Obstetrics (Maternity Care)
Residents at Highland Family Medicine receive comprehensive training at the Family Maternity Center at Highland Hospital, the busiest hospital maternity service in Rochester with over 3,500 deliveries per year. Besides the Family Medicine faculty, residents have the opportunity to work with community family doctors, midwives, lactation consultants, pediatric nurse practitioners, and community obstetricians. Basic ultrasound training is provided in the first block that the resident spends at the Family Maternity Center.
Highland Hospital has a Special Care Nursery that is staffed by pediatricians and pediatric nurse practitioners, all of whom are very willing to teach residents how to resuscitate and stabilize ill newborns as well as manage common newborn problems.
All residents spend two months at the Family Maternity Center and attend 40-50 deliveries. Residents who choose to follow the Maternity Care Track spend an additional three months working at the Family Maternity Center where they are part of a team made up of Family Medicine Maternal Child Health fellows, OB residents, and medical students.
Residents learn to truly become involved in the lives of their patients when they provide prenatal care, attend the deliveries and take care of the new babies for a minimum of ten patients. Interested residents are able to have additional continuity patients as well as participate in shared care with family medicine faculty. We are in the process of becoming a certified Centering Pregnancy site for group prenatal care. Residents have the opportunity to participate in the groups during their second year.
We have a committed group of ten family physicians on our faculty who provide maternity care in their own practices and serve as hospital attendings. Three family doctors in this group are fellowship trained and are currently doing C-sections. In addition, our faculty includes a long term OB/Gyn physician who has been very supportive of resident education.
Gynecology teaching is a major part of every resident’s office practice, with many opportunities to learn well woman care, provide contraception, treat STDs and manage common gynecologic problems. Procedural training includes IUD insertion, endometrial biopsies and cervical cryotherapy. One month in the second year is devoted to gynecological training that includes working with the OB/Gyn physician at Family Medicine and with community gynecologists learning about Gyn specialty areas including Urogynecology and Reproductive Genetics.
Weekly Colposcopy Clinic
During their GYN rotation, residents are scheduled to do colposcopies, IUD insertions, cervical cryotherapy and endometrial biopsies in the Colposcopy Clinic held one afternoon each week. The clinic is staffed by two family medicine faculty, both of whom have extensive experience in doing colposcopy. Given the large numbers of female patients in most primary care practices, family physicians that are able to do these procedures are in high demand and are able to offer a valuable service to their patients.
During the gynecology rotation in the 2nd year, residents spend one half day at Planned Parenthood to observe options counseling and pregnancy termination services. It is strictly observational experience and does not involve residents in directly providing medical or procedural pregnancy terminations. The intent is to give residents a more comprehensive understanding of the abortion procedure including medical eligibility, pre-procedure workup and exposure to abortion procedure. Residents who do feel that this shadowing experience is not congruent with their personal beliefs and views may opt out and are scheduled for office and teaching instead.
The residency also offers more robust abortion training to those residents strongly interested in gaining procedural competency. The purpose of this elective is to provide additional training in first trimester medical and surgical abortions, as well as first trimester ultrasound, to highly motivated residents. Participants use elective blocks to work with local and national Planned Parenthood affiliates; travel is required.