Obstetrics and Gynecology

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Residency Training

The Department of Obstetrics and Gynecology and its faculty developed the resident Ob/Gyn longitudinal care clinics, allowing residents the experience and satisfaction of following patients during the four years of their training. The Night Call rotation minimizes the number of in-house call at all hospitals.

The Department supports resident’s travel to postgraduate meetings and courses for all residents. First-year residents receive a stipend to begin their personal library of Ob/Gyn texts. As part of the education experience, all third-year residents are expected to complete a formal research project of publishable quality and present the results of the research at the Annual Residents’ Day. This is held in conjunction with the Charles A. Hunter, Jr., Lecture and the Resident Banquet honoring the Chief Residents in June of each year. Resident research projects have led to presentations at national meetings including ACOG and the Society for Maternal-Fetal Medicine.

Inter-Professional Training

In addition to receiving excellent training in general obstetrics and gynecology, Ob/Gyn residents experience many other specialized areas, including colposcopy, laser surgery LEEP of the lower genital tract, sexual dysfunction, breast disease, microsurgery, obstetric ultrasound, and prenatal diagnosis. Residents also receive training in all of the subspecialty areas of obstetrics and gynecology.

Education Experience

Residents in the Department of Obstetrics and Gynecology participate in a robust didactic curriculum that provides a comprehensive educational experience. Protected education time occurs weekly from 8:30-12:00 and follows the Educational Objectives as provided by the Council on Resident Education in Obstetrics and Gynecology. Lectures are video recorded to provide additional learning opportunities. Monthly surgical and technical simulations help reinforce concepts taught throughout training. Residents also are involved in medical student education in both small group and clinical settings.

Admission Requirements

The Obstetrics and Gynecology program at IU School of Medicine offers 10 intern positions through the National Residency. To be selected for an interview, candidates must complete an application through ERAS by the December 1 deadline, and Step 2 scores must be available prior to ranking (mid-February). Post-graduate cut-off of two years or less is a preference but not required. There is no minimum score requirement; all passing scores are considered. An Obstetrics Chairman letter is not required; however, at least one of the three required letters should be from an Ob/Gyn.

The following additional requirements are specific to applicants who are international medical graduates. International applicants must have ECFMG certification: a) have taken the CSA exam before the date of the interview; and b) have a passing score to the CSA exam results prior to January 31. Evidence of clinical experience in a US or Canadian hospital is required in which the applicant had direct patient care contact (such as a clerkship during medical school or a postgraduate externship). Observerships are not sufficient to meet this requirement. Applicant must provide at least one reference letter from a US or Canadian physician who can verify clinical experience and attest to the quality of work. Individuals with permanent resident status are qualified to apply. IU School of Medicine sponsors only J1 visas.

Each application, once completed, is reviewed and at that time a decision is made whether to offer the candidate an invitation to interview. For more information about the program, refer to the IU School of Medicine Residency Directory profile at APGO.org

Program Progression Rotation Schedule

The resident rotation schedule for each academic year is determined by the natural development that an Ob/Gyn resident undergoes during their time in residency. The milestones provided for Ob/Gyn by the Accreditation Council for Graduate Medical Education (ACGME) are used for the appropriate timing of each rotation in the growth and development of a typical Ob/Gyn resident. Highlights of the curriculum include one-month electives in years three and four.  Past residents have used this to augment their surgical skills, obtain additional research experience and participate in global health opportunities.

Eskenazi Obstetrics/ Eskenazi Night Float/ Eskenazi Gynecology/ Methodist Obstetrics/ Methodist Night Float/ Methodist Gynecology/ SICU/ Emergency Medicine/ Ambulatory-Subspecialty ObGyn/ NICU

Eskenazi Obstetrics/ Eskenazi Night Float/ Eskenazi Gynecology/ Methodist Obstetrics/ IU High Risk Obstetrics/ IU High Risk Night Float/ Gynecologic Oncology/ Family Planning/ IU Gynecology/ REI

Eskenazi Obstetrics/ Eskenazi Gynecology/ Eskenazi Triage (early pregnancy)/ Methodist Night Float/ Methodist Gynecology/ IU High Risk Obstetrics/ Gynecologic Oncology/ Urogynecology/ Jeopardy/ Elective

Eskenazi Obstetrics/ Eskenazi Night Float/ Eskenazi Gynecology/ Methodist Gynecology/ IU Health Gynecology/ Advanced Gynecology/ Gynecologic Oncology/ REI/ Prenatal Diagnosis/ Elective

Clinical Training Facilities

IU Health Academic Health Center (AHC) includes both IU Health University Hospital and IU Health Methodist Hospital. Both hospitals are located in downtown Indianapolis near the IU School of Medicine—Indianapolis campus. At the AHC is a large obstetric unit that cares for both high-risk and normal-risk obstetric patients. The unit includes a high-risk service that receives patients referred from throughout the state of Indiana. Additionally, the HealthNet obstetric service is cared for by OBGYN residents along with a team of nurse midwives and physicians from this Federally Qualified Health Clinic (FQHC) practice. Subspecialty services include Gynecologic Oncology, Minimally Invasive Surgery, Reproductive Endocrinology and Infertility, and Perinatology.

At Eskenazi Health (formerly known as Wishard Memorial Hospital), an acute care facility operated by Marion County Health and Hospital Corporation for the underserved population of Marion County, is a large population of general obstetrics and gynecology patients that are high risk based on their prior access to care and underserved status. Eskenazi Health’s Outpatient Care Center and 38th Street Clinic are two of the outpatient facilities associated with the hospital. The resident continuity clinics are housed at these sites and allow for our residents to provide access to a large, urban underserved population.

Resident Activities

Indiana University School of Medicine is the founding U.S. partner and leader of the Academic Model Providing Access to Healthcare (AMPATH), a globally-praised, large-scale community-based program that is dramatically improving health in western Kenya through research, training, and health services delivery. OBGYN residents at IU School of Medicine are invited to apply for the IU Interdepartmental Global Health Medical Residency Training Track during their intern year.

The IU School of Medicine OB/GYN Residency program is a designated Ryan Program Training Site. The Ryan Program, founded in 1999, is a national initiative based at the Bixby Center for Global Reproductive Health at the University of California, San Francisco. The mission of this national program is to integrate and enhance family planning training for obstetrics and gynecology residents in the United States and Canada.

Family planning and contraception are fundamental to Women’s Health and training is incorporated throughout the four-year residency program. Residents receive training in Long Acting Reversible Contraception as well as participate in a values-clarification exercise that allows them to fully explore their personal role in the Family Planning experience. During the second-year Family Planning rotation, OBGYN residents are exposed to Adolescent Medicine clinics as well as Planned Parenthood. At Planned Parenthood, residents get experience in colposcopy, LEEP, complicated IUD placement and removal, and contraceptive implant and removal. There is also an opt-out policy so that residents do not have to participate in procedures that conflict with their personal beliefs.

Retreats and Activities

Each year, OBGYN residents participate in several events that are designed to provide additional time and space for growth as a cohesive unit.

Prior to beginning the residency program, all interns participate in an intern orientation. The orientation occurs in the last couple weeks in June and provides a time for OBGYN residents to complete some of the administrative duties that need to be completed prior to residency. More importantly, the time is designed as an Intern Boot Camp that introduces or re-introduces our new residents to Ob/Gyn-specific skills and knowledge.

Each spring, all residents in the OBGYN Residency program participate in a full day educational retreat. Faculty cover for the residents at each site the night prior to the retreat and during the day so that all residents are able to attend. The retreat is designed to provide time and education that allow residents to improve their skills as teachers. Recent topics include: giving feedback, teamwork, teaching in the operating room, communication and preparing for life after residency.

Events are scheduled throughout the year to improve team chemistry and promote physician wellness. Team-building events have included ropes courses, laser tags, and other activities designed to improve communication and camaraderie.

OBGYN residents not only serve their patient population, but also serve their community. Residents and faculty come together several times a year to complete service projects that help us to stay in touch with the community we serve. Past projects include, Mother’s Day goodie bags delivered to a local domestic violence shelter and clothing drives.

Residents are expected to complete a formal research project and present it at our Annual Residents’ Day. This is held in conjunction with the Charles A. Hunter, Jr., Lecture and the Resident Banquet honoring the Chief Residents in June of each year. Each resident has a faculty mentor who serves to guide them in the design and analysis of their project, and Dr. David Haas, the Vice Chair of Research, meets with residents throughout the process. Prizes are awarded for research excellence and many past projects have led to presentations at national meetings including the American College of Obstetricians and Gynecologists Annual Meeting.