Introduction to Residency in Obstetrics and Gynecology Shelly Holmström, MD Assistant Professor in Obstetrics and Gynecology University of South Florida

Residency Training Four years in duration Rotations –Obstetrics –Gynecology –Gynecologic oncology –Reproductive endocrinology –Ultrasonography –Primary care

Fellowship Training Three years in duration Four subspecialties –Maternal fetal medicine –Gynecologic oncology –Reproductive endocrinology –Urogynecology/pelvic reconstructive surgery

Board Certification Written examination –Taken last week in June of fourth year of residency –Must pass to sit for oral examination Oral examination –Collect “cases” in office practice, obstetrics and gynecology –Submit cases for review –Exam taken in Dallas, TX in November, December or January –Three hour test Half is standardized scenarios

Practice Patterns

NRMP Statistics PGY Number of positions Number of U.S. seniors applying Number of total applicants Positions per U.S. senior Positions per total applicants Positions filled, U.S. seniors (%)850(75.2)786(68.3) Positions filled, total applicants (%)1067 (94.4)1050 (91.2) Number of unfilled positions63101

Private Practice Typical work week – 41 to 60 hrs –85 patient contacts (80% office, 20% inpt) 80% of patients are 15 to 45 years old 70% patients receive all or most of their care from an ob/gyn

Private Practice Typical day in the life of an ob/gyn 7:30 to 9 AM Surgery/hospital rounds 9 to 11:30 AM Office hours 11:30 AM to 1:30 PM Surgery/lunch 1:30 to 5 PM Office hours 5 to 6 PM Telephone calls, hospital rounds, administrative duties Greatest flexibility

Academic Practice Responsibilities –Teach medical students and residents –Direct patient care –Research (basic science or clinical) –Administration

Public and Community Health City, county or state level –Planners, consultants or administrators in health agencies Federal level –Centers for Disease Control and Prevention –Indian Health Service –National Health Service Corps

Health Maintenance Organizations Work exclusively for a health care delivery system Salaried position with set hours and responsibilities Delineated work schedule –May offer more balanced lifestyle

Pursuing a residency Program in Obstetrics and Gynecology Where do you want to live? What type of program do you want? What are your career goals and lifestyle preferences after residency?

Selecting an Advisor Same field you plan to enter Established faculty member Strong commitment to student education Flexible schedule

Meetings with Advisor YearApproximatePurpose Deadline 3 rd March-MaySelect advisor; plan 4 th yr curriculum 4 th JulyPreliminary list of programs AugustReview draft of ERAS & personal statement; identify faculty to write letters of recommendation Late SeptemberFinal list of programs, final draft of ERAS and personal statement NovemberPlan interview schedule Late Jan-early FebReview interview experience Early-mid FebPrepare/submit final rank list

Obtaining Information APGO Directory of Residencies in Obstetrics and Gynecology – Graduate Medical Education Directory –AMA –FRIEDA ( Advisors, mentors Residents in ob/gyn at USF