Gynecology

Program Goal

To develop the ObGyn resident's knowledge and skills such that s/he can effectively serve as a gynecologic consultant; medically and surgically manage a broad range of gynecologic conditions; serve as a team leader in the operating room; and competently perform surgery using a wide range of approaches including vaginal, laparoscopic, open, and robotic techniques.

Faculty Contact

  • Seine Chiang, MD University of Washington (UWMC)
  • Jennie Mao, MD Harborview Medical Center (HMC)
  • Linda Mihalov, MD Virginia Mason Medical Center (VMMC)
  • Caroline Gardella, MD Veterans Administration Puget Sound (VA)
  • Roger Rowles, MD Yakima Valley Memorial Hospital

The Gynecology (Non-Tumor) education and training spans 5 institutions, each with unique educational focus and clinical experiences. Gynecologic educational objectives based on rotation and level of training are available available electronically on MedHub.

Gynecologic Training Goals by Residency Level:

  • PGY-1: Participates in general gynecology clinics and specialty clinics. The PGY-1 learns to determine when a patient requires surgical intervention; To optimize peri-operative management, to perform appropriate perioperative counseling and discharge planning. The surgical experience focuses on achieving proficiency with instruments and OR equipment including the da Vinci robot as well as competency with core gynecology procedures such as laparoscopy, hysteroscopy, D&C, and laparotomy.
  • PGY-2: Focuses on ambulatory evaluation and management of increasingly complex gynecologic cases, postoperative management of the inpatient specialty gynecology services, management of consultations from the emergency department, and achieving surgical competence with more complicated gynecologic surgeries.
  • PGY-3: Serves as the chief of the gynecology service at our community sites (Yakima, VA, VMMC, HMC). The R3 learns to be the team leader on service and in the operating room. The R3 develop surgical efficiency and minimally invasive surgical skills, performing both common and robotic surgical procedures.
  • PGY-4: Serves as chief of the UWMC Gynecology service, performs pre- and post-operative evaluations, is responsible for inpatient and emergency consultations, provides clinical oversight and teaching for other trainees on the inpatient service, delegates surgical cases, and manages consultations from other services.
  • Broad ambulatory and surgical gynecology training is supplemented by robust formal educational conferences.

Typical Weekly Schedule for the Gynecology Services is Noted Here

Formal Educational Conferences

Residents are expected to actively use non-patient based learning resources to care for their patients, prepare for conferences and REI case-based topics, and teach other trainees.

  1. Pre-clinic conference on primary/preventive care topics. There is 1 topic covered per week before all continuity clinic sessions. Gynecology residents in clinic are also expected to participate.
  2. REI case-based topics: PGY 4 prepares for weekly clinical topics and teaches this to the PGY 1 under the supervision and observation of the REI faculty (Mondays 4:30-5:15) and REI cased based learning cases are taught to the PGY 4 by faculty on Fridays 11:45 – 12:30.
  3. Pre-surgery conference every Wednesday noon to discuss upcoming surgeries. This is led by the PGY 4 Gynecology and the Gyn faculty of the week. Inpatient consultations, surgical dilemmas, and interesting cases are also discussed.
  4. PGY 4 is expected to submit cases for M&M and be prepared to present and discuss these.
  5. Gynecologic Pathology curriculum with Dr. Rochelle Garcia every Friday- review of pathology slides by Gyn organ systems.

Family Planning Curriculum

The first year resident is expected to learn to determine when a patient needs surgical intervention, optimize peri-operative management, perform contraceptive counseling in an unbiased fashion, practice effective family planning techniques as well as pregnancy termination (may opt-out of the procedure portion only), evaluate and treat cervical dysplasia, and effectively teach medical students. Specific clinical responsibilities are clearly delineated in the section following educational objectives and procedural checklist.