Obstetrics & Gynecology Residency

PGY-2: Developing Clinical Independence and Procedural Proficiency GOALS:  Manage routine OB/GYN patients with increasing autonomy.  Refine technical skills in labor and delivery and gynecologic procedures.  Expand clinical reasoning and participate in patient safety initiatives.  Expanded decision-making, procedural independence under supervision.  Build on foundational knowledge and skills, taking on more responsibility and managing increasingly complex cases. OBJECTIVES: 1. Patient Care & Medical Knowledge o Independently manage routine labor and uncomplicated vaginal deliveries. o Perform common office and inpatient procedures (e.g., IUD insertion, endometrial biopsy, D&C). o Assist in major gynecologic surgeries. o Manage antepartum and postpartum complications with supervision. o Provide antepartum care for women with uncomplicated pregnancies; recognize and manage common intrapartum complications. o Identify and manage pre-term labor, preeclampsia, and gestational diabetes. 2. Professionalism & Communication o Respond promptly to pages and clinical responsibilities. o Deliver difficult news with compassion and professionalism. o Supervise and teach junior residents and medical students. 3. Systems-Based Practice & Practice-Based Learning o Integrate evidence-based medicine into clinical decision-making. o Participate in morbidity and mortality conferences, analyzing patient care and applying evidence and quality reviews. o Participate in discussions identifying system-based issues.

PGY-3: Clinical Leadership and Advanced Procedural Competence GOALS:  Demonstrate competency in managing complex OB/GYN cases.  Operative leadership, complex case management, lead clinical teams and junior trainees.  Serve as a patient advocate and system improver.  Achieve a higher level of competence in managing complex obstetrical and gynecological conditions and participate in surgical procedures with greater independence. OBJECTIVES: 1. Patient Care & Medical Knowledge o Perform operative vaginal deliveries and primary cesarean sections. o Manage high-risk obstetric and gynecologic conditions. o Perform laparoscopic and hysteroscopic procedures under supervision. o Consult on inpatients and emergency gynecologic conditions. o Provide antepartum care for women with uncomplicated pregnancies; recognize and manage common intrapartum complications. o Identify and manage pre-term labor, preeclampsia, and gestational diabetes. 2. Professionalism & Communication o Lead handoffs, rounds, and interdisciplinary care discussions. o Demonstrate insight into personal limitations and seek guidance appropriately. 3. Systems-Based Practice & Practice-Based Learning o Lead departmental QI initiatives. o Complete a scholarly activity proposal or mid-project presentation. o Participate in morbidity and mortality conferences, analyzing patient care and applying evidence. o Participate in discussions identifying system-based issues.

PGY-4: Readiness for Independent Practice and Leadership GOALS:  Mastery of residency-level competencies; leadership, autonomy, and preparation for independent practice  Demonstrate readiness for unsupervised practice.  Lead care teams, teaching, and QI efforts.  Finalize career planning and board readiness.  Achieve proficiency in all aspects of obstetrics and gynecology, demonstrating leadership and mentorship abilities. OBJECTIVES: 1. Patient Care & Medical Knowledge o Provide care for women with complex intrapartum complications; identify indications for referral or transfer. o Serve as primary surgeon for complex cases with faculty oversight. o Independently manage obstetric emergencies (e.g., shoulder dystocia, PPH). o Lead interdisciplinary rounds and respond to OB/GYN emergencies. o Demonstrate a complete understanding of basic science and clinical management. o Consolidate deeper knowledge; contribute to scholarly work, presentations, or case reports. 2. Professionalism & Communication o Resolve conflicts, manage team dynamics, and provide effective feedback. o Serve as a role model in professionalism, integrity, equity and educator for junior residents and other learners. o Model ethical, responsible behavior; promote wellness culture among peers. 3. Systems-Based Practice & Practice-Based Learning o Complete and present a scholarly project. o Mentor junior residents and contribute to curriculum development. o Engage in patient safety, hospital committee work, and peer-review processes. o Demonstrate knowledge of institutional systems, medical error reporting, and patient safety standards. o Lead platform for department-level improvements or protocol development.