On Friday mornings, MAHEC ob/gyn residents have protected time from 8:00 am - 12:00 pm to support a flipped-classroom curriculum that meets CREOG objectives and is designed for adult learners and augmented by simulation education.
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.
Attendance is expected for:
- Grand Rounds, held once a month
- Fetal Board, held once a month
- Tumor Board - Gyn oncology
- Journal Club, held once a month
Routine obstetrical services: low-risk patients from continuity clinics, prenatal patients from Buncombe and Madison counties, and patients seen in the attending clinics.
Teen obstetrical services: after-school clinic hours devoted to the care of pregnant and parenting teenagers.
Comprehensive high-risk obstetrical services for women in a 16-county region.
In the 2014, the MAHEC Department of Obstetrics and Gynecology established a longitudinal experience in global women's health. In conjunction with Dr. Reta Graham, co-founder of Mama Maisha, residents gain both didactic and clinical experience in global health.
Mama Maisha is a non-profit organization based in Asheville, NC that partners with local and regional health facilities, as well as government and nongovernmental organizations to improve maternal and neonatal health in rural Tanzania with a focus on community development and quality medical care.
MAHEC's Global Health Program focuses on improving awareness of global women’s health issues, fostering medical and surgical experiential learning in a resource-limited setting, promoting healthcare collaboration and research through a comprehensive educational curriculum, and providing quality medical care to underserved areas.
Residents who participate in our global health program complete a combination of preparatory online learning modules, evening seminar lectures, and didactic sessions in the standard curriculum prior to international travel. Any international elective must be approved by the resident’s faculty advisor and program director as well as GME office, risk management, and fiscal departments. All electives must be approved through a standard process outlined in the MAHEC international travel policy.
A board-certified ob/gyn faculty member provides supervision in the international setting, and learning outcomes emphasize global health and cultural competency. Upon returning from an international rotation, residents formally present their experiences to the department. Residents who participate in the global health longitudinal experience (modules, didactics, and rotation) gain multiple milestones and meet specific CREOG objectives related to global women’s health.
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 and underserved region.
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
Residents actively participate in the pre-operative, operative, and postoperative management of patients with gynecologic malignancies on our busy gyn oncology service.
Three gyn oncologists from Hope Women's Cancer Centers serve as faculty attendings and actively participate in resident education.
Residents receive extensive training in outpatient evaluation and operative management of patients with urinary and anal incontinence.
Residents 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.
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 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