The calendar year is divided into variable blocks in which residents are assigned to rotating service teams directed by a senior resident. The resident, in consultation with the attending faculty members, is responsible for the patients on his/her service. Responsibility for individual patients is delegated to junior house officers by the senior resident, commensurate with their level of training and competence. On each service, residents are assigned to specific patients (inpatient and outpatient) to provide optimal continuity of care. Service team members at both institutions include junior and senior medical students, full-time and part-time faculty, and nursing staff. Other members of the team are Family Practice and Emergency Medicine residents.
First year residents take rotations between Truman Medical Center and Saint Luke’s Hospital in areas of obstetrics, gynecology, night call, surgical intensive care unit, emergency medicine, and ultrasound. First year residents also have the opportunity to have a 1-month rotation dedicated to research. After the 1st year, residents are required to have submitted a research proposal to the IRB and be ready to collect their data.
Second year residents rotate between Truman Medical Center, Saint Luke’s Hospital, Research Medical Center, and Children’s Mercy Hospital. Residents have the opportunity to rotate at Saint Luke’s Hospital on the Maternal Fetal Medicine service as the sole resident provider for high-risk patients. The resident is exposed to a variety of complicated maternal diseases in a multidisciplinary setting. Residents also have the opportunity to rotate at Children’s Mercy Hospital with the Pediatric Adolescent Gynecology specialists. Here residents will be exposed to ambulatory visits, hospital consults, surgical and emergency services under the advisement of the Pediatric Adolescent Gynecology fellows and faculty.
Third year residents rotate between Truman Medical Center-Hospital Hill, Truman Medical Center-Lakewood, Saint Luke’s Hospital, and Research Medical Center. Residents are exposed to a number of surgical rotations, including urogynecology, and gynecologic surgery at Truman-Lakewood as the sole resident on the service. Residents also have the opportunity to rotate with the Reproductive Endocrinology and Infertility service at Research Medical Center where they participate in outpatient care of women with primary and secondary infertility as well as women with disorders such as PCOS, müllerian anomalies, and genetic disorders. Residents participate in all procedures.
Chief residents rotate between Truman Medical Center, Saint Luke’s Hospital, and Research Medical Center. Chief residents are in charge of their services from scheduling to managing the distribution of cases for their teams. Chief residents also participate in surgical centered rotations. At Saint Luke’s Hospital and Research Medical Center residents have the opportunity to participate in minimally invasive surgery utilizing the robot via dual-console and as main surgeon.
The program also includes weekly didactics that occur Friday afternoons between both primary teaching institutions. The didactic schedule includes monthly M&Ms, lectures given by our perinatal, urogynecology, gynecologic and oncology specialists, journal club and other educational topics.