Residency Training Program
Department Chairman: Deborah L. Conway, M.D., Associate Professor and Interim Chair
Director of Residency Program: Elly M-J. Xenakis, M.D., Professor
Assistant Program Director: Sarah Page-Ramsey, M.D., Associate Professor
Program Coordinator: Jackie Barrera
The Department of Obstetrics and Gynecology at The University of Texas Health Science Center in San Antonio offers a fully accredited four-year training program in Obstetrics and Gynecology that fulfills the requirements of the American Board of Obstetrics and Gynecology for specialty certification. This program is conducted primarily at University Health System facilities-University Hospital and University Health Center Downtown/Robert B. Green Campus, with additional gynecology rotations at Christus Santa Rosa Westover Hills, and Harlingen Medical Center. Our faculty includes members certified in the subspecialties of Gynecologic Oncology, Maternal-Fetal Medicine, Clinical Genetics, Urogynecology, and Reproductive Endocrinology and Infertility.
The University of Texas Health Science Center at San Antonio is part of the University of Texas System, and offers more than 50 health-related degree specialties and several pre- and post-baccalaureate certificate programs. The interdisciplinary aspect of research and patient care is regarded as one of the University's greatest strengths.
The University Hospital System provides the primary teaching facilities. The University Hospital is a fully accredited, 498 bed hospital and it is one of the top 100 U.S. hospitals listed in U.S. News and World Report. The University Health Center-Downtown/Robert B. Green Campus, the outpatient clinic facility, is located eight miles from the hospital. Patients are cared for directly by residents under faculty supervision.
Metropolitan Methodist Hospital in San Antonio serves as the site for a PGY-3 Gynecology Rotation, where the residents participate in the management of private practice patients and perform gynecological surgery under the supervision of clinical faculty. These rotations emphasize gynecology, office based procedures and advanced laparoscopy.
The Training Program
The program is accredited and approved by the Residency Review Committee for 24 residents in Obstetrics and Gynecology - six at each training level. Our educational objectives are clearly outlined in our Residency Manual, and are evaluated annually with the goal of constantly improving the residency training program. Our residents have consistently been winners of the Gold Humanism Award.
The first year (PGY-1) consists of ten months of Obstetrics and Gynecology and two months of Reproductive Endocrinology-Infertility/Genetics rotation. These two months include experience in abdominal and vaginal ultrasound, laparascopy, genetics, and reproductive endocrinology/infertility. The obstetric 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 PGY-1 gynecology rotations, residents learn to identify and treat gynecologic disease, and perform minor and uncomplicated major surgery, such as D&C, laparoscopy, cystectomy, slapingectomy, and abdominal hysterectomy. In addition, our residents provide pre- and postoperative care and become competent in family planning techniques. Residents also rotate through General Surgery breast diseases clinic twice a week. First year residents have two months of Obstetricts and Gynecology Night float rotation at University Hospital.
The second year (PGY-2) consists of twelve months of Obstetrics and Gynecology. Residents participate in care of more advanced gynecological and obstetrical cases as well as two months of Gynecologic Oncology. During the second year, residents will have two months of Obstetrics and Gynecology Night Float at University Hospital. One month selective at Harlingen Medical Center provides high volume obstetrics and gynecology surgeries. The Primary Care requirements are fulfilled within the Department of Obstetrics and Gynecology, under the supervision of qualified physicians.
The third year (PGY-3) consists of twelve months of Obstetrics and Gynecology. Two months are dedicated to a Gynecology rotation within the Christus Santa Rosa Westover Hills in San Antonio under the supervision of clinical faculty. Third year residents have two months of Obstetrics and Gynecology night Float rotation at University Hospital, and the other rotations are divided between obstetrics and gynecology. The PGY-3 residents on obstetrics are primarily responsible for care of the high risk antepartum service. Third year residents may also choose to rotate for two months at Harlingen Medical Center where they perform mainly gynecologic surgeries under the supervision of clinical faculty.
The fourth year (PGY-4) consists of two months of Reproductive Endocrinology/Infertility and 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 of the rotation consists largely of exposure to our faculty practice setting under the superivision of our full-time Endocrine-Infertility faculty. The Genetics part exposes residents to prenanatal diagnosis, clinical and laboratory cytogenetics, and molecular genetics. Senior residents have two months of Obstetrics and Gynecology Night Float rotation at University Hospital. The balance of the senior rotations are spent directing the Obstetrical, Gynecology and Gynecologic Oncology services.
Fringe benefits provided by University Health System include: medical, hospital and dental insurance, life and disability insurance, parking, meal tickets for each night on-call, sick leave (10 days/year), and vacation leave (10 days/year for PGY-1; 15 days/year for PGY-2, -3 and -4).