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| Residency Homepage |
2007-2008
Dear Applicant:
The leadership and faculty of the Department of Obstetrics & Gynecology of The University of Texas Medical Branch at Galveston (UTMB) are committed to superior resident training.
Residency training in our institution is a broad clinical experience supported by state-of-the-art facilities and equipment, excellent staff support, and an optimal environment for resident education.
Founded in 1891, UTMB incorporates the educational programs, hospital resources, and research enterprise of a preeminent health science center. Today, it claims approximately one-fourth of the state's physicians as alumni. Obstetrics & Gynecology is one of the original departments of the Medical Branch, providing over 100 years of specialty training. The institutional tradition of medical education is reflected in the superior quality of residency training in obstetrics and gynecology.
To become a candidate for the Obstetrics & Gynecology Residency Training Program at UTMB, please use the Electronic Residency Application Service as directed by the Applicant Information Sheet insert. If we can provide any additional information, please do not hesitate to call Mrs. Sherry Bastien, Residency Programs Coordinator, at (409) 772-2999.
Daniel M. Breitkopf, MD Residency Program Director
Mary Claire Haver, M.D. Assistant Residency Program Director
Gary D.V. Hankins, MD Jennie Sealy Smith Professor and Chairman
The primary goal of UTMB's Obstetrics & Gynecology Residency Training Program is to offer residents a broad experience that will prepare them to function as independent practitioners or to enter academic fellowship programs. To achieve this, the faculty have established a balanced schedule offering organized teaching and learning activities, clinical experience, and research opportunities.
Educational goals in resident training are facilitated by the following:
Graduates of our residency program engage in academic endeavors, fellowship training, and private practice throughout the United States.
A team approach to patient care is an intrinsic part of the Residency Training Program. A chief resident heads each of the Obstetrics and Gynecology services and, in consultation with the attending faculty, is responsible for the patients on that service. Responsibility for an individual patient is delegated to junior house staff by the chief resident, subject to faculty approval, according to the individual resident's level of training and competence.
Residents are assigned to Continuity-clinics during their four years consisting of residents from each year level and a faculty advisor. Each continuity team has assigned clinic time and nursing staff. All residents attend daily rounds and weekly teaching conferences that prepare them to present and review current cases. Daily consultation rounds with the Ob/Gyn attending physicians provide a close teaching relationship between the faculty and residents.
Third- and fourth-year medical students and physician assistant students
rotate through the Department throughout the year. The Department is
At the end of each rotation, a 360 evaluation of the resident's performance is conducted by faculty, nurses, fellows, and peers. Nurse practitioners and medical students also participate in the evaluation process. Evaluations are shared on an individual basis with the resident during a semi-annual meeting with the program director. This information, along with the annual results of the CREOG-in-training examination, gives the resident an opportunity for self-assessment, highlighting areas of achievement and identifying areas that require further concentration. Progression to the next level of responsibility is contingent upon the resident's satisfactory performance in the cognitive and clinical aspects of obstetrics and gynecology, among other factors.
· Corpus Christi is an offsite rotation · Methodist Hospital is an offsite rotation
As one of the first departments in the School of Medicine at The University of Texas Medical Branch at Galveston (UTMB), the Department of Obstetrics & Gynecology has provided over 100 years of specialty training, patient care, and research. A number of distinguished physicians have directed the Department: J.F.Y. Paine (1890-1910), G.H. Lee (1910-1924), W.R. Cooke (1924-1954), G.L. Jarvis (1954-1959), William J. McGanity (1959-1988), Garland D. Anderson (1989-2007) and Gary D.V. Hankins (2007 - present).
Today, the Department is responsible for approximately 40 percent of all outpatients seen in the 14 clinical departments on the campus. Annually, the Department admits over 5,000 obstetric patients and 1,300 gynecologic patients.
Since the 1960s, the Department of Obstetrics & Gynecology has operated the second largest family planning program in Texas. At present, the Department has more than 30,000 family planning visits per year, with patients receiving a full range of services through a combination of Title X and Title XX funding. Family planning services are also offered in 12 different locations throughout 40 east and southeast Texas counties. In addition, the Department provides obstetric, consultative gynecologic, cancer screening, and well-child services to Texans in 50 medically underserved counties.
The Department is responsible for obstetric and gynecologic care of
female prisoners of the Texas Department of Criminal Justice (TDCJ)
Prison at Gatesville and in the TDCJ Hospital at UTMB. The Department
also participates in the care of private patients through UT-MED, the
The Department of Obstetrics & Gynecology is committed to developing major research programs in both basic and clinical investigations. Basic science investigations are focused on uterine contractility, gynecologic infectious diseases, ovarian function, and insulin resistance. Department researchers are increasing their focus on health care delivery, and their clinical investigations encompass oxygen saturation in the fetus, pathogenesis of endometrial cancer, physical abuse in teenage pregnancies, and drug and alcohol abuse by pregnant teens. Our Department's goal is to become one of the country's top 10 obstetrics and gynecology departments receiving National Institutes of Health (NIH) funding. A large staff assists our primary investigators, and students and residents are encouraged to help in ongoing studies.
In the Department, the uterine contractility group is investigating the basic mechanisms of smooth muscle contraction of the uterus and considering the molecular biology, electrophysiology, genetics, immunology, and physiology of uterine contractility. Additionally, the investigators are studying the role of infection as it relates to preterm labor. They have made significant advances with regard to our understanding of gap junction, the oxytocin receptor, and ion-channels in the uterus.
The full-time, on-site faculty of the Department of Obstetrics & Gynecology is structured into five divisions that provide in-depth coverage of the department's responsibilities. The organizational structure of the Department comprises the Divisions of Gynecologic Oncology, Gynecology, Maternal Fetal Medicine, Reproductive Endocrinology & Infertility, and Pediatric & Adolescent Gynecology. Additional components of the Department include the Regional Maternal & Child Health Program and the Ob/Gyn areas of the University Hospital Clinics.
The Division of Gynecology has one of the busiest inpatient service and operative schedules among UTMB's clinical departments and provides major outpatient services in the University Hospital Clinics and Emergency Room and Trauma Center. The division's large volume of clinical material, well-qualified faculty, and research opportunities continue to increase significantly.
Inpatient service and operative activities are extensive, and residents participate in the full scope of benign operative gynecologic procedures, from the correction of pelvic floor disorders to hysterectomy. Faculty supervision and attendance at surgery are program strengths, providing maximal learning opportunity for both junior and senior residents. The Division's responsibility for TDCJ patients furthers the operative experience for the house staff.
Upon completion of the program, each graduating resident has had the opportunity to obtain sufficient technical expertise and judgmental skills in the evaluation of and approach to gynecologic patients to be an excellent, independent, functioning gynecological physician and surgeon.
The Division of Gynecologic Oncology practices the full spectrum of the subspecialty: radical surgery, administration of cytotoxic chemotherapy, radiation therapy treatment planning, and cancer prevention and control. Comprehensive surgical management is provided for the treatment of pelvic cancer and for complications of the disease or therapy. Division members participate in radiation therapy treatment planning and prepare brachytherapy applications with the Department of Radiation Therapy. The Division plans and administers cytotoxic chemotherapy and/or biologic therapy for patients with gynecologic cancer. Outpatient chemotherapy is administered in the Division's chemotherapy area.
The Division's dysplasia clinics in Galveston and in regional sites provide colposcopy services and therapy for premalignant lesions, and serve as referral resources for physicians throughout southeast Texas. Patients are referred to UTMB for laser ablation or definitive surgery.
The Division participates in clinical research of cancer therapeutics and pathologic research in ovarian and uterine neoplasia. The Division also collaborates with basic science researchers who are studying viral carcinogenesis and actions of carcinogenic adducts.
The Division is active in teaching, and students and residents benefit from a recognized faculty with numerous teaching awards. Residents spend time on the oncology service during their second, third and fourth years. Under the supervision of the faculty, they assume primary responsibility for patient care activities of the Division. Residents participate in formal teaching conferences every week.
The Division of Maternal-Fetal Medicine is committed to providing the best possible care for pregnant women. Of more than 6,000 deliveries per year at UTMB, a large portion are high-risk obstetrical deliveries. The 15,230-square-foot Labor & Delivery unit includes four low-risk and eight high-risk labor rooms, a birthing room, an anesthesia induction room, and two major and four minor delivery rooms. The full-term nursery contains 90 bassinets, and the infant special care unit contains approximately 50 beds. Labor rooms are well equipped for physiologic monitoring of the mother and the fetus. All cesarean sections and other surgical procedures-such as cervical cerclage and postpartum tubal ligation-are performed in the obstetrical operating suites. Level 2 ultrasounds are performed by Maternal Fetal Medicine faculties at the Galveston and Pasadena clinics. During GY2006, 11874 level II, Doppler studies and follow-up sonograms and 157 genetic or Rh-isoimmunization amniocentesis procedures were performed.
The Department's unique outpatient system delivers prenatal care to women throughout the south, southeast, and east Texas. The low-risk population in this area is more than sufficient, and the number and diversity of high-risk patients are truly extraordinary.
Resident training has recently refocused on general obstetrics. Residents attend two six-week obstetric rotations in each year of training, managing both medical and obstetrical complications and learning to care for critically ill pregnant women. Skills required for operative vaginal as well as abdominal delivery are taught. Training in ultrasonography, prenatal diagnosis, genetics, neonatal complications, and obstetric anesthesia is woven into the obstetric rotations commensurate with the resident's level. Supervision is provided by faculty consisting of obstetricians, perinatologists, and certified nurse midwives.
Reproductive Endocrinology & Infertility
The Division of Reproductive Endocrinology & Infertility has a faculty of three M.D.s and two Ph.D.s, and includes nurses and laboratory personnel. Divisional activities include teaching, research, and the evaluation and treatment of patients with reproductive endocrine disorders.
The Division has active and successful In Vitro Fertilization (IVF) and Gamete Intrafallopian Transfer (GIFT) programs. The Reproductive Endocrinology laboratory is a well-equipped facility that provides the support necessary for the IVF/GIFT. Capabilities include the cryopreservation of embryos. The Andrology laboratory is also a modern facility prepared for the comprehensive evaluation of male infertility, including hamster egg sperm penetration assays. Facilities are also available for the Division's extensive research, which includes innovative studies on insulin resistance in women with polycystic ovarian disease, ovarian steroidogenesis in hyperthecosis of the ovaries, GnRH analogues in treatment of myomas, biological effects of various estrogen preparations in postmenopausal women, and endocrinology of endometrial cancer.
Residents spend approximately 14 weeks in the Division of Reproductive Endocrinology & Infertility, gaining experience in the diagnosis and management of a broad range of endocrine problems while participating in the ongoing evaluation and treatment of infertility patients. During their training, residents train for proficiency in operative aparoscopy, laser laparoscopy, and hysteroscopy. They have the opportunity to learn ovulation induction, microsurgery, artificial insemination, IVF, and GIFT, and can also participate in tubal microsurgical procedures including reanastomosis.
Pediatric & Adolescent Gynecology
The Division of Pediatric & Adolescent Gynecology oversees the care of children and adolescents who require gynecologic or family planning services.
Young patients with gynecologic disorders are seen in for problems such as dysfunctional uterine bleeding, vaginitis, sexually transmitted diseases, precocious puberty, and Mullerian anomalies. Residents also learn to select contraceptive methods appropriate for these patients, and manage contraceptive side effects.
There are active research projects within the Division that are available for resident participation. Faculty members are committed to providing guidance for these research projects and have been recognized for their expertise in this area.
In addition to the five divisions, the Department staffs the University Hospital Clinics and runs the Regional Maternal & Child Health Program.
The
University Hospital Clinics occupy 10,700 square feet of space in UTMB's University Hospital Clinics Building. This
space
The site provides a full range of outpatient operative procedures including hysteroscopy, flow cytometry and other urodynamic studies, colposcopy, loop excisional procedures, and laser capabilities. For each clinic session, faculty supervision ensures excellence of patient care and resident instruction.
The UTMB Emergency Room and Trauma Center is the major emergency center for Galveston Island, and a significant number of emergency center visits require gynecologic consultation. Over 3,000 patient visits are evaluated by Obstetrics & Gynecology house staff each year. This center is an important teaching site as well as an important source of admissions to our services. Faculty supervision of these activities is excellent.
Regional Maternal & Child Health Program
Health care professionals provide these services to more than 40,000 women and children in 50 south, southeast, and east Texas counties that are considered medically underserved. The clinics also provide more than 180,000 outpatient visits per year for medically indigent patients with a full range of primary care services.
Since 1891, UTMB has continued to grow in size and stature, becoming one of the nation's major biomedical research and treatment centers and an internationally recognized health science institution. The campus has 73 major buildings on 86 acres of land, valued in excess of $750 million.
As Texas' only multi-categorical health science referral center, UTMB receives patients from throughout the state and beyond. Many patients are seeking primary care, while others are referred by physicians worldwide for the specialized diagnostic treatment resources distinctive to the large teaching and research center. Today, more than 28,000 inpatient admissions and 435,000 outpatient visits are logged annually.
The John Sealy Hospital (now John Sealy Towers) opened in 1890 as the clinical teaching facility for the new medical school. With its 12-story, 528-bed tower and 22-room surgical suite, John Sealy Tower is the center of the patient care complex. The UTMB-affiliated Shriners Burns Institute is one of three in the United States operated by the Shriners of North America that provides free care to burned children up to their eighteenth birthdays, regardless of race, religion, or relationship to a Shriner.
Additional facilities include the University Hospital Clinics Building, which houses most of UTMB's 109 subspecialty outpatient clinics, and the University Diabetes Center, one of a few in the nation that offer diabetics a complete range of medical services and products. In 1992, the campus also opened the UTMB Emergency Room and Trauma Center, one of the largest and most sophisticated facilities of its type in the world.
The education of health care professionals is a primary mission of UTMB. In 1891, the first enrollment of the Medical Department began with 23 students and a 13-member faculty. Today, approximately 2,500 students are enrolled in degree and residency training programs administered by UTMB's four schools and two institutes.
The Graduate School of Biomedical Sciences offers master's- and doctorate-level programs in nearly all phases of the medical sciences. Doctor of Philosophy degrees are offered in anatomy, biochemistry, human genetics and cell biology, micro-biology, neuroscience, pharmacology and toxicology, physiology and biophysics, and preventive medicine and community health. Also offered are the Master of Science in biochemistry, microbiology, pathology, and preventive medicine and community health; the Master of Medical Science for individuals who hold the M.D. degree; and Master of Science in Nursing.
The School of Allied Health Sciences was established at UTMB in 1968 and now has an enrollment of over 400 students. The first of its kind in the Southwest, the school prepares students to enter a number of health-related occupations. Study areas include occupational therapy, physical therapy, health information management, medical technology, health-related studies, and physician's assistant studies. Graduate programs are offered in collaboration with the Graduate School of Biomedical Sciences.
The School of Nursing, the oldest in the Southwest, offers both Bachelor and Master of Science degrees. Graduate programs are offered through the UTMB Graduate School of Biomedical Sciences in the specialties of nursing management, primary care practice, advanced clinical nursing, and nursing education. The nursing school has ongoing continuing education programs.
The Marine Biomedical Institute investigates sea life as it relates to human health, and thus provides instructional and research opportunities for medical and graduate students. The Institute for the Medical Humanities was established in 1973, making UTMB one of the few centers in the United States to develop a program incorporating the humanities into its medical curricula.
UTMB Hospitals are approved for graduate medical education by the Accreditation Council for Graduate Medical Education and for residency training in oral surgery by the Council on Dental Education of the American Dental Association. The house staff includes interns and residents who receive graduate training under supervision of the medical faculty, and fellows supervised by the medical and graduate faculty.
At all levels of training, opportunities for collaborative research with faculty members are available and encouraged. Many residents publish independently or with members of the faculty, and each year many students and residents present papers at professional meetings.
The School of Medicine and the Graduate School of Biomedical Sciences have excellent and well-funded basic and clinical research programs in areas such as cancer, gastrointestinal hormones, neurology and neuroscience, immunology and virology, health promotion and disease prevention, and environmental toxicology. Research projects by faculty from all four UTMB Schools attract more than $36 million annually in external support. The John Sealy Memorial Endowment Fund was established at UTMB by the Sealy & Smith Foundation for the John Sealy Hospital of Galveston to encourage research at the Medical Branch. This fund is a growing multimillion dollar resource, currently valued at $40 million.
The campus also houses the Moody Medical Library, a valuable resource to UTMB clinicians, researchers, and students, as well as to community health care professionals. The library's extensive collection includes more than 93,600 books, 124,600 bound journals, 2,900 current journal subscriptions, and 1,700 audiovisual and microfilm titles. Computer networks link the facility with several national computer databases, including that of the National Library of Medicine.
The library holds the Truman G. Blocker, Jr., M.D., History of Medicine Collections, one of the largest such collections in the United States. Items include notable rare books, portraits, prints, personal papers of physicians and scientists, and medical memorabilia.
Galveston enjoys contrasting identities as the site of a busy medical center and as a relaxing seaside resort, its history enlivened by pirate intrigue and Gay Nineties grandeur. Together, these attributes draw nearly six million visitors to the island city annually.
The U.S. Conference of Mayors declared Galveston the nation's most livable city (First Place, 1995, City Livability Award, for cities under 100,000 population). With a population approaching 60,000, the city is situated on Galveston Island, a Gulf of Mexico barrier island approximately 32 miles long and 3 miles at its greatest width. The island lies two miles off the Texas mainland and is connected by causeways and public ferries.
Because of its coastal location and relatively low latitude, cold fronts are infrequent and seldom severe. Normal monthly temperatures range from 48 to 60 degrees in January and from the upper 70s to 88 degrees in August. Average rainfall is about 45 inches a year.
With its thriving port and business community, Galveston claims a number of "firsts" in its history. Included are the first medical school west of the Mississippi, Texas' first customs house, post office, daily newspaper, telephone, chamber of commerce, and orphanage. In the late 1800s, Galveston was the major city in the state with its shipping facilities, banks, real estate, and trading institutions. Much of the commercial activity was centered in Galveston's Strand area known as "The Wall Street of the Southwest."
The island's colorful history provides the backdrop for many attractions enjoyed by both residents and tourists. The Galveston Historical Foundation (GHF) has been a powerful force in restoring the city's wealth of historic architecture. The beautifully restored buildings located on the Strand now house both trendy and elegant restaurants, charming gift shops and boutiques, art galleries, and a wide array of other unique businesses.
GHF sponsors Dickens on the Strand, a winter festival that recreates the Victorian era, and Mardi Gras, which attract hundreds of thousands of visitors annually. Another attraction is the Grand 1894 Opera House, which hosts nationally known artists and symphony orchestras, as well as locally produced events.
Berthed near the Strand is the four-masted sailing ship, "Elissa," which was built in 1887. Though it has been restored as a maritime museum, the Elissa still takes to the sea each year for several voyages with a volunteer crew.
Moody Gardens includes the
Seaside Safari, lush tropical gardens, and a 10-story glass Rainforest
Pyramid. Their IMAX Theater
With its extensive shoreline, fishing piers, and semitropical climate, the island has been a "find" for fishermen and beach enthusiasts for generations. There are several sailing marinas, and the city and county maintain waterfront parks, some with boat launches. On Pelican Island, Seawolf Park has several World War II vessels dry-berthed for tours. Farther west, Galveston Island State Park offers picnic areas, camping, nature trails, and abundant bird watching.
Providing an exciting contrast to the slower pace of Galveston is Houston, which offers the entertainment, services, and goods distinctive to the nation's fourth largest city. Most attractions are within an hour's drive from the island, including the Astrodome and the Summit, which provide arenas for professional team sports, rodeos, circuses, and other special events. NASA's Space Center Houston is less than an hour away.
Jones Hall and the Houston Symphony are also within easy reach, as are the nationally acclaimed Alley Theater and the Wortham Center, home of the Houston Grand Opera and the Houston Ballet. Houston is served by two commercial airports, both linked to the island city by 24-hour limousine service.
Also making significant contributions to the city's economy are the Port of Galveston, the only city-owned port in the state; financial institutions, including insurance and banking; real estate activities; and tourism.
Galveston youths receive free public education through the Galveston Independent School District. In addition, there are four private elementary schools, one parochial junior high school, and one parochial senior high school.
Advanced educational facilities include UTMB, Galveston College, and Texas A&M University at Galveston. Galveston College is a community college offering two-year transfer programs and associate degrees, diploma and certificate programs, and noncredit continuing education classes. The college also offers a number of health-related programs in conjunction with UTMB. Texas A&M at Galveston offers degrees in a number of marine-related disciplines.
Houston universities and colleges also offer a full choice of courses. The University of Houston, Rice University, Texas Southern University, the University of St. Thomas, and Houston Baptist University are about an hour away. The University of Houston-Clear Lake, a 45-minute drive from Galveston, offers unique opportunities for upper division and graduate study.
Diverse offerings include pre-1900 Victorian homes, beach houses perched on stilts, and lofts tucked away in renovated commercial buildings.
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Department
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