Clinical Rotations

Rotations

With seven residents per year, each rotation is approximately 7-8 weeks long, unless otherwise noted below. Clinical experience takes place at Mount Sinai West and Mount Sinai Morningside. These hospitals are both on the Upper West Side of Manhattan and easily accessible to each other, within three miles. Transportation between the hospitals is provided; housing is near Mount Sinai West. As the hospitals have been affiliated with each other since 1979, most physicians work at both sites. Mount Sinai West is home to thriving services in both obstetrics and gynecology, while Mount Sinai Morningside, a trauma center, has a busy gynecology service but no labor floor. Full consult services are available at each hospital.

PGY-1 Rotations

The first year is an overview of the basics and the breadth of obstetrics and gynecology. Clinical skills and experiences are introduced in a stepwise fashion, starting with simulation of basic procedures during orientation, and progressing to more complicated surgeries by the end of the year.

• Labor & Delivery x2

• Operative Gynecology

• Ambulatory Gynecology

• REI (4 weeks)/Emergency Medicine (2 weeks)

• Float (Antepartum, Neonataology/NICU, Ultrasound)

• Vacation (4 weeks)

PGY-2 Rotations

The second year moves beyond the basics of obstetrics and gynecology. During the antepartum rotation, residents work closely with MFM fellows and subspecialists to coordinate inpatient and outpatient care of complicated pregnant patients. On the labor floor, second-year residents expand their surgical skills by progressing to complicated cesarean sections. 

On the gynecology rotations, residents expand their surgical skills, including laparoscopy. During this time, residents also begin to take an active role in managing complex problems such as ectopic pregnancy and ovarian torsion. There is also a rotation in family planning during this year, during which residents become proficient in surgical and medical abortion, contraception management, and sterilization procedures. To complement these expanding skills, gynecologic oncology is introduced this year.

• Labor & Delivery x2

• Operative Gynecology

• Ambulatory Gynecology

• Antepartum

• Gynecologic Oncology 

• Family Planning

• Vacation (4 weeks)

PGY-3 Rotations

During year three, residents gradually take on more and more responsibility with support from the chief residents and attendings. On L&D, you will be running the board. On GYN, you will be doing major cases, including laparoscopic hysterectomies. The third year also includes flexible time for an elective that is scheduled on a case-by-case basis, depending on the resident’s interest.

• Labor & Delivery x2

• Operative Gynecology

• Ambulatory Gynecology

• Antepartum/ICU

• Ambulatory/Float

• Elective

• Vacation (4 weeks)

PGY-4 Rotations

In the final year of residency, the depth and breadth of your clinical skills will be expanded and you will take on a leadership role. Chief residents are given autonomy to manage their own services under the supervision of an attending. This also includes an active role in mentoring and teaching their junior residents. As a resident, you will take the lead in managing the most complex inpatients on both obstetrics and gynecology.

• Labor & Delivery x2

• Operative Gynecology

• Ambulatory Gynecology

• Gynecologic Oncology

• Ambulatory/Float

• Vacation (four weeks)

Night Float Rotations

All residents participate in a night float system that adheres to the ACGME work-hour rules. Night float is assigned in two-week blocks to minimize fatigue and personal life disruptions. When not on nights, residents take call on weekends. All residents have an average of at least two weekends off per month.