.e., “tandem and ovoids”) and outpatient chemotherapy. One of the most beneficial aspects of the gyn onc service is in the care of the critically ill surgical patient and management of medical issues complicating the postoperative course. Additionally, residents participate in outpatient oncology clinics, including cancer surveillance post surgery, colposcopy clinics, and LEEP clinics at our cancer center, the Ellis Fischel Cancer Center. Obstetrical Service Our hospital averages between 140 and 160 deliveries a month. During the obstetrical service rotation, residents learn to manage both normal and abnormal labor through expectant management, labor induction, labor augmentation, external and internal fetal surveillance techniques, and management of co-existing medical complications such as diabetes, seizure disorder, severe chronic hypertension, asthma, hyperthyroidism, etc. They have ample exposure to obstetrical complications such as preeclampsia, preterm labor, malpresentation, abruption placentae, placental accreta, postpartum hemorrhage, abnormal fetal heart rate tracings, intrauterine growth restriction, multiple gestations, fetal anomalies of all sorts, intrapartum infection, and premature membrane rupture. Our residents become proficient in obstetrical procedures such as spontaneous vaginal delivery, low transverse and classical cesarean section, vacuum- and forcep-assisted vaginal delivery, external cephalic version of the breech infant, vaginal delivery of twins, manual rotation, amniocentesis, and breech cesarean delivery. Residents also become proficient in basic obstetrical ultrasound including cervical length measurement, confirmation of intrauterine pregnancy, estimation of fetal weight, and gestational age estimation, and rotate with our perinatologists in ultrasound clinic performing fetal morphology assessment ultrasounds during their third year Maternal Fetal Medicine rotation. Additional Rich Learning Opportunities |
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During the benign gynecology rotation, our residents acquire proficiency in such procedures as laparotomy, abdominal hysterectomy, vaginal hysterectomy, diagnostic and operative laparoscopy, diagnostic and operative hysteroscopy including placement of the Essure tubal occlusion device, endometrial ablation procedures, and vulvar and vaginal surgery. They also learn other surgical techniques such as laparoscopic total and supra-cervical hysterectomy, laparoscopic appendectomy, and cystoscopy. Preoperative evaluation and postoperative care are essential elements of this rotation. 
