Uniquely combining the high surgical volumes of a large private hospital with a large resident clinic service (7,000 office visits, 800 deliveries), the Academic Obstetrics and Gynecology Program stresses continuity of care and an excellent ambulatory experience in a fully equipped resident office setting. Click on the following topics for details:
Scholarship of discovery through research is a vital educational experience for all residents. We require and support resident research culminating in either publication or presentation at local, regional and national scientific meetings. Within the past three years, two of our residents have been awarded either first or second place at a regional scientific meeting. Educational and financial support is provided through the research department with a staff of three PHD level researchers, a statistician and clinical nurse investigators. An intensive five-day epidemiology, biostatistics and research design seminar is required of all second year residents. Listed below are a few of our ongoing research activities:.
Iskander J, Mozurkewicz E. Evaluation of omega-3 supplementation in the prevention of postpartum depression. In progress.
Stager R, Johnson P, Bozeman L, Churley-Strom R, O’Leary S. Assessment of the Safety Climate in a Labor and Delivery Unit at a Community Based Academic Center. In progress.
Hamman W, O’Leary S. Simulation and Staff Training. ObQuISSTT/QRIIM. In progress.
McMurtrie D, Cowen M, O’Leary S. Development of an Adverse Outcomes Inventory with the SJMH Quality Institute. In progress.
Stager R, Mercurius-Honore M. Testosterone And Female Responsiveness. Meta analysis accepted protocol under Cochrane Collaboration. In progress.
Stager R, Bryant D. A Centralized Cord Blood Registry to Facilitate Allogeneic, Unrelated Donor Umbilical Cord Blood Transplantation. In progress.
Residents must have the opportunity to reflect upon and learn new information to complement their clinical education. Our protected time reserved for resident education includes Wednesdays from 3-5 p.m. and Thursdays from 8-10 a.m. The sessions provide up-to-date evidence-based knowledge in basic sciences, ethical principles, communication skills, professional development, sexuality, legal/business aspect of medicine as well as preventative medicine.
Chapter Review: The residents conduct weekly chapter reviews of a major Obstetrics or Gynecology textbook ensuring that each resident reads cover-to-cover at least one major text each year. The reviews are often in the form of a game to make the learning fun and productive.
Core Curriculum: Immediately following Chapter Review the faculty directs our Core Curriculum lecture series. Core Curriculum follows the format of the CREOG educational objectives ensuring that our residents are apprised of all information necessary for a practicing obstetrician/gynecologist entering private practice or advancing to subspecialty training. Core time is dedicated to basic sciences ensuring a deeply rooted medical education foundation on which to build throughout the resident's professional life.
Monthly Morbidity and Mortality: All reportable obstetrics and gynecology morbidities are discussed in a non-confrontational forum allowing for education of the entire department. In addition to learning quality management principles, the resident is challenged to act as a Monday morning quarterback by thoroughly assessing the patient care rendered and offering alternative strategies.
Journal Club: Journal Club provides a forum in which to learn the skill of critical appraisal of the literature. Residents learn the important life long skill of analyzing an article to determine if his/her practice pattern should change based on the author's findings. Journal Clubs are a favorite resident activity because of the opportunity to interact socially with faculty through lively intellectual discussions.
Maternal Fetal Medicine Rounds: While on the Maternal Fetal Medicine service, residents spend a half-day a week with our geneticist and his genetic counselor. Residents are involved in genetic counseling for advanced maternal age, abnormal ultrasounds in pregnancy, and personal or family history of genetic disorders. Residents are also involved in performing amniocentesis, CVS and DNA testing. Four Core Curriculum lectures are dedicated to genetic disorders and counseling as well as one Grand Rounds lecture per year.
Professional Practice Curriculum
To prepare for a career in medicine, young physicians need to acquire professional practice knowledge and skills. Our curriculum includes a series of in-depth educational experiences to allow residents an opportunity to incorporate these skills into their practices. Topics addressed throughout the four-year curriculum include:
- Maintaining your professional credentials
- Personal and family financial security
- Total quality improvement
- Healthcare policy and financing
- Medical malpractice
- Employment agreements
- Medical practice economics
This educational series repeats every two years and blends the expertise of faculty with community professionals from the insurance, financial & estate planning, and legal professions. Residents also are offered the opportunity to spend elective time in the offices of local malpractice defense firms for first-hand exposure to the realities of medical malpractice.
Outpatient clinics provide a laboratory in which residents learn the practice of ambulatory medicine. Along with the necessary clinical education needed to practice obstetrics and gynecology, our residents learn about coding, proper documentation, communication skills and systems necessary to run an efficient productive office. All patients are assigned a resident providing continuity for both patient and resident.
Obstetric Profile: FY 2010 Total Deliveries: 3800
Gynecologic Profile: FY 2010 Total Gyn Surgeries: 2200
Mock Oral Exams
Mock oral exams provide an invaluable tool to assist the graduating resident in preparing for the American Board oral exam. The ability to think on one's feet is critical to passing the exam, but often is a learned skill. The mock oral exam at SJMAA is modeled after the American Board exam with three general areas tested, Obstetrics, Gynecology and Ambulatory Medicine. Each resident is examined by a total of eight faculty members divided into four thirty-minute sessions. Computer generated cases challenge the resident to develop patient management plans and to test their core medical knowledge. Residents receive written feedback from the faculty and meet with the Program Director to review their performance.