Residency Training Program
The residency program in Obstetrics and Gynecology at the University of Texas Health Science Center at San Antonio consists of:
Four years of clinically oriented graduate medical education focused on reproductive health care and ambulatory primary health care for women, including health maintenance, disease prevention, diagnostic treatment, consultation and referral.
The four years of residency are structured as follows:
Year 1:
8 months Obstetrics/Gynecology
2 months Night Float
1 month Pathology/Breast Surgery
1 month Reproductive Endocrinology/Infertility & Genetics/Breast Surgery
Year 2:
8 months Obstetrics/Gynecology
2 months Night Float
1 month Geriatrics
1 month Selective or GYN
Year 3:
10 months Obstetrics/Gynecology
2 months Night Float
Year 4:
8 months Obstetrics/Gynecology
2 months Night Float
2 months Reproductive Endocrinology/Infertility & Genetics
*Elective
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.
The first year consists of ten months of Obstetrics and Gynecology and two months of “off-service” rotations. The Pathology/Breast Surgery rotation and Reproductive Endocrinology-Infertility/Genetics rotation includes experience in abdominal and vaginal sonography, laparoscopy, genetics, and reproductive endocrinology/infertility. During both rotations, the resident also rotates to General Surgery’s breast clinic and breast surgery twice a week. 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 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. First year residents will have two months of Obstetrics and Gynecology Night Float rotation at University Hospital.
The second year consists of ten months of Obstetrics and Gynecology, and two months of Geriatrics. The requirement for Geriatrics experience is provided in a rotation with the Department of Family and Community Medicine. The rest of the Primary Care requirements is fulfilled within the Department of Obstetrics and Gynecology, under the supervision of qualified physicians. During the second year, residents will also have two months of Obstetrics and Gynecology Night Float at University Hospital.
The third year consists of twelve months of Obstetrics and Gynecology. Third year residents have two months of gynecologic rotation at Metropolitan Methodist Hospital (under the supervision of a Clinical Professor) where they perform gynecologic surgery under the supervision of practicing gynecologists who are members of our teaching service. Third year residents have two months of Obstetrics and Gynecology Night Float rotation at University Hospital. The other rotations are divided between Obstetrics and Gynecology.
The fourth year 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 supervision of our full-time Endocrine-Infertility faculty. The Genetics part exposes residents to prenatal diagnosis, clinical and laboratory cytogenetics, and molecular genetics. Senior residents have two months of Obstetrics and Gynecology Night Float rotation at University Hospital. The remaining rotations are divided between Obstetrics and Gynecology.