Chair
Jack
Ludmir, MD
Program Director
Dominic Marchiano, MD
Residency Coordinator
Daniele Parker-Mangum, BA
 About the Program
The residency program offered by the Department of Obstetrics
and Gynecology is a four-year educational experience fully
accredited by the Council on Resident Education in Obstetrics
and Gynecology (CREOG). The program fulfills all requirements
established by the National Residency Review Committee (RRC).
Residents receive in depth clinical and didactic training
in all aspects of women's health care - obstetrics, gynecology,
family planning, primary care, gynecologic oncology, reproductive
endocrinology, maternal-fetal medicine, human genetics, and
urogynecology.
Jack Ludmir, MD is the Chairman of the Department of Ob/Gyn
at Pennsylvania Hospital, as well as the Vice-Chairman of the
Department of Ob/Gyn at the Hospital of the University
of Pennsylvania. As part of the University of Pennsylvania
Health System, Pennsylvania Hospital is a major teaching site
for the Penn medical students who rotate here for both their
core Ob/Gyn rotation and subspecialty electives.
The obstetrics and gynecology residency program matches six
four-year, PGY-1 residents. The program totals 24 residents
in full capacity (six PGY-2, six PGY-3 and six PGY-4).
Educational Philosophy
The primary goal of obstetrics
and gynecology education at Pennsylvania Hospital is to create
practitioners who are capable
of caring for all of a woman's health care needs across
the lifespan. We emphasize teamwork and collegiality among
the residents and with the faculty and nurses. Residents are
involved in the management of all patients. Didactic and technical
education is provided by generalists as well as subspecialists.
Left to Right: Dr. Mara Evidente, PGY 3; Dr.
Jamila Perritt, PGY 4
Experience
Pennsylvania Hospital is well known for providing excellent
care to women of all ages. Over 5000 babies are born at the
hospital annually. The residents are involved in the management
and delivery of all patients in the unit. One fifth of
these patients receive their care in the resident run
clinic. In July 2008 a laborist model for coverage on
labor and delivery was instituted. The gynecology services
perform over 2300 procedures annually, and residents scrub
on all cases. There are about 15,000 outpatient visits per
year in the resident run outpatient clinic.
Program Schedule
All residents rotate on a monthly schedule. Resident duty
hours are in compliance with ACGME work hour restrictions.
Each resident's hours are tracked using monthly surveys.
PGY1
In making the transition from medical school to
residency, interns are given increasing levels of responsibility
and independence.
Off-service rotations are completed during this year to provide
a strong foundation of knowledge and skill.
Intern Class 2008 with Dr. Stephanie Ewing
While on service,
PGY1's will manage postpartum and postoperative patients
as well as begin to learn obstetric triage and intrapartum
management. Intern surgical experience includes cesarean sections
and minor gynecologic cases, including LEEP, hysteroscopy,
and tubal ligations. Interns are first call for ER consults.
Rotations:
PGY 2
During the second year, residents are challenged
with managing all intrapartum patients in our busy Labor and
Delivery Unit
and with participating in major abdominal surgeries both on
general gynecology and gynecologic oncology. On the gynecology
service, second year residents manage patients with suspected
ectopic pregnancies and molar pregnancies. They also begin
preoperative planning by evaluating, scheduling, and performing
family planning surgeries.
Rotations:
PGY 3
Many residents at “Pennsy” consider third year
to be the best year. They are exposed to ob/gyn subspecialties
and participate in more advanced gynecologic surgeries, including
laparoscopic and vaginal cases. During the obstetric rotation,
PGY3's run the triage unit by evaluating complicated
patients and by assisting junior residents and nurse practitioners
in caring for other patients.
Dr. Misa Belazi (right) on her elective in
Tripoli, Libya
During the second half of this year, residents have a one-month,
call-free elective. The specific nature of this rotation is
left up to the resident based on interests and career plans.
In the past, residents have chosen to practice ob/gyn abroad
(Ireland, Peru, Belize, Kenya, Vietnam), to do research, to
spend more time on subspecialties (urogynecology, MFM), or
to observe unique technologic advances in our field (fetal
surgery).
Rotations:
PGY 4
The fourth year challenges the resident
with independent decision-making and patient management. Under
the supervision of faculty, PGY4's
manage all patients on inpatient services as well as outlining
care plans and triaging labs and studies for clinic patients.
These residents are encouraged to set up their own surgeries
from the clinic.
Call Responsibilities
Much of the on-call system has been replaced by a night float
structure. Sunday through Thursday nights are covered by night
float residents from each year (4 total residents). Friday
nights, Saturdays, and Sunday daytime are covered by on-call
residents. Typically weekends are divided Friday/Sunday and
Saturday.
Rounds and Conferences
Educational meetings occur each morning. Before conference,
residents are expected to round on their service. Conferences
are given by faculty and senior residents and cover the breadth
of obstetric and gynecologic topics. Labor and Delivery board
sign-out occurs each morning after conference and is often
attended by faculty who lead discussions about management and
other pertinent issues.
Journal Club (January 2008)
Additional scheduled conferences include the following:
Clinic Schedule
Women and Children's Health Services (WCHS) is a resident-managed
outpatient care facility located on the hospital campus. It
is one of the largest clinics serving low-income women in Philadelphia.
Residents work with nurses, medical assistants, social services,
and a nurse practitioner as they manage patients in their own
continuity clinic and in subspecialty clinics. Attending faculty
cover all sessions.
| |
AM |
PM |
| Monday: |
Continuity
|
Continuity
Pre-operative
|
| Tuesday: |
High-Risk Ob
|
Continuity
Family Planning
|
| Wednesday: |
Continuity
|
Continuity
Colposcopy
|
| Thursday: |
Continuity
|
Continuity
|
| Friday: |
Continuity
|
Intern
|
Evaluations
The Department of Obstetrics and Gynecology is committed to
a fine tradition of excellence in residency training. To achieve
and maintain this level of excellence, residents are evaluated
by faculty, nurses, and patients on a semi-annual basis. These
written confidential evaluations are reviewed with each resident
individually by the program director and are kept in the resident's
files to be used to assess progress. Residents proceed through
the program at their own pace, accepting new levels of responsibility
as deemed appropriate. All ACGME core competencies are assessed
in a systematic manner. Furthermore, to assess residents' technical
skills, they are asked to be credentialled by faculty in certain
key procedures. Residents are expected to keep accurate patient
case data lists using the ACGME case log system. In order to
continually improve the program and educational experience,
residents are asked to evaluate faculty and the program annually.
Graduate Follow-up
In the last five years, 100% of graduating residents have
passed the written board examination. Graduates go on to private
practice (70%), fellowship in all subspecialties (20%), and
academic practice (10%).
Eligibility
Individuals who have successfully completed medical school
and/or following one or more years spent in clinical internship
or residency programs are eligible to apply.
How to Apply
The obstetrics and gynecology program participates in the
ERAS system. If you have difficulty electronically sending
your ERAS application, print out the ERAS material in your
dean's office and have them forward it to us. This must
include:
Graduates from foreign medical schools must provide photocopies
of ECFMG and FLEX/USMLE scores.
Dominic Marchiano, MD
Residency Program Director
Pennsylvania Hospital
800 Spruce Street, 2 Pine East
Philadelphia, PA 19107
|
|
