The PGY-4 should be able to perform vaginal hysterectomies with anterior and posterior colporrhaphy, enterocele repairs, vaginal procedures for incontinence and retropubic urethropexy procedures. The PGY-3 on the gynecology service should learn to perform total laparoscopic hysterectomies, perform more extensive adheiolysis by either laparotomy or laparoscopy, perform exision of large adnexal masses by either laparotomy or laparoscopy, perform diagnostic and operative hysteroscopy, and perform cystoscopy and placement of ureteral stents. While on the obstetrics and gynecology service, first-year residents are exposed to patients requesting contraception, abortion, and sterilization. The PGY-1 rotates through the family planning clinic where the indications, evaluations, and techniques of Norplant insertion and IUD insertion are taught. First-year residents also rotate through the pregnancy termination clinic, where evaluation of the patient and indications for termination are taught.
All residents partake in the hospital mangement of pregnancy termination complications.
In addition, PGY-2's have further exposure to the family planning and abortion clinics. Second-year residents partake in infertility evaluation and management, including ultrasonography, hysterosalpingograms, diagnostic and some operative laparoscopy, and assisted reproductive technologies such as in vitro fertilization and gamete intrafallopian transfer procedures. The management of menstrual disorders and menopause is also taught, along with evaluation, but not management, of other endocrine disorders.