PGY-1 Resident Rotations
Unless otherwise specified, each rotation lasts for six to eight weeks:
- Obstetrics/Gynecology (nights): Bellevue
- Obstetrics: Bellevue
- Obstetrics: Tisch
- Obstetrics: Elmhurst (four weeks)
- Obstetrics/Gynecology: Tisch (four weeks)
- Gynecology: Bellevue
- MICU: Tisch (three weeks)
- Emergency Medicine: Bellevue (two weeks)
- Vacation (four weeks)
During the first two years of training, emphasis is placed on obtaining a broad-based background in general medical problems and introducing the housestaff to obstetrics and gynecology. First year residents spend three weeks on the Internal Medicine Service, in the Medical Intensive Care Unit. The residents participate as medical interns in the work-up, diagnosis, and management of patients. Call is taken as part of the medicine team.
Each first-year resident spends two weeks on the Emergency Medicine service at Bellevue. This is an extremely valuable educational experience providing housestaff with the opportunity to handle all aspects of emergency room care, including neurologic, respiratory and cardiac problems.
Residents are assigned to the Tisch Hospital Obstetrics Service for eight weeks during the first year. The obstetrics resident is responsible for labor and delivery coverage and postpartum management. This responsibility includes evaluating and managing laboring patients and participating in operative and vaginal deliveries with the attending physician. Obstetrical morning report at Tisch Hospital takes place once weekly, in which the junior residents present interesting cases and all operative deliveries.
An in house on-call attending is present at Tisch Hospital. This is warranted by a nearly 50% increase in the number of deliveries at Tisch during the past three years. The attending is available to the on-call residents (one each for gynecology and obstetrics) for questions, emergency room consultation and general supervision.
First year residents each spend two months on the Obstetrical Service at Bellevue Hospital. On this service, junior residents have the opportunity to manage the labor floor under the direction of the senior and chief residents and an attending physician who is always in-house. Teaching rounds are held daily at Bellevue, and are attended by medical students, housestaff and members of the faculty, including the Division of Maternal-Fetal Medicine.
The first year residents also spend a one-month rotation in Obstetrics at Elmhurst Hospital in Queens. Elmhurst Hospital, a Health and Hospitals Corporation affiliate, fills a role in Queens similar to Bellevue's role in Manhattan as a large municipal hospital, servicing an inner-city population. Obstetrical volume is considerable and provides additional labor and delivery experience.
Interns rotate for on the Bellevue gynecology service and also do two months of night float at Bellevue, which consists of both obstetrics and gynecology. The junior resident assigned to gynecology at Bellevue is responsible for admissions, pre-operative work-ups, and emergency room consultations. This resident scrubs on major cases in the main operating room with the attending and chief resident, and in ambulatory surgery cases (hysteroscopy, dilatation and curettage, laparoscopic tubal ligations) as the primary surgeon.
The intent of the first year schedule is to provide an introduction to general medicine and gynecology and an extensive experience in obstetrics. Once achieved, the resident will emerge from the first year with a strong foundation in routine obstetrical management in the antepartum, intrapartum and postpartum phases; vaginal and operative delivery skills; and an understanding of gynecology and female anatomy sufficient to begin honing the art of gynecologic surgery.
