Obstetrics & Gynecology Residency
Cynthia Bastien Residency Program Manager
Total positions offered: 16
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The faculty and staff of the Department of Obstetrics and Gynecology at Mount Sinai Beth Israel welcomes your interest in our residency training program. The goal of our department is to train physicians who can function as both primary care physicians and general obstetricians-gynecologists for women. We have designed a residency program that we hope will maximize the potential of each resident and will prepare them for general practice or to enter subspecialty fellowship programs.
Beth Israel's residency program is flexible enough to meet the ever-changing nature of our specialty. As University Hospital and Manhattan Campus for the Albert Einstein College of Medicine for the 2013-2014 academic year, and for the Ican School of Medicine of the Mount Sinai Health systems for the 2014 academic year, we are able to combine the benefits of a major academic/research center with the intimacy of a community hospital. The program provides a strong base in general obstetrics and gynecology as well as significant experience in the subspecialty fields of gynecologic oncology, reproductive endocrinology, maternal-fetal medicine, urogynecology, pelvic surgery, and family planning. With no fellowships at our primary sites, our senior residents do not compete for primary surgeon experience on a wide breadth and depth of benign and gynecologic surgery. In addition, the senior resident functions as the high risk obstetrics and family planning specialist.
Obstetricians-gynecologists provide primary care for women of all ages, tending not only to problems of the reproductive tract, but also to general medical problems as well. The residency program at Mount Sinai Beth Israel enthusiastically embraces the concept of the obstetrician-gynecologist as a primary care physician and has an outstanding 4 year continuity ambulatory care experience as well as dedicated block rotations in the first and fourth year in primary and preventing care and managing an office.
The mission of the Department of Obstetrics and Gynecology is:
The Department of Obstetrics and Gynecology performs approximately 3,517 deliveries and 1,732 operative gynecologic procedures. There are approximately 37,391 private visits, with 30% performed in the entire department's continuity clinic. The Division of General Obstetrics and Gynecology is rapidly expanding and the department has active divisions in subspecialty areas. Residents are trained in all techniques currently in widespread use by generalists in the field. These include major laparoscopic and hysteroscopic surgery, obstetrical and gynecologic ultrasound, urogynecology and pelvic floor surgery and family planning.
The goal of the residency program is to train obstetrician-gynecologists who are capable of providing care to women of all ages and in all situations. Graduates will be experienced in managing a broad range of preventive health issues, including family planning, cancer screenings and geriatric care, as well as a diverse number of health concerns such as depression, HIV infection, and hypertension. At the same time, residents will obtain skills in the specialized problems of pregnancy and of reproductive medicine and surgery. Approximately 80 percent of our graduates have gone on to practice general obstetrics and gynecology, while the remainder have taken subspecialty fellowships or advanced degrees.
The obstetrics and gynecology residency training program offers a comprehensive curriculum, emphasizing outpatient and inpatient experience, formal teaching, research opportunities and self-learning activities
The key to the resident's outpatient experience is the continuity clinic, located in Beth Israel's Phillips Ambulatory Care Center (PACC). PACC houses a state-of-the-art ambulatory surgicenter as well as the majority of the Medical Center's outpatient offices. Each resident spends one half day per week in continuity clinics. Continuity of care is prioritized in the continuity sessions. Further, residents shadow attending physicians and senior residents for their first months in the ambulatory office, and then slowly build their own continuity practice. Residents see patients for both routine obstetrical care, general medical problems and gynecologic concerns, as well as ongoing preventative care. Subspecialty services are side by side to the resident continuity practices and the Ob-Gyn faculty practices. Residents on the specialty rotations will see patients form all referral bases with the specialty physicians in these services. The Ultrasound unit has an off-site in the ambulatory office to ensure easy access for patients and efficient care for providers. Residents see patients with infertility problems, complicated menopause, urogynecologic issues. Residents attend all of their continuity sessions except during the night rotations throughout the years.
The comprehensive Family Planning Center provides a model of specialty care focused on training and research for all aspects of contraception, miscarriage and abortion. After residents complete their two rotations on the family planning service, they have depth and breadth of experience found at few training programs in the country. This ambulatory surgery site also offers experience in office-based procedure such as diagnostic hysteroscopy and hysteroscopic sterilization procedures, as well as a full urodynamics experience.
In-patient Experience: OB
Patients from the continuity clinics provide a significant portion of the residentís inpatient experience in labor and delivery, enhancing continuity of care for the residents. In addition, there is a very busy midwifery faculty practice that practices alongside the resident practice, the faculty practice and the many private/voluntary physician groups. This extraordinary diversity in practice models and style of obstetric management is a unique aspect of the L&D training at Beth Israel. Furthermore, with the implementation of a laborist program for L&D, the residents have more uniform and evidence based and managerial role modeling while learning
Inpatient Experience: GYN
The gynecology service is busy every day, with robotic, laparoscopic and open surgery for benign and malignant conditions of women. A GYN Physician Assistant completes the 4 resident GYN team, in order to maximize all residents operating all day, while the GYN PA manages s the gyn in-patient service and emergency room consults. Without fellows competing to be primary surgeon on the complex surgical cases, the senior residents become excellent competent and confident surgeons.
Each year of residency is divided monthly rotations. Residents rotate through various services as follows:
First-year residents spend five months on obstetrics (three day blocks and two night blocks). Three months are devoted to gynecology. One block is spent training in ultrasound in the antepartum testing unit with afternoons in the neonatal intensive care unit. One block each in Family Planning, Urogynecology and Office Practice. During the rotations in obstetrics and gynecology, emphasis is placed on the fundamentals of diagnosis and management.
Introduction to operative obstetrics is under the guidance of the attending staff. All house officers participate in surgery, inpatient care and outpatient management and receive instruction in endocrinology, genetics, infertility, family
Residents spend three months on gynecologic oncology. Six blocks are spent in obstetrics (days) three each on days and nights. Residents are assigned for one month to reproductive endocrinology and infertility and one-two months to family planning.
The second-year resident becomes adept at management of common obstetric problems and preoperative care and also learns basic operative skills. Thus, the second-year resident develops the conceptual and technical skills necessary to manage inpatient pulmonary, cardiac and gastrointestinal illness. The second-year resident chooses a research project which is completed during the fourth year.
The third-year resident spends four months in gynecology. One month includes a major experience in urogynecology. There is one month on obstetrics (days) and three months on the night team, during which the resident has primary responsibility for gynecology but also participates in obstetric management. They spend three months in maternal fetal medicine. During the maternal-fetal medicine rotation, residents achieve the knowledge base and ultrasound skills needed to practice superior obstetrics. Third-year residents serve as consultants to Beth Israel's emergency division.
By the end of the third year, residents are able to manage all outpatient problems not requiring specialty consultation. They also are able to perform all uncomplicated gynecologic and obstetric operations.
The chief resident has the opportunity to integrate and consolidate his or her knowledge and skills. In the fourth year, there are two months of obstetrics, three months of night team, three blocks of gynecologic oncology and three blocks of gynecology and one month spent in faculty office practice. The obstetric chief resident also follows patients in the high-risk obstetric clinic. The chief resident assumes major responsibility for direction of the obstetrical and gynecological services, as well as for direction of his or her outpatient team. This resident, under the supervision of the faculty attending, has primary responsibility for the care of service patients. Responsibilities include substantial teaching of medical students and junior residents.
Mission Statement 2013
On this date, September 4th 2013, we, the residents of Mount Sinai Beth Israel Department of Obstetrics & Gynecology, do present the following statement as our mission for the year to come:
We shall promote an environment fostering intellectual curiosity & the application of evidence based medicine in clinical practice. We are committed to the education of ourselves, our colleagues, & medical students through dynamic & interactive learning while promoting the concepts fundamental to the practice of Obstetrics & Gynecology.
We are committed to serve a population of religious & cultural diversity. We shall pursue clinical excellence through a balanced, multidisciplinary approach to exceptional patient care.
Our commitment to care includes a system of graduated independence that fosters respect & cooperation among clinicians & staff. We shall support one another in times of need & celebrate accomplishment. We acknowledge the great importance of activities separate from the work environment to maintain a positive attitude & a sense of self.
With these tenets we strive to be excellent clinicians, surgeons, & members of the community. We shall evaluate & reaffirm these goals annually.
Didactics and Self Education
Each week, five hours are set aside for lectures and case conferences. The academic time in our department is fully protected from clinical responsibilities. The academic morning begins with Grand Rounds speakers invited from across the country. Monthly Departmental statistics are presented by the ob and gyn chief residents. Resident didactic time follows with two lectures given by local Mount Sinai Beth Israel AECOM faculty. Chairmanís Rounds take place every Thursday morning before the O.R. begins. In addition, there are daily board rounds in obstetrics and daily floor rounds in gynecology. All residents take the annual CREOG in-service examination. Each resident is required to finish a research project before the completion of the residency training program and is expected to participate in the education of resident colleagues and medical students.
Third-year medical students from the Albert Einstein College of Medicine complete their basic rotation in Beth Israel's Department of Obstetrics and Gynecology. Residents at all levels are expected to play a major role in their education. Various electives (subinternships) are offered for fourth-year medical students, including general obstetrics and gynecology, maternal and fetal medicine, gynecologic oncology, and reproductive endocrinology and infertility.
Applying to the OBGYN Residency Program at Mount Sinai Beth Israel, The Manhattan Teaching Campus of the Albert Einstein College of Medicine Application Process and Selection Criteria
All applications received through ERAS will be reviewed. The decision to invite an applicant for a required interview will be based on a review of the following factors in combination:
Our interview spots are very limited and they are filled quickly. If you receive an invitation, please RSVP as soon as possible.
REQUIREMENTS AND PROCEDURES FOR APPLICATIONS
To learn more about the requirements and procedures necessary to apply for Mount Sinai Beth Israel residency opportunities please click here. We accept applications from allopathic and osteopathic programs submitted through ERAS only. We have no absolute cut offs for grades or scores, but seek to fill our program with the highest quality students.
Please contact our Residency Program Manager with any questions.