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Curriculum & Rotation Schedule

Our Curriculum

Our residency program provides a comprehensive teaching program with ample research opportunities. All sub-specialties are actively involved in teaching as are our fellowship-trained specialists in Minimally Invasive Surgery, Pelvic Pain and Family Planning. The major subspecialty clinics include Maternal-Fetal Medicine, Reproductive Endocrinology, Gynecologic Oncology, and Urogynecology. Our High Risk Obstetrical Clinic is staffed by three perinatologists. The Reproductive Endocrinology and Infertility rotation is taught by four fellowship-trained specialists. The Gynecologic Oncology division consists of three board certified oncologists who participate in teaching in the clinic, operating room and during didactics. The Urogynecology division is headed by two fellowship-trained Urogynecologists who are actively involved in resident education. Our PGY2 Family Planning rotation is taught by four Family Planning fellowship trained specialists. Other areas of interest taught through teaching clinics include colposcopy, vulvar dysplasia, resident surgery clinic, transgender health, sexual health, adolescent care, contraception, high risk breast care and fetal and placental pathology.

There are daily multidisciplinary rounds led by the perinatologist on the obstetrical service. Conferences occur every Thursday morning which include: Grand Rounds, OB M&M, Surgical M&M, Gynecologic Ultrasound, and Pre-Operative Conference. In addition, there are protected noon conferences which include: Perinatal Ultrasound, Book Club, Journal Club and resident research presentations. On Tuesday mornings there is an hour of case-based learning for the gynecology team led by an attending physician. Protected teaching time occurs every week on Tuesday morning from 9AM-1:30PM. During this protected time residents have traditional didactics as well as a variety of hands-on learning experiences.

Residents are required to conduct a research project and present their findings at Grand Rounds at the end of the third year. At the end of the fourth year, residents present their project at the Kaiser Ob/Gyn Bay Area Residents Research Symposium along with Ob/Gyn residents from Santa Clara and San Francisco.

Evaluations

The residents are evaluated in a 360 degree fashion by each other, the nurses, medical students, patients and the faculty in an ongoing process. Surgical evaluations, individual rotation, clinic and didactic evaluations are also collected regularly. A summative evaluation is then performed in person by the program director every six months which also includes the individual resident’s goals, discussion of research projects, mock oral examination performance, case log review, resident self-evaluation and MOET Institute evaluation (gynecologic surgery simulation). Evaluations are based upon the six ACGME competencies. In addition the Clinical Competency Committee (CCC) evaluates individual resident performance based on the milestones. The in-service training examination (CREOG) results are reviewed annually and an individual learning plan is created for each resident. In addition, the residents anonymously evaluate the program every six months and in an open forum every three months so that the academic program can be constantly updated.

Organized Teaching Activities

Name of Activity Frequency
OB M&M Conference Monthly
Surgical M&M Conference Monthly
Journal Club Monthly
Pre-Operative Conference Monthly
Resident Research Presentation Monthly
Perinatal Ultrasound Monthly
Hospital Grand Rounds Monthly
Laparoscopic Simulation Training Monthly
FHT review with Perinatologist Monthly
Perinatology-Pediatric Conference Every other month
Invited Grand Rounds Every other month
GYN Radiology Conference Every other month
Multidisciplinary Rounds on Obstetrical Service with Perinatologist Daily
Case-Based Learning in GYN Weekly
OB/GYN Resident Lecture Series Weekly
GYN Surgery Simulation Training 2 half days per year for PGY1 and PGY2
Mock Oral Exam Every 6 months
Obstetrical Emergency Training Once a year
OB Olympics Once a year
GYN Olympics Once a year
Research Course (6 month didactic) Every other year

The Ob/Gyn Residency Program at Kaiser Permanente Oakland (East Bay) provides a structured educational experience designed to prepare the graduating resident equally well for independent general practice of obstetrics and gynecology or for further subspecialty training, as well as to serve as consultants to non-obstetrician-gynecologist health care providers. The overall educational objectives of the program are derived from the core competencies set forth by the Accreditation Council for Graduate Medical Education (ACGME).

Sample of protected teaching time:

Oakland OBGYN Sample Teaching Schedule 2016-17

Simulation

Kaiser Oakland has a Patient Safety Simulation Training Center with a high fidelity simulation “family” available for resident training. Obstetrical Emergency training occurs within this simulation center. In addition, Dr. Eve Zaritsky has developed a gynecologic surgery simulation program with two laparoscopic simulators available in the resident office for resident use at any time. She  collaborated with the general surgery residency program to develop a joint surgical simulation program based upon the fundamentals of laparoscopic surgery (FLS) criteria for laparoscopic skills.

Critical Event Team Training consists of simulated obstetrical emergencies performed on the actual labor and delivery unit with all members of the labor and delivery team involved. This encourages team communication and learning in addition to hands-on learning regarding obstetrical emergencies.

Critical Event Team Training

Surgical Simulation training for the first and second year residents occurs at the MOET Institute and consists of two half days per year dedicated to improve basic laparoscopic skills with detailed evaluation and feedback. All residents additionally participate in monthly laparoscopic skills training using laparoscopic trainers available to all residents in the resident office 24 hours a day.

Obstetrical Emergency Simulation takes place at the Patient Safety Simulation Training Center here at Kaiser Oakland. This training evaluates the limitations and skills of each resident for varied obstetrical emergencies they will encounter in their careers. This state of the art simulation center allows us to record each resident as they perform shoulder dystocia maneuvers, care for a patient with eclampsia or hemorrhage and then review learning points from their simulated experiences with the group.

Mock Oral Examinations were introduced at the urging of the residents. The residents collect a short caselist and participate in a simulated oral examination. This not only prepares them for the ABOG oral board examination after residency but also encourages learning and improves oral communication skills.

We are dedicated to providing a flexible learning environment that includes high and low fidelity simulation.

Rotation Schedule

Three months – Obstetrics Service
Three months – Gynecology Service
One month – Medicine Wards
One month – ICU
Two weeks – Emergency Department
Two weeks – Maternal-Fetal Medicine
Six weeks – Night Float
Two weeks – Neonatal Resuscitation
Two weeks – Pathology
Two weeks – Ultrasound

Continuity Clinic begins during the first year of training

Three months – Obstetrics Service
Three months – Gynecology Service
Two months – Clinic with Family Planning
One month – Santa Rosa Rotation
Six weeks – Night Float
Two weeks – Ultrasound
Two weeks – Breast Rotation
Two weeks – REI Clinic Rotation

Three months – Obstetrics Service
Three months – Gynecology Service
Two months – Ambulatory Clinic
One month – Elective
Six weeks – Gynecologic Oncology
Six weeks – Night Float

Chief Resident

Three months – Obstetrics Service
Three months – Gynecology Service
Two months – Ambulatory Clinic
One month – Elective
Six weeks – Gynecologic Oncology
Six weeks – Night Float

Elective Rotations

There are two call-free elective months in our curriculum, one month in each of the PGY3 and PGY4 years. This timing allows each resident to have a license at the time of the elective and thus participate more fully in the rotation. The elective rotations are arranged by the residents themselves and are meant to be flexible and encourage a focus in any area of interest within women’s health. Each resident meets with the Program Director and presents his/her goals and objectives for the elective month to obtain approval for the rotation.

Jennifer Conti (far left) with Diane Sawyer, ABC News

We encourage creative use of this time that will assist the individual resident in obtaining their long term career goals. To this end, Dr. Jennifer Austin Conti participated in the Medical Unit Internship at ABC News. On this rotation she was able to combine her interest in journalism with medicine doing research for the medical correspondents and writing health news stories.

Many of our residents participate in at least one international experience. In the past few years we have had residents participate in electives in Peru, Ecuador, Vietnam, Nicaragua, Cambodia, Kenya, India, and Argentina. In addition, residents have used their electives to pursue further training in select areas like sexual health or infectious disease or spend time at potential fellowship sites.

A valuable resource available to our residents is the Kaiser Permanente Global Health Program which enables clinical faculty and residents to provide medical care at various locations around the globe. Residents can apply and often get funding to go abroad thanks to our well funded Global Health Program. Please visit our blog with thoughts and photographs from around the world of residents from all programs participating in international electives: http://kpglobalhealth.wordpress.com.

The Matibabu Foundation in western Kenya was the first affiliated program, founded in 2004 by Dr. Gail Wagner, a Kaiser Oncologist. This program provides training, equipment, and medical care in pediatrics, women’s health, tropical medicine and HIV care to the people of Ugenya, Kenya and the surrounding areas. One of our graduates, Dr. Lisa Ryujin, participated in this program twice during her residency, both supported by the Kaiser Permanente Global Health Program.

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