Ob/Gyn Residency

Block Schedule

Block schedule rotation blocks are 4 weeks. First year OB rotation includes 2 weeks of nights and 2 weeks of days in the first half of the year.

Program Year 1

Block	Week	Resident 1	Resident 2	Resident 3	Resident 4	Resident 5
1	1	L&D days (OB2)	Outpatient	GYN	L&D nights (OB1)	ONC
	2	L&D days	Outpatient	GYN	L&D nights	ONC
	3	L&D nights	Outpatient	GYN	L&D days	ONC
	4	L&D nights	Outpatient	GYN	L&D days	ONC
2	5	GYN	L&D days (OB2)	Outpatient	ONC	L&D nights (OB1)
	6	GYN	L&D days	Outpatient	ONC	L&D nights
	7	GYN	L&D nights	Outpatient	ONC	L&D days
	8	GYN	L&D nights	Vacation	ONC	L&D days
3	9	ONC	Outpatient	L&D nights (OB1)	L&D days (OB2)	GYN
	10	ONC	Outpatient	L&D nights	L&D days	GYN
	11	ONC	GYN	L&D days	L&D nights	Outpatient
	12	ONC	GYN	L&D days	L&D nights	Outpatient
4	13	L&D days (OB2)	ONC	GYN	Outpatient	L&D nights (OB1)
	14	L&D days	ONC	GYN	Vacation	L&D nights
	15	L&D nights	ONC	GYN	Outpatient	L&D days
	16	L&D nights	ONC	GYN	Outpatient	L&D days
5	17	Outpatient	L&D nights (OB1)	ONC	GYN	L&D days (OB2)
	18	Outpatient	L&D nights	ONC	GYN	L&D days
	19	Vacation	L&D days	ONC	GYN	L&D nights
	20	Outpatient	L&D days	ONC	GYN	L&D nights
6	21	L&D nights (OB1)	Vacation	L&D days (OB2)	ONC	Outpatient
	22	L&D nights	GYN	L&D days	ONC	Vacation
	23	L&D days	GYN	L&D nights	ONC	Outpatient
	24	L&D days	GYN	L&D nights	ONC	Outpatient
7	25	Outpatient	L&D nights	ONC	L&D days	GYN
	26	FW	FW Off	FW	FW Off	FW Off
	27	FW Off	FW	FW Off	FW	FW
	28	Outpatient	L&D nights	ONC	L&D days	GYN
8	29	GYN	Comm Engage	L&D days (OB1)	Outpatient	ONC
	30	GYN	Comm Engage	L&D days	Outpatient	ONC
	31	GYN	L&D days (Red)	L&D days	Outpatient	ONC
	32	GYN	L&D days (Red)	L&D days	Outpatient	ONC
9	33	Outpatient	L&D days (OB1)	ONC	Comm Engage	GYN
	34	Outpatient	L&D days	ONC	Comm Engage	GYN
	35	Comm Engage	L&D days	ONC	L&D days (Red)	GYN
	36	Comm Engage	L&D days	ONC	L&D days (Red)	GYN
10	37	ONC	GYN	Comm Engage	Outpatient	L&D days (OB1)
	38	ONC	GYN	Comm Engage	Outpatient	L&D days
	39	ONC	Vacation	L&D days (Red)	GYN	L&D days
	40	ONC	Vacation	L&D days (Red)	GYN	L&D days
11	41	L&D days (OB1)	ONC	Vacation	GYN	Comm Engage
	42	L&D days	ONC	Vacation	GYN	Comm Engage
	43	L&D days	ONC	GYN	Vacation	L&D days (Red)
	44	L&D days	ONC	GYN	Vacation	L&D days (Red)
12	45	Vacation	GYN	L&D days (OB1)	ONC	Outpatient
	46	Vacation	GYN	L&D days	ONC	Outpatient
	47	L&D days (Red)	GYN	L&D days	ONC	Vacation
	48	L&D days (Red)	GYN	L&D days	ONC	Vacation
13	49	GYN	L&D days (OB1)	Outpatient	L&D days (OB2)	ONC
	50	GYN	L&D days	Outpatient	L&D days	ONC
	51	GYN	L&D days	Outpatient	L&D days	ONC
	52	FW	FW	FW	FW	FW

Program Year 2

Block	Week	Resident 1	Resident 2	Resident 3	Resident 4	Resident 5
1	1	L&D nights	Family Planning	Outpatient	L&D days	GYN
	2	L&D nights	Family Planning	Outpatient	L&D days	GYN
	3	L&D days	Comm Engage	Comm Engage	L&D nights	GYN
	4	L&D days	Comm Engage	Comm Engage	L&D nights	GYN
2	5	L&D days	GYN	Outpatient	Family Planning	L&D nights
	6	L&D days	GYN	GYN	Family Planning	L&D nights
	7	L&D nights	GYN	Family Planning	Outpatient	L&D days
	8	L&D nights	GYN	Family Planning	Vacation	L&D days
3	9	Comm Engage	L&D nights	L&D days	GYN	Family Planning
	10	Comm Engage	L&D nights	L&D days	GYN	Family Planning
	11	GYN	L&D days	L&D nights	Comm Engage	Family Planning
	12	GYN	L&D days	L&D nights	Comm Engage	Vacation
4	13	Family Planning	Outpatient	GYN	L&D days	L&D nights
	14	Family Planning	Outpatient	GYN	L&D days	L&D nights
	15	Vacation	L&D days	GYN	L&D nights	Comm Engage
	16	Family Planning	L&D days	GYN	L&D nights	Comm Engage
5	17	L&D days	Family Planning	Vacation	GYN	L&D nights
	18	L&D days	Vacation	Family Planning	GYN	L&D nights
	19	L&D nights	Outpatient	Family Planning	GYN	L&D days
	20	L&D nights	Outpatient	Family Planning	GYN	L&D days
6	21	GYN	L&D nights	L&D days	Family Planning	Outpatient
	22	GYN	L&D nights	L&D days	Family Planning	Outpatient
	23	GYN	L&D days	L&D nights	Family Planning	Outpatient
	24	GYN	L&D days	L&D nights	Family Planning	Outpatient
7	25	Outpatient	L&D days	GYN	L&D nights	Family Planning
	26	FW Off	FW Off	FW	FW	FW Off
	27	FW	FW	FW Off	FW Off	FW
	28	Outpatient	L&D days	GYN	L&D nights	Family Planning
8	29	Outpatient	MFM	L&D nights	GYN	L&D days
	30	Outpatient	MFM	L&D nights	GYN	L&D days
	31	Gyn/Onc Night	MFM	L&D days	GYN	L&D nights
	32	Gyn/Onc Night	MFM	L&D days	GYN	L&D nights
9	33	L&D days	Vacation	Gyn/Onc Night	L&D nights	MFM
	34	L&D days	Vacation	Gyn/Onc Night	L&D nights	MFM
	35	L&D nights	GYN	Gyn/Onc Night	L&D days	Vacation
	36	L&D nights	GYN	Gyn/Onc Night	L&D days	MFM
10	37	MFM	L&D nights	L&D days	GYN	Gyn/Onc Night
	38	MFM	L&D nights	L&D days	GYN	Gyn/Onc Night
	39	MFM	L&D days	L&D nights	Gyn/Onc Night	GYN
	40	MFM	L&D days	L&D nights	Gyn/Onc Night	GYN
11	41	L&D days	Gyn/Onc Night	GYN	Vacation	L&D nights
	42	L&D days	Gyn/Onc Night	GYN	Vacation	L&D nights
	43	L&D nights	Gyn/Onc Night	Vacation	MFM	L&D days
	44	L&D nights	Gyn/Onc Night	Vacation	MFM	L&D days
12	45	GYN	L&D days	MFM	L&D nights	Gyn/Onc Night
	46	GYN	L&D days	MFM	L&D nights	Gyn/Onc Night
	47	Vacation	L&D nights	MFM	L&D days	Gyn/Onc Night
	48	Vacation	L&D nights	MFM	L&D days	Gyn/Onc Night
13	49	Gyn/Onc Night	MFM	L&D days	L&D nights	GYN
	50	Gyn/Onc Night	MFM	L&D days	L&D nights	GYN
	51	Outpatient	MFM	L&D nights	L&D days	Vacation
	52	FW	FW	FW	FW	FW

Program Year 3

Block	Week	Resident 1	Resident 2	Resident 3	Resident 4	Resident 5
1	1	L&D days	ONC	Gyn/Onc Night	GYN	MFM
	2	L&D days	ONC	Gyn/Onc Night	GYN	MFM
	3	L&D nights	ONC	Gyn/Onc Night	GYN	MFM
	4	L&D nights	ONC	Gyn/Onc Night	GYN	MFM
2	5	GYN	L&D days	ONC	MFM	Gyn/Onc Night
	6	Vacation	L&D days	ONC	Vacation	Gyn/Onc Night
	7	GYN	L&D nights	ONC	Vacation	Gyn/Onc Night
	8	GYN	L&D nights	ONC	MFM	Gyn/Onc Night
3	9	ONC	MFM	L&D days	Gyn/Onc Night	GYN
	10	ONC	MFM	L&D days	Gyn/Onc Night	GYN
	11	ONC	MFM	L&D nights	Gyn/Onc Night	GYN
	12	ONC	Vacation	L&D nights	Gyn/Onc Night	GYN
4	13	Gyn/Onc Night	L&D days	MFM	ONC	Vacation
	14	Gyn/Onc Night	L&D days	MFM	ONC	GYN
	15	Gyn/Onc Night	L&D nights	MFM	ONC	GYN
	16	Gyn/Onc Night	L&D nights	Vacation	ONC	GYN
5	17	MFM	ONC	GYN	L&D days	Gyn/Onc Night
	18	MFM	ONC	GYN	L&D days	Gyn/Onc Night
	19	MFM	ONC	GYN	L&D nights	Outpatient
	20	MFM	ONC	GYN	L&D nights	Outpatient
6	21	ONC	Gyn/Onc Night	GYN	MFM	L&D days
	22	ONC	Gyn/Onc Night	GYN	MFM	L&D days
	23	ONC	Gyn/Onc Night	GYN	Away Rotation	L&D nights
	24	ONC	Gyn/Onc Night	GYN	Away Rotation	L&D nights
7	25	ONC	GYN	Gyn/Onc Night	L&D nights	MFM
	26	FW Off	FW	FW	FW Off	FW
	27	FW	FW Off	FW Off	FW	FW Off
	28	MFM	GYN	Gyn/Onc Night	L&D nights	ONC
8	29	L&D days	Comm Engage	Family Planning	GYN	ONC
	30	L&D days	Comm Engage	Family Planning	GYN	ONC
	31	L&D nights	Outpatient	Family Planning	GYN	ONC
	32	L&D nights	Outpatient	Family Planning	GYN	ONC
9	33	ONC	Family Planning	GYN	Outpatient	L&D days
	34	ONC	Family Planning	GYN	Outpatient	L&D days
	35	ONC	Family Planning	GYN	Comm Engage	L&D nights
	36	ONC	Vacation	GYN	Comm Engage	L&D nights
10	37	Vacation	Vacation	ONC	L&D days	Family Planning
	38	Family Planning	GYN	ONC	L&D days	Vacation
	39	Comm Engage	GYN	ONC	L&D nights	Vacation
	40	Comm Engage	GYN	ONC	L&D nights	Family Planning
11	41	Outpatient	GYN	L&D days	Family Planning	ONC
	42	Outpatient	GYN	L&D days	Family Planning	ONC
	43	GYN	Outpatient	L&D nights	Family Planning	ONC
	44	GYN	Outpatient	L&D nights	Family Planning	ONC
12	45	GYN	L&D days	Vacation	ONC	Comm Engage
	46	GYN	L&D days	Vacation	ONC	Comm Engage
	47	Family Planning	L&D nights	Comm Engage	ONC	GYN
	48	Vacation	L&D nights	Comm Engage	ONC	GYN
13	49	Family Planning	GYN	ONC	Outpatient	L&D days
	50	Family Planning	GYN	ONC	Vacation	L&D days
	51	Gyn/Onc Night	GYN	ONC	Outpatient	L&D nights
	52	FW	FW	FW	FW	FW

Program Year 4

Block	Week	Resident 1	Resident 2	Resident 3	Resident 4	Resident 5
1	1	Rural Jeopardy	Outpatient	L&D nights	ONC	GYN
	2	Rural Jeopardy	Outpatient	L&D nights	ONC	GYN
	3	Rural Jeopardy	Outpatient	L&D days	ONC	GYN
	4	Rural Jeopardy	Outpatient	L&D days	ONC	GYN
2	5	Vacation	GYN	ONC	L&D nights	Rural Jeopardy
	6	Outpatient	GYN	ONC	L&D nights	MFM
	7	Outpatient	GYN	ONC	L&D days	MFM
	8	Outpatient	GYN	ONC	L&D days	Family Planning
3	9	L&D nights	Rural Jeopardy	GYN	Outpatient	ONC
	10	L&D nights	Rural Jeopardy	GYN	Vacation	ONC
	11	L&D days	Vacation	GYN	Vacation	ONC
	12	L&D days	MFM	GYN	Outpatient	ONC
4	13	Comm Engage	ONC	GYN/L&D days	GYN	L&D nights
	14	Comm Engage	ONC	Rural Jeopardy	GYN	L&D nights
	15	Vacation	ONC	Rural Jeopardy	GYN	L&D days
	16	Outpatient	ONC	Vacation	GYN	L&D days
5	17	GYN	L&D nights	Vacation	ONC	Family Planning
	18	GYN	L&D nights	Outpatient	ONC	Vacation
	19	GYN	L&D days	Outpatient	ONC	Gyn/Onc Night
	20	GYN	L&D days	Outpatient	ONC	Gyn/Onc Night
6	21	ONC	Outpatient	L&D nights	GYN	GYN
	22	ONC	Outpatient	L&D nights	Rural Jeopardy	GYN
	23	ONC	Outpatient	L&D days	MFM	GYN
	24	ONC	Outpatient	L&D days	MFM	GYN
7	25	Rural Jeopardy	ONC	Outpatient	GYN	L&D days
	26	FW	FW Off	FW Off	FW Off	FW
	27	FW Off	FW	FW	FW	FW Off
	28	Rural Jeopardy	ONC	Outpatient	GYN	L&D days
8	29	ONC	Gyn/Onc Night	GYN	L&D nights	Outpatient
	30	ONC	Gyn/Onc Night	GYN	L&D nights	Outpatient
	31	ONC	Rural Jeopardy	GYN	L&D days	Comm Engage
	32	ONC	Rural Jeopardy	GYN	L&D days	Comm Engage
9	33	L&D nights	ONC	GYN	Comm Engage	GYN
	34	L&D nights	ONC	GYN	Comm Engage	GYN
	35	L&D days	ONC	MFM	Outpatient	GYN
	36	L&D days	ONC	Vacation	Outpatient	GYN
10	37	Outpatient	GYN	L&D nights	ONC	GYN
	38	Vacation	GYN	L&D nights	ONC	Rural Jeopardy
	39	Rural Jeopardy	GYN	L&D days	ONC	Vacation
	40	Rural Jeopardy	GYN	L&D days	ONC	Vacation
11	41	GYN	Vacation	ONC	Outpatient	L&D nights
	42	GYN	Vacation	ONC	Outpatient	L&D nights
	43	GYN	GYN	ONC	Vacation	L&D days
	44	GYN	GYN	ONC	Outpatient	L&D days
12	45	Family Planning	L&D nights	Comm Engage	GYN	ONC
	46	Family Planning	L&D nights	Comm Engage	GYN	ONC
	47	GYN	L&D days	Outpatient	GYN	ONC
	48	GYN	L&D days	Outpatient	GYN	ONC
13	49	L&D nights	Comm Engage	ONC	Rural Jeopardy	GYN
	50	L&D nights	Comm Engage	ONC	Rural Jeopardy	GYN
	51	L&D days	Outpatient	ONC	GYN	GYN
	52	FW	FW	FW	FW	FW

Didactics

On Friday mornings, MAHEC Ob/Gyn residents have protected time from to 9:00 am – 1:00 pm to support a flipped-classroom curriculum that meets CREOG objectives, is designed for adult learners, and augmented by simulation education.

Simulation Center

MAHEC's state-of-the-art Simulation Center offers three types of simulated learning via task trainers, virtual reality task trainers, and high-fidelity manikins to give residents realistic experiences in obstetrical emergencies, gynecologic surgeries, and patient interactions.

Clinical Services

Attendance is expected for:

• Grand Rounds
• Fetal Board
• Tumor Board - Gyn Oncology
• Journal Club

Obstetrics

Routine obstetrical services: low-risk patients from continuity clinics, prenatal patients from Buncombe and Madison counties, and patients seen in the attending clinics.

Maternal-Fetal Medicine

Comprehensive high-risk obstetrical services for women in a 16-county region.

Regional Outreach Services

Management of antepartum complications and delivery for more than 480 high-risk patients that are transported each year from across our primarily rural region.

General Gynecology

Inpatient and outpatient surgical experiences for the diagnosis and treatment of benign gynecologic conditions including advanced operative laparoscopy.

Outpatient gynecology services provided through resident continuity clinics include:

• health maintenance and preventive care for women
• primary care
• comprehensive office gynecology
• urogynecology

Specialized Gynecology

Gynecology Oncology

Residents actively participate in the preoperative, operative, and postoperative management of patients with gynecologic malignancies on our busy gyn oncology service. Three gyn oncologists from Hope Women's Cancer Center serve as faculty attendings and actively participate in resident education.

Urogynecology

Residents receive extensive training in outpatient evaluation and operative management of patients with urinary and anal incontinence. They also have access to 2-channel urodynamics testing for patient evaluation at MAHEC Ob/Gyn Specialists. More extensive patient evaluation (video flourourodynamics testing, anorectal manometry, anorectal ultrasonography, defecography, and pudendal nerve testing) as well as assisting with advanced pelvic surgery is also available.

Reproductive Endocrinology/Infertility

Complete evaluation and treatment of reproductive and endocrine disorders and therapeutic options for menopause are offered. Basic workup and treatment of infertility and endocrine problems are also addressed at MAHEC Ob/Gyn Specialists. Advanced therapies offered through the MAHEC REI division include a wide range of patient care. Residents participate in evaluation of endocrine disorders in women as well as advanced reproductive therapies.

Advocacy and Community Engagement

The MAHEC Ob/Gyn advocacy and community engagement curriculum comprises a longitudinal curriculum throughout residency as well as a more intensive elective block, if desired, devoted to advocacy activities. This curriculum is designed to provide residents the skills necessary to identify an area of advocacy in their community, develop an idea, and implement and evaluate advocacy activities at multiple levels: the individual patient, the community, and legislative policies.

The goals of the advocacy and community engagement curriculum include:

• Develop a set of advocacy skills that can be applied in any community
• Advocate for individual patients and families
• Identify community resources and establish partnerships
• Describe and participate in advocacy at the local, state, and/or national levels

Experiential Training in Clinical Research

• Critical literature review of the Ob/Gyn literature with seminar and presentation in PGY1
• Journal club held 6 times annually with an annual presentation by PGY2 residents
• Clinical research projects (trials, prospective, or retrospective observational studies in PGY3 and 4)
• Research didactics annually
• Biomedical research ethics training in PGY2
• Local, regional, and/or national presentation of research in PGY4