department of Obstetrics and Gynecology

Residency Training Program

The residency program in Obstetrics and Gynecology at the University of Texas Health Science Center at San Antonio consists of:

 

Year 1:
8 months Obstetrics/Gynecology
2 months Night Float
2 months Reproductive Endocrinology/Infertility & Genetics/Non-Surgical Management of Breast Disease

 

Year 2:
8 months Obstetrics/Gynecology
2 months Night Float
1 month Primary and Preventive Ambulatory Care
1 month Selective* or Gyn

 

Year 3:
9 months Obstetrics/Gynecology
2 months Night Float
2 month Selective* or Gyn

 

Year 4:
8 months Obstetrics/Gynecology
2 months Night Float
2 months Reproductive Endocrinology/Infertility & Genetics

 

*Selective:   Residents have the option to spend one month at our Regional Academic Health Center (RAHC) for Gyn surgical experience as a PGY-2 and two months as a PGY-3. Residents who prefer not to avail themselves of this opportunity will be assigned to a Gyn rotation at University Hospital in San Antonio. Under certain circumstances - e.g., residents who are contemplating a subspecialty fellowship that requires one month of externship at a different institution - prior approval for a selective rotation at another institution must be obtained from the Program Director and Chairman.

 

The program is accredited and approved by the Residency Review Committee for 24 house officers in Obstetrics and Gynecology - six at each training level. Our educational objectives are clearly outlined in our House Officers Manual, and are evaluated annually by a departmental committee with the goal of constantly improving the residency training program.

 
PGY-1

The first year consists of ten months of Obstetrics and Gynecology and two months of "off-service" rotations. The Non-Surgical Management of Breast Disease rotation and Reproductive Endocrinology/Infertility & Genetics rotation includes experience in abdominal and vaginal sonography, laparoscopy, genetics, reproductive endocrinology/infertility. The obstetrics rotations provide experience in intrapartum and postpartum management of obstetrical patients, including episiotomy repair, forceps delivery, vacuum extraction, primary cesarean section, infant resuscitation, and tubal ligation. During the gynecology rotations, residents learn to identify and treat gynecologic disease, and perform minor and uncomplicated major surgery such as D&C, laparoscopy, ovarian cystectomy, salpingectomy, and abdominal hysterectomy. In addition, residents provide pre- and post-operative care and become competent in family planning techniques. Residents also rotate through the General Surgery breast disease clinic twice a week during two months of their gynecology rotation. First year residents will have two months of Obstetrics and Gynecology Night Float rotation at University Hospital.

 
PGY-2

The second year consists of eleven months of Obstetrics and Gynecology, and one month of Primary and Preventive Ambulatory Care. Primary care requirements are fulfilled within the Department of Obstetrics and Gynecology, under the supervision of qualified physicians. Second year residents will have two months of Obstetrics and Gynecology Night Float rotation at University Hospital. Residents have the option to spend one month at the Regional Academic Health Center (RAHC) in Harlingen, Texas for Gyn surgical experience. Residents not availing themselves of this opportunity will be assigned to a Gyn rotation at University Hospital in San Antonio. Under certain circumstances, for example residents intending to apply for a subspecialty fellowship that requires an externship at another institution, a one month selective at a different institution may be approved by the Program Director and Chairman.

 
PGY-3

The third year consists of twelve months of Obstetrics and Gynecology. Third year residents will have two months of Obstetrics and Gynecology Night Float rotation at University Hospital. Third year residents have the option to spend two months at the Regional Academic Health Center (RAHC) in Harlingen, Texas for Gyn surgical experience or may participate in a rotation at Christus Santa Rosa Westover Hills in San Antonio (under the supervision of a Clinical Professor) where they perform gynecologic surgery. Under certain circumstances, for example residents intending to apply for a subspecialty fellowship that requires an externship at another institution, a one month selective at a different institution may be approved by the Program Director and Chairman.

 
PGY-4

The fourth year consists of two months of Reproductive Endocrinology/Infertility & Genetics and ten months of Obstetrics and Gynecology. Senior residents rotate through Reproductive Endocrinology/Infertility & Genetics under the supervision of full-time faculty of the University of Texas Health Science Center at San Antonio. The Endocrine-Infertility segment consists largely of exposure to our faculty private practice setting under the supervision of our full-time Endocrine-Infertility faculty. The Genetics part exposes residents to prenatal diagnosis. Senior residents have two months of Obstetrics and Gynecology Night Float rotation at University Hospital. The remaining rotations are divided between Obstetrics and Gynecology.