Obstetric and Gynecology Rotations
Ambulatory Gynecology Rotation
Rotation Objective: To provide a setting where upper level residents can experience ambulatory OBGYN in a private practice setting with direct supervision of attending faculty from Division of Women’s Reproductive Health.
Supported by the Division of Women’s Reproductive Heathcare (WRH), the resident has his/her own daily schedule of patients. This rotation allows the resident to experience and see unique office situations such as in office procedures and specific counseling is emphasized throughout their rotation. Additionally residents are responsible for learning proper coding, documentation, and lab follow up. On days where seeing patients at the WIC, they are additionally responsible for aiding faculty with postpartum rounding.
Gynecologic Oncology Rotation and Schedule
The service consists of a PGY-1floor, PGY-1 clinics, UAB PGY-2, Brookwood PGY-2, PGY-3 and Brookwood PGY-4 resident (see detailed rotations descriptions below). The Oncology service works primarily at UAB and Brookwood Hospitals. There are often cases at St. Vincent’s and the PGY-4 will decide the day before which residents should attend these cases.
Oncology Conference & OR Schedules
The intern's primary responsibility is to manage the floor patients. He/she will perform appropriate major and minor cases in the OR if available. He/she is 1st call to see all oncology patients in the ER and is expected to frequently Check in with the PGY-2&3 in the OR for floor duties.PGY1 (Clinics)
This intern attends all oncology clinics Monday through Friday from 0800-1700. The intern prepares and presents cases at Tumor Board Each Monday at 1630 in WIC 5324. Tumor Board must be submitted to Drs. Conner and Novak by Friday at 1200. ONC Clinic PGY 1st is also responsible for H&Ps of patients being admitted to outside hospitals and UAB. The clinic nurses will notify the resident when this is needed.BW PGY3
This resident is responsible for the floor patients at Brookwood and covering the Brookwood cases. This resident may also help with oncology cases at outside hospitals.PGY3-4
These residents have the ultimate responsibility for the UAB inpatient services on their respective teams. They should communicate with the fellow on a daily basis regarding patient care. The PGY-3 and PGY-4 will perform most of the major oncology cases at UAB.PGY4
The resident has ultimate responsibility for the Brookwood inpatient service and should communicate with the fellow on a daily basis regarding patient care. He/she should see all ICU patients at Brookwood and help the BW PGY-2 with floor work. The PGY-3 and PGY-4 will perform most of the major oncology cases at UAB and Brookwood.
1st call to OB triage, postpartum, IUP, and routine labor management. When possible the PGY-1 will have OB Triage as their primary responsibility.
1st call to Gyn, Onc, OB transfers, and Emergency department. Also, the PGY-2 supervises the PGY-1. If two issues need solving at the same time, then help should be sought from the PGY-3.
Oversees the PGY-1 and PGY-2.
Oversees L&D, Antepartum service, Postpartum service, Onc, REI and Gyn Services at night.
*All Night Float residents are freed from Continuity Clinic responsibilities during the rotation.
See Short call/home call section for details.
PGY1 Internal Medicine Rotation and Clinic Schedule
Each intern will complete a 6 - 8 week rotation on Internal Medicine as a part of the primary care requirement. The resident will spend 4 - 5 weeks on an inpatient month on the Tinsley Harrison service. Rotation dates will be approved and scheduled by the Internal Medicine Administrative Chief Residents. The remainder of the rotation will be spent in various clinics as outlined below.
Intern Clinic Schedule
PGY3 Research / Ultrasound Rotation
This resident is expected to submit to the Administrative Chiefs and Dr. Goepfert their research plan prior to the FIRST day of the rotation, including specific research duties while on rotation. In addition, the resident will be expected to submit a mid-rotation synopsis of progress by the beginning of the fourth week of the rotation.
At the end of the rotation, the resident should also send the Administrative Chiefs and Dr. Goepfert an update on the progress of their research project(s) and other pertinent tasks during his/her rotation. In addition, they are expected to attend ultrasound clinics three half-days per week as outlined in the US curriculum handbook.
- Measure BPD, HC, AC, FL, HL, AFI. Determine placental location, presentation, cardiac activity
- Early OB US/TVUS-measure CRL & gest. Sac. Identify yolk sac, cul-de-sac, adnexa
- OB US- Anatomy: Intracranial (ventricles, cerebellum), Spine, 4 chamber heart, abdominal wall, cord insertion, kidneys, badder, abdominal organs, appropriate situs, face, extremities
- Perform amniocentesis
- GYN US- measure uterine size, endometrial thickness, evaluate uterine contour, cervix, cul-de-sac and adenxa
- Adv. OB US- spina bifida, anencephaly, ventral wall defects, renal pelvis dilation, renal dysplasia, cleft lip, club foot, hypoplastic left heart, AV canal, bowel atresia, echogenic bowel, nuchal fold measurement, echogenic focus, ventriculomegaly, 2 vessel cord
- Perform BPPs
- Adv. GYN US- Characterize adnexal masses (including the use of Doppler to assess), perform sonohysterography
PGY4 Elective and Schedule
Each Chief resident 1) will be responsible for scheduling his or her own 7-week elective, 2) is expected to attend their continuity clinic, and 3) must submit a formal proposal by e-mail or hard copy to Dr. Goepfert prior to the beginning of his/her rotation outlining a plan for the rotation. This proposal must be approved by Dr. Goepfert prior to the beginning of the elective rotation. Also, a formal summary of the rotation at the rotation’s end will be required.
| GYN U/S
|INDEPENDENT STUDY||CONTINENCE|| GYN U/S
|ANOMALIES||INDEPENDENT STUDY (LAPAROSCOPY)||INDEPENDENT STUDY (CODING)||GENETICS||LECTURE|
Reproductive Endocrinology and Infertility Rotation and Schedule
The reproductive endocrine service consists of a PGY-2 and PGY-4.
HSG's are done at the Kirklin Clinic in Radiology on Tuesday and Thursday afternoons at 1400. The chief resident will determine coverage of these procedures. An REI attending or fellow will be present to assist.
UAB Gynecology / Outside Gynecology / Urogynecology Rotation and Schedules
- These three services consist of a PGY1, two PGY2 residents, a PGY3 resident, and two PGY4 residents. The Gyn service is responsible for covering patients of the WRH attendings. The Urogyn team is responsible for covering the patients of all Urogyn attendings and fellows.
- The PGY2 resident with assistance from the PGY4 resident is responsible for all ER consults and all inpatient consults. The PGY-2 resident coordinates follow-up care for non-emergent consults at the Russell Gyn Clinic.
- The PGY1 is responsible for rounding on all Gyn patients in the morning. The PGY2 and PGY4 are expected to direct and oversee all management of the Gyn patients on the floor by the intern.
- The PGY2 and PGY4 on Urogyn function independently from the Gyn team unless a member of either team is on vacation and case-coverage is needed.
University Obstetrics Rotation
This service consists of a PGY-1 board, PGY-1 Triage, PGY-2 board runner, PGY-2 Post-partum rounder/clinic resident, PGY-3 Antepartum (IUP), PGY-3 OB complications clinic, and PGY-4. The team runs L&D from 0630-1700 Mon – Thursday and 0630 – 1600 Friday. Teaching conferences / case discussions are as dictated by attendings on service.