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Obstetrics & Gynecology San Francisco

Academic Training in a Positive Learning Environment

The Faculty and Residents in the Department of Obstetrics and Gynecology at Kaiser San Francisco strongly encourage you to consider our Ob/Gyn residency training program. We are a rigorous academic program whose goal is to train the next generation of ObGyn physician-leaders. We prepare residents to be astute clinicians and skilled surgeons, with particular emphasis in minimally invasive techniques. We focus on teaching and providing patient-centered care. Our graduate physicians are prepared to enter any full scope practice or fellowship position. Our training in systems-based practice is robust and residents master the skills needed to improve our health care systems. We place great value in simulation, patient safety, and clinical quality improvement, all introduced early in residency training and instilled as part of our culture.

Program Overview

Our program offers exceptional clinical training within a positive learning environment. The abundant clinical and surgical experience our program provides is augmented by an academically vigorous teaching program. Our academic program includes: strong core didactics delivered in protected teaching time; extensive longitudinal surgical skills curriculum; significant experience with minimally invasive surgery including laparoscopic and robotic surgery; tremendous research support and opportunities; robust normal and high-risk obstetrics; regularly scheduled Critical Event Team Training sessions; and intensive attention to patient safety and clinical quality improvement.

Residents have the opportunity to learn and provide care within an organization that is a world-wide leader in health care delivery and are afforded the full support that faculty receive to provide care to patients and learn systems-based practice. Our organization is at the forefront of using electronic systems to improve patient care. We have harnessed these powerful tools to make learning more efficient and facilitate research efforts. We follow patients longitudinally through all aspects of the continuum of care, giving trainees exposure to principles of population management, evidence-based medicine, quality improvement, and team-based acute and chronic care – the cornerstones of Kaiser Permanente medicine. Our Ob/Gyn Department at Kaiser San Francisco is a Supporting Institution and Founding Member of The Society for Academic Specialists in General Obstetrics and Gynecology (http://www.sasgog.org/), and a member of the California Maternal Quality Care Collaborative (https://www.cmqcc.org/).

We are strongly committed to providing graded responsibility for residents as they progress through our program and care for our large patient population. These patients reflect the diverse ethnic and socioeconomic backgrounds of San Francisco, including those of economic disadvantage. Our faculty are on duty in the hospital at all times to provide residents with supervision and immediate consultation. The high ratio of staff to residents in the ambulatory setting promotes strong oversight and education. Camaraderie among the residents and faculty creates a supportive environment conducive to learning and individual growth. Our teaching program is designed to foster a sense of intellectual curiosity and to stimulate residents to develop the life-long learning habits needed to master the evolving information required to provide quality obstetric, gynecologic, and primary health care for women.

In addition to sponsoring the ObGyn Residency training program, our San Francisco Medical Center supports many other learners in Undergraduate, Graduate and Post-Graduate Medical Education. We regularly have UCSF MS 3’s on ob, gyn and ambulatory services, as well as hosting MS 4’s for sub-internships in Gynecology and in High Risk Obstetrics. We are introducing a new longitudinal MS3 year-long clinical clerkship with UCSF. We support SFGH/UCSF PGY 2 & 3 Family Medicine Residents on our obstetrical service. We have a joint UCSF/Kaiser San Francisco Gyn-Onc fellowship; and we support the UCSF/Kaiser East Bay FPMRS fellowship with rotations in transgender medicine at our Medical Center. Outside of ObGyn, there are many other residencies and fellowship programs that our Medical Center supports either independently or with UCSF, including: IM, pediatrics, surgery, Cardiology, Heme-Onc, GI, EM, Vascular Surgery, Anesthesia.

San Francisco Medical Center Top Teaching Hospital

Kaiser San Francisco Smart Care Award

Caring for vulnerable populations – Transgender Health

The Path to Transgender Care: After years of providing collaborative care for our Transgender patients, in 2013 we launched our Adult Gender Pathways clinic under the direction of Dr. Erica Weiss, our Associate Program Director and Dr. Erica Metz, who is now the Kaiser Permanente Regional Medical Director for Transgender Health and is the recent recipient of the Cecil Cutting Leadership Award, the most prestigious award given in our organization. Follow this link to learn more: https://tpmgawards.kaiserpermanente.org/cutting-leadership/2018/erica-metz-md/.

We now have a full comprehensive gender-affirming surgery program directed by Dr. Ali Salim.

Not only do patients travel from around the region to our medical center for these procedures, but surgeons rotate here to learn directly from our team. Dr. Salim works directly with the residents in the operating room as well as in caring for the patients during their hospital course and in the office setting during consultations and postoperative care visits.

Our residents are deeply involved in learning how to provide culturally sensitive care to our patients and become leaders in this area when they move on from our program.

LGBT Health

Our Kaiser Medical Centers have been awarded by the Human Rights Campaign Foundation “top performer” status in LGBT healthcare equality. We are deeply committed to closing health care disparities and this award (100% score!) is wonderful recognition of the work our faculty and residents do day after day to support the health of our community. We are particularly proud of our Transgender health programs region wide and our regional center of excellence in Gender Confirming Surgery. This year our San Francisco Physician- in-Chief, Dr. Maria Ansari, had the honor of walking with 1200 of our Kaiser staff and doctors in the SF Pride parade including members of our Transgender Surgery clinic shortly after we received this award.

The San Francisco Medical Center has a large core group of LGBT knowledgeable faculty, comfortable with LGBT health-related care, providing inclusive and affirmative health care to LGBT people

Resident Well-Being

Our Residency Training Program has made a commitment to foster an environment of finding joy and meaning in medicine. Attention to psychological, emotional and physical well-being in both professional and personal resident life is prioritized. Our resident wellness program includes supporting time to engage in team building activities, personal wellness, and fostering resiliency. We feel it is important to use narratives to address our emotions that you may experience throughout your training. For our interns and incoming chiefs, we begin the year with an evening of readings where we can discuss a narrative that may evoke our emotions. Throughout your training we have protected time to continue to address the epidemic of compassion fatigue, with our “Tending the Flame” course. This program was developed by The Remen Institute for the Study of Health and Illness (RISHI)©. The RISHI course uses the uncovering of personal meaning as a major educational strategy and intervention to prevent compassion fatigue among residents.

A Note to 2018 Applicants:

We participate in the National Resident Matching Program to fill our 4 PGY-I positions. All applications must be submitted electronically through ERAS. We have a highly competitive program, last year we received over 550 applications for our 4 positions. Small group interviews will be held on select Tuesdays from October 16th through December 18th.

APPLICANTS ARE STRONGLY ENCOURAGED TO HAVE PERSONAL STATEMENT, AT LEAST TWO LETTERS OF RECOMMENDATION, MEDICAL SCHOOL TRANSCRIPT AND USMLE STEP 1 SCORES UPLOADED TO ERAS BY OCTOBER 1, 2018 (the remainder of the application including remaining letters of recommendation and Dean’s letter should be uploaded as soon as available).

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