Residency/Fellowship

Beth Israel Obstetrics & Gynecology
Residency Program
 

Welcome from the Department
About the Department
Curriculum
Medical Student Programs 
Application Requirements and Procedures 

 


WELCOME
The faculty and staff of the Department of Obstetrics and Gynecology at Beth Israel Medical Center 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, 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.

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 Beth Israel Medical Center enthusiastically embraces the concept of the obstetrician-gynecologist as a primary care physician and has been designated by the New York State Council on Graduate Medical Education as a priority program for primary care. Our training program offers residents the opportunity to become skilled and compassionate obstetricians-gynecologists who will go on to play a critical role in the full spectrum of health care for women.

ABOUT THE DEPARTMENT
The mission of the Department of Obstetrics and Gynecology is:

  • to provide the highest quality of patient care in obstetrics, gynecology and primary care with compassion and concern for patients well-being
  • to maintain programs and clinical research efforts that will attract outstanding staff and advance the care of women
  • to educate resident physicians to practice obstetrics and gynecology at the highest standards

During 2006, the Department of Obstetrics and Gynecology performed 3,517 deliveries and approximately 1,732 operative gynecologic procedures. There were 37,391 private visits, with 30% performed in all the 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 surgeryand a newly established family planning division.

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CURRICULUM 
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, family planning 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 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.

Outpatient Experience 
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 20 percent of his or her time (one full day or two half days a week) in continuity clinics. During the first year of the residency program, each resident is assigned a panel of patients. New patients are added to the panel as needed, and every effort is made to provide continuity of care for patients in the panel. Residents see patients for both routine and high-risk obstetrical care, general medical problems and gynecologic concerns, as well as ongoing preventative care. In addition, residents see patients with infertility problems, complicated menopause, urogynecologic issues and all aspects of family planning. Residents attend all of their continuity sessions except when they are rotating through the surgical intensive care unit during their second year.

In-patient Experience
Patients from the continuity clinics provide a significant portion of the residents inpatient experience in labor and delivery and in the operating room. Many of the obstetric and gynecologic admissions are the private patients of the numerous voluntary physicians in the department. As a result, residents are exposed to a large, demographically varied group of patients and participate in the management of a broad, well-balanced spectrum of conditions in obstetrics and gynecology.

Rotations
Each year of residency is divided monthly rotations. Residents rotate through various services as follows:

PGY-1

First-year residents spend seven months on obstetrics (five day blocks and two night blocks). Four months are devoted to gynecology. One month of inpatient family medicine. One block is spent in the neonatal intensive care unit. 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 planning, cancer detection and treatment, newborn management, ultrasound and anesthesiology.

PGY-2
Residents spend two months on gynecology at Beth Israel Medical Center. Two blocks are spent in obstetrics (days) two each on days and nights. Residents are assigned for one month to maternal-base medicine, and one block each to reproductive endocrinology and infertility and the surgical intensive care unit and to family planning. Two months are spent on a clinic rotation at the Phillips Ambulatory Care Center. During the clinic rotation residents spend two days a week in continuity clinic, one day a week in colposcopy clinic, one day a week performing outpatient surgery in the surgicenter, and the fifth day in an outpatient reproductive endocrinology setting.

The second-year resident becomes adept at management of common obstetric problems and preoperative care and also learns basic operative skills. The intensive care rotations equip the house officer to manage all but the most difficult inpatient problems. Thus, the second-year resident develops the conceptual and technical skills necessary to manage inpatient pulmonary, cardiac and gastrointestinal illness. During the maternal-fetal medicine rotation, residents achieve the knowledge base and ultrasound skills needed to practice superior obstetrics. The second-year resident chooses a research project which is completed during the third year.

PGY-3
The third-year resident spends four months in gynecology at Beth Israel. One month includes a major experience in urogynecology. There are two months on obstetrics (days) and two months on the night team, during which the resident has primary responsibility for gynecology but also participates in obstetric management. They spend another month in the reproductive endocrinology, maternal fetal medicine and family planning rotation. 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.

PGY-4
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, two months of night team, two blocks of gynecologic oncology and four blocks of gynecology. 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.

Didactics and Self Education 

Each week, five hours are set aside for lectures and case conferences. The lectures are presented by local guest speakers and cover the whole range of the discipline. Residents present all cases at case conferences in obstetrics and gynecology. In addition, there are daily board rounds in obstetrics and daily floor rounds in gynecology. Residents are expected to purchase and read standard textbooks in obstetrics, gynecology, primary care, pathology, operative gynecology, oncology and reproductive endocrinology. 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.

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MEDICAL STUDENT PROGRAMS 
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.

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REQUIREMENTS AND PROCEDURES FOR APPLICATIONS 
To learn more about the requirements and procedures necessary to apply for Beth Israel Medical Center residency opportunities please click here. We accept application from allopathic and osteopathic programs submitted through ERAS only. We have no absoute cut offs for grades or scores, but seek to fill our program with the highest quality students. The institution sponsors H-1 and J-1B visas. Inquiries concerning the philosophy, form or content of the program are welcome and should be forwarded to:

Janet L. Stein, MD
Residency Program Director
Department of Obstetrics and Gynecology
Beth Israel Medical Center
First Avenue at 16th Street
New York, NY 10003
(212) 420-4236
(212) 420-2980 (Fax)
E-Mail: Jstein@bethisraelny.org

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For further information about the program, inquires can be directed to: info@WeHealNewYork.org