Westchester Medical Center and Metropolitan Hospital Center Residency Program

The residency training program includes a total of 17 residents in a four year program. There are four residents per year with increasing responsibility in each successive year with one preliminary resident in the PG-1 year. Within years one through three, each resident rotates 6 months at Westchester Medical Center and 6 months at Metropolitan Hospital Center. In the PGY 4 year, there is an emphasis on gynecologic surgery, with each chief resident assigned to 9 months of gynecology which includes oncology and urogynecology and 3 months of obstetrics.

The department endorses the educational objectives as outlined by the Council on Resident Education in Obstetrics and Gynecology. The six ACGME core competencies of patient care, medical knowledge, interpersonal and communication skills, professionalism, practice-based learning, and systemsbased practice provide the essential framework for the department’s educational mission.

Resident Evaluation is structured around the core competencies. Global evaluations, 360-degree evaluation, CREOG in-service examination, pursuit and execution of scholarly activities are examples that are used to measure resident achievement of the competencies. The program is evaluated regularly in order to maintain and improve resident education. Each resident is evaluated quarterly in order to provide frequent feedback to enhance each individual’s growth and develop.

The department is committed to primary care in women’s health. Each resident is assigned to a continuity team consisting of one resident at each level and an attending. Specific patients and clinic sessions are assigned to each resident individually as part of a team and continuity over the four years of the program in order to provide patients with continuity of care and foster development of physician-patient communication skills.

Compliance with ACGME requirements for supervision and duty hours is accomplished by direct attending supervision of residents in Labor and Delivery, operating room, clinics, and by utilization of a night float system.

Resident rotations are noted below for each year. Each resident has four weeks’ vacation per year, which are spread out and taken throughout the year.

In addition to the clinical experience, the department provides an extensive formal didactic program at both clinical sites. Each week the residents and attendings from both hospitals jointly dedicate a half-day to teaching at WMC including Grand Rounds, Resident Report and Resident Lecture Series. The Resident Lecture Series is a two-year repeating core curriculum for the program. There are additional conferences during subspecialty rotations and a second half-day for education at MHC.

A completed research project is required for graduation. Research projects begin in the second year of residency when each resident is required to select a faculty mentor and define the research project. During the fourth year, each chief resident must complete the research project and present a formal paper at the Annual Resident’s Project Day.

Resident involvement in scholarly activity extends beyond this research project to include a yearly Grand Rounds presentations as well as Journal Club throughout the year. Senior residents present evidence-based literature in the Weekly Resident Report of patients.

FORMAL DIDACTICS

WESTCHESTER MEDICAL CENTER

Thursday Morning: All residents and faculty

 7:00   Tumor Board
 8:00    Grand Rounds
 9:30    Resident Report
10:30    Resident Core Lecture Series

Monthly CREOG Preparation
Daily morning report with the Chairman
Daily MFM rounds for the OB team
Weekly Perinatal-Neonatal Conference
Pre-op Conference
Biweekly Perinatal Conference

METROPOLITAN HOSPITAL CENTER

Monday Morning: MHC faculty and residents

8:00   Resident Report
9:00   Grand Rounds
10:30 Resident Conference/Chapter reviews

Tuesday: 8:00 am Director’s Rounds in OB
Wednesday: 8:00 am GYN Conference
Monthly: Perinatal-Neonatal Conference
Quarterly: Regional Perinatal Center meeting

BOARD PREP Weekly meeting with PG-4 residents from March through June.

In addition, there are daily attending rounds on the OB and GYN services with their respective attending.

RESIDENT ROTATION