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Brigham & Women’s Hospital and Massachusetts General Hospital, both major teaching hospitals of Harvard Medical School, are the major clinical sites for our residency. In addition, residents have rotations at Boston Children’s Hospital, Faulkner Hospital (a community hospital affiliated with BWH), and at Newton-Wellesley Hospital (a community hospital affiliated with Partners). Our residents are exposed to well-respected divisions at both BWH and MGH that include fellowships in all of the major Ob/Gyn subspecialties. This exposure enhances both patient volume and complexity as well as providing an unparalleled depth and breadth of clinical teaching experiences.
The BWH Obstetrical service performs approximately 7000 deliveries per year. Approximately half of the patients are from the Ambulatory Obstetrical practice (including the resident prenatal clinic and nurse midwifery service) or high risk patients from the Maternal Fetal Medicine practice or transfer service. The MGH Obstetrical service performs 3500 deliveries per year, with patients from on-site Maternal Fetal Medicine and Obstetrical practices, neighborhood health clinics, and the Nurse Midwifery service. The Labor and Delivery units at both sites have active triage units, full time obstetrical anesthesia, and the L&D unit at BWH also functions as an ICU with critical care nursing, and with supervision by MFM and OB anesthesia attendings. Residents participate in all labor and delivery activities at both sites, and in high risk, prenatal, and postpartum care at BWH.
Obstetrical services at both BWH and MGH have very active Maternal Fetal Medicine divisions with Fellowships at both sites, and both serve as tertiary sites for referral patients throughout New England. Residents rotate through the high risk service at BWH, and spend time in the obstetrical ultrasound unit. MFM Fellows serve as attendings, consultants, and teachers for the residents.
During AY 2015-2016, residents performed as a primary surgeon on approximately 1150 hysterectomies, 1470 laparoscopies, 900 urogynecology cases, 1400 minor cases, and 800 cases performed for invasive cancer. Residents participate in the perioperative, surgical, and postoperative management of both private and clinic patients at both BWH and MGH. Generalists as well as subspecialists in Gyn Oncology, Female Pelvic Medicine and Reconstructive Surgery, Minimally Invasive Gynecologic Surgery, and Reproductive Endocrinology and Infertility supervise residents in level-appropriate operative cases. Urogynecology and MIGS cases are also performed during the Newton-Wellesley Hospital rotation.
Each resident has a gynecology continuity clinic each week during years 2-4. Potential operative cases from these clinics are presented at weekly OR committee. Gyn attendings supervise residents in the management of operative, consultative, and emergency care of service patients for a week's duration.
Residents participate in operative, outpatient, and inpatient subspecialty care through discrete rotations in Gyn Oncology, Reproductive Endocrinology and Infertility, Pediatric and Adolescent Gynecology, and Family Planning. Operative exposure to FPMRS and MIGS is on a continual basis during Gynecology Service rotations.