The curriculum is designed to help our residents progress successfully through the milestones of each core competency of residency training:
- Patient Care
- Medical Knowledge
- Practice-based Learning and Improvement
- Interpersonal and Communication Skills
- Systems-based Practice
While you are in residency training, everything you see, hear, and feel (and sometimes smell and taste!) is part of your education. In order to maximize your learning we try to stimulate all the senses by incorporating a variety of teaching modalities including lectures, group activities, clinical and sign-out rounds, problem-based learning, peer-to-peer teaching, simulation, multi- specialty conferences, tissue labs, and skills training.
Protected Didactic Time
Every Thursday morning is dedicated protected time for educational activities. Clinical work during this time is covered by attendings, midwives, nurse practitioners and family medicine. The core curriculum of basic topics is derived from CREOG learning objectives with additional sessions based on identified needs from faculty and resident reports and group performance on the annual CREOG exams. An example of additional topics for the current year is our Health Equality Series. We encourage our faculty to be creative in their lecture styles and straightforward traditional lectures are no longer the norm. R3 Education Chiefs play an integral role in the yearly curriculum planning.
Weekly departmental grand rounds are held throughout the fall, winter, and spring. A variety of educational, research, and quality assessment topics are presented by guest speakers and university faculty. Many of our grand rounds presentations are routed live to Highland Hospital and other affiliated institutions and recorded for viewing on the URMC website. Once per month, Morbidity & Mortality Conference is presented by the residents with PGY-4s presenting and discussing interesting or complicated cases from the OB, GYN, and Ambulatory services. Quarterly, city-wide or special grand rounds are held at which a special guest lecturer speaks to a gathering of OB/GYNs from the Rochester area.
In the summer months, residents are invited to give departmental grand rounds on a topic of their choice with the mentorship of a faculty member. Topics have included Pregnancy, Drug Use, Testing and Reporting, Elective Fertility Preservation, Contraception and Coercion in Nazi Germany and the US, Contributions of Structural Racism to Disparities in Health, Affordable care Act – Promises, Reality and the Future, Health Literacy, Disparities in Outcomes in Gyn Oncology and lots more!
Quality Improvement & Patient Safety
All physicians share responsibility for promoting patient safety and enhancing quality of patient care. We have created a curriculum that provides not only education in quality improvement and patient safety, but also allows residents to engage in quality improvement activities. These activities include our newly revamped Morbidity and Mortality Conference, Ob and Gyn QA meetings, OB/GYN Clinical Counsel, Root Cause Analysis (RCA) events and Unit Based Performance Programs (UPP).
Residents participate in a variety of simulation activities over the course of their residency. These include intern boot camp, didactic simulation sessions, a yearly OB/GYN ultrasound day, and interdisciplinary simulation sessions like shoulder dystocia, postpartum hemorrhage and maternal codes. Dedicated time is built into the resident schedule for Fundamentals of Laparoscopic Surgery and our Robotic Simulation curriculum. The goal of these programs is to have every resident successfully pass their FLS training early in their R3 year and to have residents be able to sit at the Robotic console and perform a complete hysterectomy on day one of their R3 oncology rotation.
We encourage and require resident participation in the development and growth of our educational program. This provides an open forum to discuss what is working well and what isn’t and to brainstorm solutions together - both from program leadership and from the "troops on the ground". At quarterly Resident Assembly, all resident meet during Thursday morning lecture time to discuss these issues as a large group and to let their representatives and program directors know of any ongoing issues. The 2 administrative chief residents are elected by their resident peers and their responsibilities include representing the residents at departmental and university meetings, making and monitoring the schedule, solving resident conflicts, and assisting the program directors with the running of the program. The input and participation of our residents is key to the maintenance of an outstanding program.
Communication skills are fundamental to our medical skills and something that we work on over the course of our careers. Our department has a dedicated Communication Coach who all residents spend time with during their residency. The coaching includes observation of patient encounters, team rounding and then one on one feedback.
Resident Support Committee
Residency is a new and hard time in your life. Our goal is to provide support to ensure you graduate well trained and healthy. We created a resident support committee (RSC) with the mission of employing a team-based strategy to provide residents with resources to achieve success as physicians and professionals. Taking a strengths-based, non-judgmental, and holistic approach to remediation, the RSC works to develop tailored plans in partnership with residents to foster accountability, personal growth, and professional success. Our vision is to create a learning environment in which all residents see a pathway to success, their role in that success, and their faculty's investment in and celebration of their success.
Graduating healthy and balanced residents who are ready to take on the next step in their careers is a key feature of our program. We support our residents through a variety of activities and available resources that include GME efforts like expanded cafeteria hours, discounted gym membership and social events, but also departmental driven such as our resident retreats, faculty mentor program, communication coaching and mindfulness activities. All residents have access to our Employee Assistance Program and all residents and their families have access to our Behavioral Health Practice for any needed support during the intense time of residency training. We take resident feedback and suggestions for improvement seriously and include resident input on most major program changes.
Now I value my health and my overall wellbeing in addition to being a good resident. I think that's made me a happier person overall. I honestly would not have come to this conclusion if I didn't have faculty members and upper level residents who encouraged me to really take care of myself and sometimes put myself first. It makes a huge difference when you have a community of people who are invested in your health and happiness.