RESIDENCY PROGRAM GOALS
Of Obstetrics, Gynecology and Women’s Health
The goals for residents in the four-year training program in Obstetrics, Gynecology and Women’s Health are as follows:
• Acquiring the knowledge and skills to provide health maintenance and disease prevention for women.
• Developing the necessary cognitive and technical skills in the outpatient, emergency room, inpatient unit operating rooms and delivery room for the management of obstetric problems and gynecologic diseases.
• Gaining an understanding of the basic science foundations of clinical obstetrics and gynecology which will form the basis of an evidence-based clinical practice and for lifelong continuing medical education.
• Developing the interpersonal skills necessary to deal most effectively with patients, other health professionals, and colleagues, and to act not only as students but also as teachers.
• Gaining an understanding of healthcare systems and administration so as to advocate for and deliver high quality patient care.
RESIDENCY PROGRAM CURRICULUM
The Residency program curriculum in Obstetrics, Gynecology and Women’s Health consists of didactics and clinical rotations in Primary Care, Obstetrics, General Gynecology, Gynecologic Oncology, Reproductive Endocrinology and Urogynecology. The sequence of rotations is based on the concept of residents earning progressive responsibility in clinics and in the operating room as their knowledge base and technical ability increases over the four years of residency training.
FACULTY ADVISORS
The following guidelines have been established to provide better continuity for assessing the status of a resident’s skills, knowledge, and progress through their residency.
1. The Residency Program Director assigns a faculty advisor to each incoming first-year resident with the intention that the resident will continue with that advisor for four years, in most cases.
2. Any advisor or resident may request a change of advisor/advisee at any given time. An advisor may need to assume other responsibilities which would not give the advisor enough time to spend with their advisee. The advisor may have a professional area of interest that is different from the resident’s area of interest. Either may find that there is not a good working relationship.
3. A resident may wish to have an advisor who is his/her research advisor, who is in his/her area of future specialty training, or may wish to have an advisor with whom they have developed a special working relationship.
4. Changes in advisor/advisee teams need to be approved by the Residency Program Director.
5. Advisors will not be assigned more than one resident from any resident year and no more than three residents at any time.
Advisors Job Description
To be an advisor to a resident is a privilege and a responsibility. An advisor serves as an advocate, mentor, resource person and liaison between resident and faculty. Specific expectations are:
1. Meet in person with resident prior to continuation meetings
2. Attend continuation meetings. If one is unavoidably out of town, it is expected the advisor will find another faculty to sit in for him.
3. Advisees will be limited to three per faculty to ensure adequate time for each resident.
RESIDENT CONTINUATION MEETING
The faculty meets twice a year to review residents’ progress. Advisors, faculty who teach residents clinical skills and the administrative chief residents attend the Resident Continuation Meeting.
POSSIBLE OUTCOMES OF THE RESIDENT CONTINUATION MEETING
After reviewing residents’ performance, the faculty may recommend that the resident continue in program, continue in program with promotion to next level of training, graduate from program, continue in program with remediation, continue in program with probation, dismissal from program..
SURGICAL COMPENTENCY
When a resident feels he/she is ready to be evaluated on a particular procedure, he/she will notify the attending physician prior to the case and then ask them to sign off on a Certification of Surgical Competence form at the completion of the case.
RESIDENT RESEARCH PROJECT GUIDELINES
All King Saud University-College of Medicine Obstetrics and Gynecology Residents are required to complete and present a research project.
Research Preceptor Role: The resident will identify a faculty preceptor in their first year that agrees to mentor the resident through the research process. This faculty preceptor, by agreeing to precept the resident, agrees to:
1. Meet with the resident regularly throughout the year to discuss and plan for progress on the research project. More meetings may be necessary, depending on the specific research project.
2. Act as a mentor to the resident, supplying information and expertise on how to formulate a research concept, perform a literature search, obtain approval, collect data, perform statistics (or direct resident where to obtain this help), write an abstract/manuscript and present the research to a forum of other medical professionals.
3. Attend bi-annual continuation meetings to report on the resident’s progress with the research project or give that information to the resident’s advisor to present at the continuation meeting.
Goals of the rotation:
1. Diagnose and provide treatment for maternal medical conditions that impact the management of pregnancy, delivery, and post partum care.
2. Diagnose and provide treatment for complications of pregnancy and severe complications impacting peripartum and postpartum care.
3. To improve performance surgical skills on complicated vaginal deliveries and deliveries and surgical procedures on the undelivered pregnant patient.
4. Gain expertise in providing care to complicated pregnant patients using a multidisciplinary
1. approach involving other specialists in medicine and the health care delivery system.
Objectives of the rotation:
It is to care for the patient with maternal medial and surgical disorders including but not limited to (1,2,3,6):
• Cardiovascular
• Gastrointestinal
• Collagen vascular and autoimmune
• Central nervous system
• Endocrine–including diabetes(gestational, IDDM, NIDDM), hyper- and hypothyroidism
• Formulate a plan for the management of blood group isoimmunization
• Pulmonary
• Renal
• Hematologic
• Genito-urinary tract
• Thromboembolic disease
2. Be prepared to care for the undelivered patient with pregnancy complications including
(1,2,3,6):
• Hypertensive disorders – gestational hypertension, preeclampsia, eclampsia
• Preterm ruptured fetal membranes
• Preterm labor
• Twin-to-twin transfusion syndrome
• Cervical incompetence
• Hyperemesis gravidarum
• Placental abruption and placenta previa
3. Be prepared to manage severe peripartum complications including (1,2,3,6):
• HELLP syndrome
• Severe preeclampsia and eclampsia
• Pulmonary edema
• Renal failure
• Diabetic ketoacidosis
• Acute fatty liver of pregnancy
4. Gain expertise in performing obstetrical procedures including (1,2):
• Cervical cerclage
• Classical cesarean section
• Cesarean hysterectomy
• Twin vaginal delivery including breech extraction
• Vaginal vacuum assisted delivery
• Cesarean delivery for multiple pregnancy
• Cesarean delivery for fetal malformations
• Second trimester induced and surgical abortion
• External cephalic version
• Understand the maneuvers used in a breech vaginal delivery
5. Define the role of invasive central cardio-pulmonary monitoring in the peripartum patient (1,2,3)
6. Develop an interdisciplinary approach to the management of complicated undelivered patients including involvement of other medical and surgical subspecialties, nursing, social services, clergy, and neonatology. (1,2,3,4,5,6)
7. Demonstrate both a leadership role and teaching role involving junior residents and medical students in the care of complicated pregnancies. (1,2,3,4,5)
8. Provide consultative services in conjunction with the MFM Attending to General Obstetricians in the care of their high risk patients. (1,2,3,4,5)