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Obstetrics & Gynecology

Program Director

Dr. Ronald Cusano
Room 428, North Tower
1403 - 29 Street NW
Calgary, AB
T2N 2T9

Phone: (403) 944-1437
Fax: (403) 283-7136

 Program Administrator

Karen McKeon

e-mail: karen.mckeon@albertahealthservices.ca

For further information see also:
http://www.carms.ca

Program Outline
The 58 faculty in Obstetrics and Gynecology are comprised of: nine perinatologists, three gynecologic oncologists, five reproductive endocrinologists, three gynecologic urologists, and 39 obstetrician gynecologists.

PGY-1
The PGY-1 year is intended to provide a broad background in clinical medicine. The residents will rotate through internal medicine, psychiatry, surgery, newborn, family medicine, intensive care, and emergency. Rotations are intended to help prepare the resident for Part II of the Medical Council of Canada Qualifying Examination (MCCQE).

Rotations

Obstetrics and Gynecology  

   12 weeks

Surgery

     8 weeks

Internal medicine

     8 weeks

Psychiatry

     4 weeks

Emergency Medicine

     4 weeks

Family medicine

     4 weeks

Intensive care unit

     4 weeks

Special Care Nursery

     8 weeks

Residents are expected to attend the Friday morning academic sessions and Grand Rounds. Residents will also attend the Clara Christie Research Day in Obstetrics and Gynecology in May and the Residency Program Retreat in June. Journal club is held every two months. 

PGY-2 to PGY-5
The Training Program is structured to expose the junior resident to a wide range of general obstetrics and gynecology by spending approximately six months in each of the areas of obstetrics and gynecology. The third and fourth years of the program allow the resident to be involved in each of the three major subspecialty areas, as well as a selection of rotations, including Pathology, Medicine, Surgery, and the general Obstetrics/Gynecology service at the Peter Lougheed Hospital. Rotations in pure Medicine and Surgery are no longer considered mandatory by the Royal College, as long as the resident has participated in other areas deemed acceptable by the College such as Pathology, Critical Care Medicine, Urology, Neonatology, Maternal-Fetal Medicine, and/or Gynecologic Oncology. Elective time is available in a block to allow the resident to pursue a clinical or research interest for up to three months. The final year of the program is to include a rotation as Chief Resident with its attendant responsibilities, as well as rotations in general Obstetrics and Gynecology at the level of a senior resident. In general, elective rotations outside the specialty and off-site rotations will not be permitted during the final year of training.

Rotations
Each rotation is developed by discussion with the designated preceptor for that particular rotation, together with the resident and Program Director, using the structure of a clinical learning unit. This allows each rotation to be organized to meet the educational needs of that resident at the appropriate level of experience. General outlines of each rotation may be used as a standard, but are to be tailored to each resident's needs. This will allow for time to be available for academic sessions and independent research.

Although the service component of some rotations cannot be overlooked, it is the intent of the clinical learning unit structure that the educational objectives of the resident are of primary importance.

Selective Elective Rotations
Beyond the above mandatory rotations, there are 18 months available for residents to participate in selective elective rotations to meet their own educational objectives. All residents are encouraged to consider further rotations at a senior level in clinical obstetrics and gynecology. Other related areas of clinical activity include internal medicine, critical care medicine, surgery, urology, ultrasonography, pathology and/or neonatology.

Residents are encouraged to consider at least three months in an elective rotation in an individual area of interest related to the specialty. This may be within the University of Calgary or at a Royal College approved outside facility (inter-provincial or international). Additionally, residents are strongly encouraged to consider an elective preceptor-based rotation in obstetrics and gynecology outside a major urban centre. Several options are available for such rotations in western Canada, including Medicine Hat, Yellowknife, Red Deer, Cranbrook, Terrace, and Vancouver Island. All electives are subject to approval by the program director.

Seminars and Rounds
The Friday morning Academic Half Day is mandatory for all residents within the program. Each session will usually focus on one or two specific areas. A designated resident develops the materials for the problem-based tutorial utilizing the program learning objectives for the assigned topic. This should be done with guidance from the identified faculty resource member.

A monthly Critical Appraisal Training Club, in the form of a supper meeting on the first Monday of each month, is held to review scientific literature and methods of assessment.

PGY-2 to PGY-5 residents are expected present at Tuesday morning rounds. PGY-3 to PGY-5 residents will be responsible for preparing one Grand Round presentation per year. A designated member of the faculty will act as a resource.

There will be an annual residents' retreat at which time the entire residency program will be reviewed in detail. Recommendations generated by the retreat will be forwarded to the Residency Training Committee for consideration and decisions regarding implementation. This retreat is mandatory for all residents and will also include a recreational component.

Research
It is expected that each resident should be involved in at least two original research projects during residency. This may take the form of a chart audit review, a case report and review of the literature, a clinical trial, and/or a bench research project. This process may be reported to the Department at Grand Rounds and also presented at the annual Clara Christie Research Day in Obstetrics and Gynecology. Presentation at a national or international meeting is encouraged and appropriate funding is available to support such endeavours. Publication in peer reviewed literature of the results of such inquiry is a desirable goal. Participation in research projects will constitute a portion of the ongoing resident evaluation.

Resources
The program is centred at the Foothills Medical Centre, a tertiary referral centre for southern Alberta and eastern British Columbia. The integrated program allows for experience at the Peter Lougheed Hospital and the Rockyview Hospital.

It is a priority to have the most current information available to our residents. Such resources as Medline, Web journals, Platypus, and GyneE are readily available. Each site has computers available that are connected to the World Wide Web, as does the residents lounge, located at the Foothills Medical Centre.

Selection Criteria
All selection to the program is through the Canadian Resident Matching Service (CaRMS). All applicants will be reviewed by a selection committee and a short list developed based on:

  • Academic record.
  • A clear interest in obstetrics & gynecology demonstrated by electives, research projects, and presentations.
  • References, preferably some from the academic community in obstetrics and gynecology.