Rotations

Our curriculum schedule is composed of thirteen 4-week blocks. Rotations per program-year are below:

Year 1	Duration
Obstetrics	5 blocks
Gynecology	4 blocks
Night Float (Sun - Thurs night)	2 blocks
Sonography (during first 3 months of training)	1 block
Outpatient	1 block

Year 2	Duration
Obstetrics	4 blocks
Gynecology	3 blocks
Night Float (Sun - Thurs night)	2 blocks
Gyn Oncology	2 blocks
ED / SICU	1 block
Elective / Research	1 block

Year 3	Duration
Obstetrics	4 blocks
Gynecology	4 blocks
Night Float (Sun - Thurs night)	2 blocks
REI	1 block
Private Gyn	1 block
Elective / Research	1 block

Year 4	Duration
Obstetrics	4 blocks
Gynecology	4 blocks
Night Float (Sun - Thurs night)	2 blocks
Urogyn	1 block
Private Gyn	1 block
Elective / Research	1 block

Clinical Services

Throughout the course of training, residents rotate throughout the following services:

Obstetrics

Residents gain experience in the management of normal and complicated labor and delivery and postpartum care:

• Cesarean deliveries
• Postpartum sterilization
• Operative vaginal deliveries (forceps, vacuum extractions, rotations)

Residents also learn to manage the medical and surgical complications of pregnancy, including:

• Preterm labor
• Multi-fetal pregnancies
• Infection
• Hemorrhage
• Vaginal breech delivery

They learn how to manage co-morbid conditions that can complicate a pregnancy, including:

• Diabetes
• Cardiac disease
• Connective tissue disorders
• Hypertension

Prenatal care and postpartum visits are seen at the
Methodist Dallas Golden Cross Academic Clinic

Perinatology

As Methodist Dallas Medical Center is a tertiary referral center with a level III neonatal intensive care unit, our residents care for women with a broad range of pregnancy complications. Residents learn how to manage these complications under the direct supervision of maternal-fetal medicine specialists. While on this service, residents gain experience in:

• Sonography
• Genetic counseling
• Prenatal testing
• High-risk pregnancy evaluation
• High-risk pregnancy follow-up
• Cerclage

Gynecology

Outpatient gynecology, including preventative care and health maintenance, is offered at the Golden Cross Academic Clinic. Inpatient care includes consultations from the emergency department or from other services in addition to surgeries on the residents' continuity patients and on private physicians' patients. Residents gain experience in such standard procedures as abdominal and vaginal hysterectomies as well as more complex surgeries, including:

• Operative laparoscopy
• Operative hysteroscopy
• Endometrial ablation/resection
• LAVH
• TLH
• LSH
• Robotic Assisted hysterectomy
• Urogynecologic procedures
• In-office hysteroscopic sterilization

Gynecologic Oncology

Residents participate extensively in both inpatient and outpatient management of oncology patients. They gain experience in:

• Evaluation of newly diagnosed patients
• Treatment planning
• Surgery
• Chemotherapy
• Radiation therapy
• Surveillance
• This training begins in the 2^nd year during a two-month rotation at a sponsoring institution. During this rotation, residents help care for women with gynecologic malignancies.
• While on GYN services during the 3^rd and 4^th year, residents work closely with gynecologic oncologists, caring for continuity patients and private patients with gynecologic malignancies.

Reproductive Endocrinology and Infertility

Over the course of their training, our residents spend two months on an REI rotation. Under the supervision of the reproductive endocrinologists, residents participate in all phases of evaluation and treatment of infertility and related reproductive endocrine disorders. They learn how to perform:

• Semen analysis
• Post-coital tests
• Vaginal ultrasound for monitoring of ovulation
• Semen preparation for intrauterine insemination

They are also exposed to such assisted reproductive techniques as:

• In-vitro fertilization
• Embryo transfer
• Intracytoplasmic sperm injection
• ZIFT
• GIFT

The surgical experience focuses on basic and advanced operative laparoscopy, in addition to microsurgical procedures and operative hysteroscopy.

Female Pelvic Medicine and Reconstructive Surgery

During the fourth year, residents complete a one-month rotation in a private urogynecology office, learning basic urogynecology procedures, along with patient pre- and post- operative management.

Primary Care

Recognizing that many women look to an OB/GYN for all medical care, our program offers a well-rounded curriculum of primary care. To further our residents learning of the many aspects of primary care medicine, Family Practice and Internal Medicine faculty participate in the core lecture series utilizing the CREOG Educational Objectives for Primary and Preventive Ambulatory Care. In addition, one month of the intern year is devoted to outpatient primary care. Residents interested in Family Planning are afforded an opportunity to rotate at Southwestern Women's Surgery Center.