Clinical Training Goals
It is recognized that in order to successfully practice clinical medicine, a broad-based knowledge of basic science as it relates to clinical issues is essential. Our obstetrics and gynecology residency curriculum is designed to insure that the appropriate genetics, embryology, physiology, microbiology, immunology, pharmacology, anatomy and pathology are taught as a basis for clinical decision making.
It is expected that at the conclusion of training, the resident will be able to function as a primary healthcare provider for women as well as a consultant in general obstetrics and gynecology. The resident should be proficient in antepartum care, obstetrical and medical complications of pregnancy, intrapartum care and postpartum care.
Within gynecology, he or she should understand disorders of the menstrual cycle and the associated problems of abnormal uterine bleeding, early pregnancy loss, sexually-transmitted and other infectious diseases, vulvar disease, and psychosomatic concerns including chronic pelvic pain and premenstrual dysphoric disorder (PMDD).
The resident must understand urogynecologic disorders and critical care approaches to the acutely ill patient as well as a variety of surgical procedures including laparoscopic approaches with their attendant indications and complications.
An Ob/Gyn resident should be proficient in evaluating infertility, menopause, and pediatric and adolescent patients with gynecological complaints. He or she must have a thorough understanding of gynecological neoplasia and of carcinoma of the breast, including the optimal means of diagnosis, initial management and appropriate referral.
The graduating resident must have a thorough understanding of ethical concerns within the specialty, and of stressful and or abusive lifestyle situations and other social pathology, along with an understanding of community resources available to assist in their management. This is combined with an understanding of personal stress management throughout the program and for future practice.
Appropriate professional physician-patient behavior and other interpersonal interaction behavior and skills will be taught and demonstrated through role models within faculty, staff and housestaff, and will be expected of all residents.
Included in the curriculum is training in the full range of contraception including LARC (Long acting reversible contraception), short acting contraception, and counseling services. Residents interested in abortion training are able to complete their training through our affiliation with Planned Parenthood of Roanoke.
Finally, our Obstetrics and Gynecology residency program assumes the responsibility to educate the resident in the macro and microeconomics of the practice of medicine as it relates to the rapidly evolving systems of medical care in the United States.