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  The Residency Training Program in Obstetrics and Gynecology is
a fully accredited, integrated, four-year program fulfilling the requirements for board certification in this specialty. It is structured so that residents assume increasing responsibility as they progress through the program with specified objectives to be achieved on each rotation. Inpatient and out-patient facilities at the University of Washington Medical Center, Harborview Medical Center, Virginia Mason Medical Center, Swedish Hospital Medical Center and Yakima Valley Memorial Hospital are utilized for residency training.
In addition to a broad clinical experience in obstetrics and gynecology, residents receive training in maternal-fetal medicine, gynecologic oncology, sexually transmitted diseases, reproductive endocrinology, infertility, gynecologic pathology, family planning, urodynamics, pediatric gynecology, sexual assault, and ambulatory and emergency medicine. An elective rotation is available in the third year, which allows residents to obtain additional training
in areas of special interest, such as research or international women’s health.
The training program promotes continuity of patient care, and residents are responsible
for the care of selected patients over an extended period of time. Residents receive in-depth training in primary care at the Women’s Health Care Center (Roosevelt) and Harborview Medical Center.
All residents are required to conduct a research project, under the guidance of a faculty mentor, which is presented during their fourth year at Husky Day, the residents’ research conference.
- Fully accredited by the ACGME (2007)
- All resident educational activities overseen by Seine Chiang, MD
- Residency teaching provided by
- 38 clinical faculty at UWMC and Harborview Medical Center (HMC)
- 4 fellows in Gynecologic Oncology plus 5 fellows in Maternal-Fetal Medicine
- Volunteer teaching faculty at Swedish Gynecologic Oncology group (5 gynecologic oncologists), Swedish Perinatal Medicine group (6 perinatal specialists), Virginia Mason (8 gynecologists), Yakima Valley Memorial (4 obstetrician/gynecologists), and Group Health Central (2 OB perinatal specialists).
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Residency Appointments
Over 450 completed residency applications are reviewed annually, with the selection committee
granting approximately 60 interviews for six first-year resident positions.
Interviews are offered as completed files are reviewed.
Therefore, EARLY submission
and completion of your application file is key.
No application will be accepted after
Thursday, October 1, 2009, although interview slots may be filled prior to this date. |
An applicants file is considered complete when we have received the following documents:
- ERAS common application
- USMLE or COMLEX scores
- CV
- Medical school transcripts
- Personal statement
- 1 letter of recommendation (3 total by Nov 1, 2009)
Applicant interviews are conducted during late October and the months of November and December.
The selection committee consists of eight interviewers: the department chair, residency program director, associate residency program director, faculty representatives from the various divisions, patient-centered care committee, and a team of two residents.
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Clinical Training Sites
University of Washington Medical Center (UWMC)
  UWMC is the primary institution for residency training. It is a 450-bed teaching and research hospital that offers comprehensive medical care, including complete medical, surgical, obstetric, gynecologic and psychi-atric services. In addition, there is a Neonatal Intensive Care Center, a Primary Care Center, and a unique Institute for Simulation and Interprofessional Studies (ISIS). The Medical Center has joined with the Fred Hutchinson Cancer Research Center and Seatte Children's to create the Seattle Cancer Care Alliance (SCCA), an integrated ambulatory and inpatient cancer care center. UWMC offers residents a wide mix of inpatient and ambulatory patients from primary care to specialized tertiary care. UWMC also offers abundant opportunities to conduct research.
The Obstetrical Unit at UWMC is a referral center for a large geographic region ranging from Alaska to Montana, that includes most of the State of Washington and serves a large number of high-risk deliveries and high acuity antepartum patients. Approximately half of the 2300 annual deliveries at UWMC are direct hospital-to-hospital high-risk transfers and patients cared for in UW maternal-fetal medicine subspecialty clinics. In the Obstetrical Unit, residents are the center of the care model and provide direct care for a wide variety of medically complicated pregnancies. Milliman & Robertson (a national actuarial firm), rated the acuity of the service at 1.98, the highest they ever calculated.
The Gynecologic Oncology service at UWMC is extremely busy with over 500 diagnosed cancer patients per year. Residents operate at least three days per week on the service. Residents regularly are exposed to gynecologic malignancies, complicated pelvic surgeries, intensive care medicine, and perioperative complications due to patients with many co-morbid conditions. A four-year gynecologic oncology fellowship began in 2005; fellows rotate on the UWMC and Swedish Hospital Medical Center (SHMC) oncology services.
The Gynecology services at UWMC care for a wide variety of gynecologic conditions, with 1200 new patients seen in clinic per year. A busy surgery schedule of two days a week of inpatient and outpatient surgery, including urogynecology, exposes residents to a breadth of gynecologic procedures in a setting of high patient comorbidities. The 1st and 4th year residents on the Gynecology service and the 4th year on the Urogynecology service cross cover the UWMC Emergency Department and inpatient gyne-cology consultation requests. The Gynecology service residents also gain valuable ambulatory experi-ence at the Roosevelt Women’s Clinic where they provide routine and specialized gynecologic care. Specialty clinics, such as Vulvovaginitis Clinic and Dysplasia Clinic, add to their clinical experience.
As UWMC is primarily a tertiary care facility, rotations at SHMC, HMC, VMMC and YVMH are valuable to provide different practice models with populations of broad ethnic diversity and an extensive range of obstetrical and gynecological experience. At all institutions, an attending physician is present for all surgeries and deliveries, and is available in all resident continuity clinics to supervise clinical care and provide teaching.
Harborview Medical Center (HMC)
 HMC is owned
by King County and is managed by the University of Washington. Unique features of the Harborview Ob/Gyn resident rotations include exposure to management of obstetric trauma in a Level I trauma center, a nationally recognized program for the management of patients after sexual assault, and an ethnically and socially diverse population. Forty percent of patients are non-English speaking (with a large proportion from Africa and Asia), and trained interpreters are available for all such patient care. In addition, HMC has a Family Planning Clinic developed through the Kenneth Ryan Fellowship. This provides residents exposure to a depth and breadth of Family Planning services, including hormonal contraception, IUDs, medical and surgical terminations of pregnancy, which would not be available otherwise.
The gynecology rotations include inpatient and outpatient surgical care, and outpatient clinics.
Residents on service at HMC cover emergency room call for obstetrical and gynecological trauma, gynecology emergency, and sexual assaults. In addition, the Ob/Gyn Department has a primary care rotation at HMC for one 3rd year Ob/Gyn resident, who is supervised by both internal medicine and our Ob/Gyn faculty. This rotation includes two primary care clinics, a Dermatology Clinic, a Breast Clinic, and an HIV Obstetric Clinic, providing residents with significant exposure to ambulatory primary care for women in a heterogeneous, multi-cultural, lower socio-economic population in a county hospital setting.
Virginia Mason Medical Center (VMMC)
 VMMC
is a private, non-profit organization which has an affiliation teaching agreement with the University of Washington for residents and medical students. VMMC is a large, multi-disciplinary group practice and 307-bed hospital in downtown Seattle. The gynecology rotation provides the 3rd year resident with a broad and in-depth exposure to all aspects of operative gynecology, including endoscopy, gynecologic oncology, pelvic floor reconstruction, and infertility. Residents work closely with six experienced, board certified gynecologists. This rotation gives residents experience with a different practice model, as well as extensive operative experience. The 3rd year resident serves as chief resident of the service.
Swedish Hospital Medical Center (SHMC)
 SHMC is a large, private hospital in downtown Seattle with a large gynecology service composed of both benign and oncology patients.
SHMC has gynecologic oncologists who perform 270 cases per year and gynecologic surgeons who do 2800 major cases per year. SHMC does over 6000 deliveries annually and has a busy high-risk maternal-fetal medicine program. Both the obstetrical and gynecology services have full-time faculty with enthusiasm for and dedication to resident education. Their services round out the resident clinical experience and substantially increase their surgical experience.
The R1 and R4 on the Swedish gynecology rotation work with a specially designated teaching panel of dedicated gynecologic oncologists, general gynecologic surgeons, and reproductive endocrinology surgeons. An extensive operative experience is gained in complicated pelvic surgeries and benign disease, as well as basic vaginal, urogynecologic, and endoscopic gynecologic cases. These surgical cases fill the resident’s operative schedule four to five days per week.
The R2 on the Reproductive Endocrinology rotation works closely in the clinic three days a week with three board certified reproductive endocrinologists, evaluating patients with infertility and managing endocrinologic and congenital abnormalities. During this rotation, the resident performs endoscopic cases with Dr. Heath Miller, an expert in complicated laparoscopic surgery.
The R3 serves as the chief of the Swedish perinatal service, responsible for the management of high-risk antepartum patients, Cesarean and operative vaginal deliveries, and peripartum ICU patients. Additional training in performing and interpreting obstetrical ultrasound, both normal and abnormal, is provided.
Yakima Valley Memorial Hospital (YVMH)
 YVMH
is a private, 223-bed, community-based hospital in Central Washington that serves a large rural area. First and third year residents on the Yakima rotation experience a community style of practice in an ambulatory setting where supervising Ob/Gyn attendings provide primary, obstetrical and gynecologic care for their patients. Residents at Yakima Valley Memorial also perform deliveries on patients to broaden their exposure to low-risk obstetrics.
Group Health Cooperative - Central (GHC-Central)
 Our Capitol Hill campus in Seattle is home to Central Hospital,
Family Health Center, Family Beginnings Birth Center, Family Medicine Residency, the Women's Center, Teen Pregnancy clinic and other clinical services. The Family Beginnings Birth Center in the South Building offers expert maternity care with full medical support in a comfortable, home-
like environment. Family Beginnings offers full medical support with an obstetrician/gynecologist, pediatrician, and anesthesiologist at the facility 24 hours a day. For higher-risk newborns, Family Beginnings has a special care nursery. In this setting, we have one of the lowest cesarean section rates in Washington.
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Salary & Benefits
Salary (2009 data)
All prospective residents must provide written confirmation that they were informed of the University of Washington Graduate Medical Education Residency Position Appointment and Policy, which outlines the terms of agreement during their residency training at the UW.
All applicants are informed that this is available on our GME website.
Level |
Monthly Rate |
Annual Salary |
R1
R2
R3
R4
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$3,945
$4,104
$4,253
$4,412
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$47,341
$49,248
$51,036
$52,944
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Benefits
Housestaff benefits include:
-
Medical and dental insurance
- Stipend for on-call meals
- On-call sleep rooms
- Physician lab coats
- Annual vacation of 3 weeks (5 weekdays and 2 weekend days constitute one week) is provided
and scheduled through the Ob/Gyn Department, with approval from the administrative chief
residents and the residency program director
- UW retirement plan
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Inquiries
Inquiries should be directed to:
Seine Chiang, MD, Associate Professor
Residency Program Director
University of Washington
Department of Obstetrics and Gynecology
Box 356460
Seattle, WA 98195-6460
206-543-9626
(voice)
206-543-3915 (fax)
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