Curriculum

Residents in an OR

Our clinical training includes rotations in general obstetrics and gynecology as the core of the curriculum. This includes inpatient ward, labor and delivery, women’s gynecologic emergency center, gynecologic surgical experience, including outpatient clinic experiences. Residents spend time regularly in their continuity clinic – patients that residents primarily manage under the direction of faculty throughout their 4 years. Additional resident clinics include office procedures, dysplasia and colposcopy clinics, ultrasound clinics, genetics clinics, and family planning clinics. Residents also spend time on the nursery service during their PGY-1 obstetric experience and have dedicated time with genetic counselors, in a dedicated breast center, and with lactation consultants during the ambulatory experience in the PGY-1 year.

Residents also spend time in the subspecialties of gynecologic oncology, reproductive endocrinology and infertility, and female pelvic medicine and reconstructive surgery (urogynecology). Maternal-fetal medicine training is integrated throughout the obstetrics experience each year, with an emphasis on managing the antepartum service during the PGY-3 year.

Residents have some flexibility in shaping their curriculum to meet their personal career goals through selective rotations in the PGY-2 and PGY-3 years. Most choose a rotation at our VA medical center, but they may also choose a dedicated research month, surgical or neonatal ICU, an away rotation in line with fellowship plans, or a community OBGYN experience.

The residency program in Obstetrics and Gynecology at UT Health San Antonio consists of:

Year 1

TrainingBlock
OB7 week block x 2
GYN7 week block x 2
Night Float3-4 week block x 2
GYN Onc7 week block
Ambulatory3-4 week block x 2

Year 2

TrainingBlock
OB7 week block x 2
GYN7 week block x 2
Night Float3-4 week block x 2
GYN Onc7 week block
Selective*3-4 week block
REI3-4 week block

Year 3

TrainingBlock
OB7 week block x 2
GYN7 week block
Night Float3-4 week block x 2
Selective*3-4 week block
Urogynecology7 week block
REI3-4 week block
VA4 week block
Research1 week block
Family Planning2 week block

Year 4

TrainingBlock
OB8 week block x2
GYN4 week block x 4
Night Float4 week block x 2
GYN Onc8 week block

*Selective options as a PGY-2 or PGY-3 may include: neonatal ICU, surgical ICU, gyn surgery at the VA, a research rotation, or an away rotation depending on PGY level and career planning.

Surgical Education

Residents are exposed to surgical training beginning early in the PGY-1 year. Residents learn surgical skills through a combination of simulation, assisting in surgery, and then advancing skills to the point of independent practice. We utilize 2 different surgical education models: “double-scrubbing” of junior with senior residents and a faculty surgeon, as well as residents scrubbing directly 1:1 with faculty surgeons. This results in a well-rounded surgical education with ample exposure and a graduated program of independence in the operating room. Our residents obtain a balance of vaginal, laparoscopic, hysteroscopic, robotic, and open surgical techniques throughout their residency so that they can feel confident offering various approaches to their patients in the future.

All residents have dedicated time in the curriculum to obtain Fundamentals of Laparoscopic Surgery (FLS) certification, and have ample experience to complete robotics certification if desired as well (currently optional in our program).

OBGYN physicians conducting a surgery

Didactic Education

Weekly didactic sessions are required for residents not on the night float service, and are based on CREOG Educational Objectives and ABOG topics included for board certification. Faculty coverage is provided to permit resident attendance. Didactic sessions include lectures, interactive sessions, journal clubs, simulations, and resident-led learning sessions. Some sessions are attended by all 4 year groups concurrently; at other times, they are separated by levels into “year-group” specific topics.

OBGYN students conducting didactics

Reading Program

Residents are assigned regular reading with completion of a quiz to self-assess progress. Reading lists and quizzes are based on the resident’s year group and clinical rotation. The comprehensive reading program includes all topics in obstetrics, gynecology, and the subspecialties throughout the 4 year period, and covers the topics suggested by the CREOG Educational Objectives and included in the ABOG Board Certification Exam topics.

Residents are also provided suggested reading materials weekly in preparation for the Maternal Morbidity and Mortality Conference and the Gynecology Conference.

Residents have electronic access to the University of Texas Health Science Center at San Antonio library 24 hours a day.

Conferences

Conferences are held regularly to enhance learning and patient care:

  • Antepartum conference
  • Maternal Morbidity and Mortality conference
  • Gynecology conference
  • Gynecology Morbidity and Mortality conference
  • Quality improvement/patient safety conference
  • Root cause analysis
  • Tumor board
  • Perinatal conference (monthly)
  • Multidisciplinary placenta accreta spectrum conference
  • Benign Gynecology Pathology conference
  • Gynecologic oncology conference
Group photo of OBGYN students in conference room
Dr. Lauren Javernick

“My favorite thing about the program is all of the surgery! I feel prepared to start a practice after residency.”
– Dr. Lauren Javernick, Class of 2021