A Day in the Life as an Ob/Gyn Resident
Thank you for your interest in the University of Texas Medical Branch (UTMB) Obstetrics and Gynecology Residency Program. Our program offers a diversity of academic and clinical experience in gynecology, oncology, infertility, urogynecology, maternal medicine fetal medicine, pediatric gynecology, and sonography. The University of Texas Medical Branch is a component of the University Texas System and is located on beautiful Galveston Island and 40 miles south of Houston, Texas. As one of the first departments in the School of Medicine at UTMB, the Department of Obstetrics and Gynecology has provided over 100 years of specialty training, patient care, and research.
The Obstetric rotation is 6 weeks long with a wide variety of patients and procedures. As an intern, this is likely the hardest rotation of the year. However, it is also one of the most rewarding. You learn so much so fast. You will learn about patient care as well as different procedures such as placing foley bulbs and Dilapan to start inductions. Also learning procedures such as vaginal deliveries, laceration repairs, bilateral tubal ligations, and cesarean sections. You finish the rotation surprised at how much you have progressed. We benefit from a close relationship with the midwife team, as well as the pediatrics and anesthesia teams. MFM fellows are also present on labor and delivery and are all excellent teachers.
GYN is an excellent rotation, providing a wonderful mixed team dynamic and the opportunity to evaluate many diverse gynecological complications. As a second-year, the rotation becomes far more interesting as you assume more of a leadership position, as the upper levels are frequently unavailable to manage the day to day patient concerns. I did my first hysterectomy as a second-year GYN resident - abdominal and laparoscopic. The learning curve is steep, as always in residency, but it is cool to look back and see how much improvement in clinical and surgical skills you've made!
PGY2 Texas Department of Correction (TDC)
UTMB has the privilege of working with the Texas Department of Corrections. This patient population is wonderful to work with and provides the residents with great educational experiences. We have the chance to greatly improve overall examination skills in the weekly TDC clinics where the large patient volume provides ample opportunity to refine important skills such as colposcopy and preforming LEEPs. As well as exposure to unique pathology encountered during surgeries.
PGY3 The University of Texas - M.D. Anderson Cancer Center
The MD Anderson rotation is a 6-week rotation in Houston, you will live in an apartment in Houston. You will be part of one of Gyn Oncology teams and get to take care of many patients with a wide variety of gynecologic cancers. MD Anderson is one of the top cancer hospitals in the world and as a result has patients from all over the country and world that come there to get care. You get the opportunity to take care of patients in the clinic and in the hospital and learn from world-renowned Gyn Oncologists. You will participate in extremely interesting surgeries including radical hysterectomies, large staging, and debulking procedures, and many other procedures. The MD Anderson rotation is a huge asset to the residency training program and we are grateful for the learning experience.
Getting to work with Houston Fertility Institution (HFI) with Dr. Witz adds a great educational experience to our residency program. The clinical exposure to infertility as well as other endocrinologic disorders is interesting as well as beneficial for understanding topics tested on CREOGs. The institution also provides exposure to different procedures such as egg retrievals you otherwise may not experience at other programs. This rotation lets the residents hone in on their operative hysteroscopy skills.
PGY4 Gynecology - Beaumont, TX
The rotation in Beaumont provides UTMB residents the chance to work one-on-one with private practice physicians and learn their individual surgical techniques, approaches, and styles. We are exposed to a high volume of surgical cases and become comfortable with the various approaches for a hysterectomy (TAH, TLH, LAVH, supracervical hyst, and robotic hysts) in addition to many other gynecologic surgeries. This not only provides us with excellent teaching by this private practice group of surgeons but also notably increases resident case numbers and case variety. Residents are also provided with the opportunity, if interested, to participate in office procedures such as IUD placement, hysteroscopic Essure placements, and endometrial ablations.