Obstetrics & Gynecology at San Francisco
Obstetrics & Gynecology - Educational Goals
The
OB-GYN Residency Program at Kaiser Permanente, San Francisco, 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).
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.
Obstetrics & Gynecology - Curriculum
Grand Rounds
Our program provides an active academic teaching curriculum. Staff and residents meet for Grand Rounds every Tuesday morning at 8 a.m. These meetings include:
- A perinatal teaching conference
- A monthly review of gynecologic morbidity/mortality
- A monthly review of obstetrical morbidity/mortality
- Conferences conducted by visiting professors
Didactic
Resident Teaching
Tuesday mornings are also devoted to didactic resident teaching
from 9:30am to 11:30am. During this time, extra staff physicians are
assigned hospital duty, allowing the residents to be available for
their educational sessions conducted by our REI, MFM, Gyn Oncology
specialists, as well as local and invited faculty with specific expertise.
Our Perinatologists make daily rounds with the residents on the Obstetrics
Service, and staff physicians conduct rounds three times a week with
the residents on the Gynecology Service. Other monthly educational
meetings include a multidisciplinary prenatal diagnostic conference,
journal club, and noon conferences on REI topics presented by a Reproductive
Endocrinologist.
Teaching Clinics
Residents participate in the following specialty teaching clinics:
- Continuity Clinic
- Dysplasia Clinic
- Endocrinology/Infertility Clinic
- Prenatal Diagnostic Clinic
- Urogynecology Clinic
- Family Planning Clinic
- High Risk OB Clinic
- Gyn Oncology Clinic
- Urgent Care Clinic
- Teen Clinic
- Chronic Pelvic Pain Clinic
- Vulvovaginal Disorder Clinic
- Breast Clinics
- Radiology Screening and Diagnostic Clinics
Research
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.
Organized Teaching Activities |
|||
| Name of Activity | Frequency | Name of Activity | Frequency |
|---|---|---|---|
| OB M&M Grand Rounds | Monthly | Gyn M&M Conference | Monthly |
| Peds - OB Grand Rounds | Bimonthly | OB/Gyn Pathology Grand Rounds | Bimonthly |
| Visiting Speaker | Monthly | Gyn Oncology Conference | Monthly |
| Perinatology Conference | Monthly | REI Conference | Monthly |
| OB/Gyn Journal Club | Monthly | OB/ Gyn Resident Path Conference | Monthly |
| Pre-op Conference | Weekly | OB/Gyn Resident Lecture Series | Weekly |
| General Gyn Didactics | Weekly | High-Risk OB Rounds | 5 days/week |
| Ambulatory & Gyn Teaching Rounds | 3 days/week | Prenatal Diagnostic Conference | Monthly |
| Regional Teleconference | Monthly | Tumor Board | Monthly |
| Hospital Rounds | Monthly | ||