Obstetrics & Gynecology – Kaiser East Bay (Oakland)
Curriculum
Our residency program provides a comprehensive teaching program with ample research opportunities. All sub-specialties are actively involved in teaching as are our specialists in Laparoscopy and Family Planning. The major subspecialty clinics include Maternal-Fetal Medicine, Reproductive Endocrinology, Gynecologic Oncology, and Urogynecology. The High Risk Obstetrical Clinic is staffed by two board certified perinatologists. Reproductive Endocrinology and Infertility are taught by fellowship trained specialists in these fields. The Gynecologic Oncology division consists of two board certified oncologists. The Urogynecology division will be headed by a fellowship-trained Urogynecologist starting in August 2008. Other areas of interest are taught through teaching clinics which include colposcopy, ultrasound, hysteroscopic tubal ligation, endometrial ablation, and first and second trimester abortions.
There are daily multidisciplinary rounds lead by the perinatologist on the obstetrical service. Noon conferences occur on most days of the week and include: Grand Rounds, M&M, Pre-Operative Conference, Gynecologic Ultrasound, Perinatal Ultrasound, Pathology Conference, Journal Club and multidisciplinary Grand Rounds. Wednesday afternoons are bedside rounds with the Chief of the Department and Thursday morning there is an hour of case-based learning in gynecology. In addition there is protected teaching time every week on Monday afternoons.
Residents are required to conduct a research project and present their findings at Grand Rounds at the end of the third year. At the end of the fourth year, residents present their project at the Kaiser OB/GYN Bay Area Residents Research Symposium.
Evaluations
The residents are evaluated by each other, the nurses and the faculty in an ongoing process. Surgical evaluations and didactic evaluations are also collected frequently. A summative evaluation is then given to the resident in person by the program director every six months. The residents anonymously evaluate the program every six months and in an open forum every three months so that the academic program can be improved.
Organized Teaching Activities
| Name of Activity | Frequency |
|---|---|
| OB M&M Grand Rounds | Monthly |
| GYN M&M Conference | Monthly |
| Perinatal Ultrasound | Bimonthly |
| Pathology Conference | Bimonthly |
| Pre-Op Conference | Biweekly |
| GYN Ultrasound Conference | Monthly |
| Perinatology-Pediatric Conference | Bimonthly |
| Journal Club | Monthly |
| Hospital Grand Rounds | Monthly |
| OB/GYN Resident Lecture Series | Weekly |
| Case-Based Learning in GYN | Weekly |
| Multidisciplinary Rounds on Obstetrical Service with Perinatologist | Daily |
| Bedside Rounding with Chief of the Department | Weekly |
| GYN Surgery Simulation Training | 3 full days |
| Mock Oral Exam | Every 6 months |
| Critical Events Training | Every 3 months |
| Obstetrical Emergency Training | Every 6 months |
The OB/GYN Residency Program at Kaiser Permanente East Bay (Oakland), provides a structured educational experience designed to prepare the graduating resident equally well for the independent general practice of obstetrics and gynecology or for further subspecialty training, as well as to serve as consultants to non-obstetrician-gynecologist health care providers. The overall educational objectives of the program broadly fall under the following core competencies set forth by the Accreditation Council for Graduate Medical Education (ACGME) as below.
A. Patient Care: The graduating resident will have demonstrated the cognitive, technical and surgical skills needed to function independently as a primary physician for women and as a specialist in the medical, surgical and behavioral management of obstetrical and gynecologic conditions. These skills include the ability to perform a complete and accurate medical history and physical exam, to use appropriate laboratory and imaging data to arrive at an informed diagnosis, to make evidence-based treatment decisions, and to implement effective patient management plans.
B. Medical Knowledge:At the end of training, residents will have mastered the cognitive skills needed to pass the written exam of the American Board of Obstetrics and Gynecology (ABOG). The graduating resident will have demonstrated a sound understanding of the basic science, biomedical, and clinical background of gynecologic and reproductive medicine as well as the ability to apply this knowledge, using critical and analytic thinking, to the clinical care of patients.
C. Interpersonal and Communication Skills: The graduating resident will have consistently demonstrated effective information exchange with patients and the ability to communicate with them and their families in a manner that is appropriate to their age, education, culture, and socioeconomic background. Clear verbal and written communication with other health care professionals, the ability to serve them as a consultant and the capacity to work as a member of a professional team are essential skills that our residents will master.
D. Professionalism: A commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse population will be the hallmark of our graduating residents. The resident will demonstrate accountability to patients, society and the profession through uncompromised honesty, habits of punctuality, and a work ethic characterized by a high level of efficiency and initiative.
E. Practice-Based Learning and Improvement: The graduating resident will be able to use scientific evidence and methods to investigate, evaluate, and improve their patient care practices. The ability to analyze personal practice, use information technology to gather and manage information, assimilate evidence from scientific studies related to their patients’ health, and then implement strategies to improve the quality of their patient care are essential skills and attitudes necessary for life-long learning that residents will acquire.
F. Systems-Based Practice: The graduating resident will have demonstrated an understanding of the responsibility of the physician to the individual patient, the practice, and the overall health care system, as well as the ability to effectively call on system resources to provide care that is of optimal value.