Gynecologic surgical instruction is a very important part of the training of the obstetrician/gynecologist. We take pride in having some of the finest gynecological surgeons on faculty, and the surgical laboratory and technical equipment to provide cutting edge education. Dr. Keith Reeves is co-director of the Methodist Pelvic Floor Reconstructive Program, which is a collaboration of gynecology, urogynecology, colorectal surgery, plastic surgery, and urology, in caring for women with complex gynecological surgical conditions. Additionally, Methodist Hospital has 7 da Vinci robotic systems (Intuitive Surgical Systems, Inc), the most of any hospital in the United States. Two of these systems are the new Si dual variety, which has the primary console for the surgeon and a second console for the resident assistant. Residents are certified in Robotic Surgery before the PGY4 year. The surgical training laboratory and simulators available to residents 24/7 also provide for amazing learning opportunities.
Residency is a difficult adjustment. Each resident is assigned a faculty member as mentor to assist in adapting to the pressures of residency, to offer a safe and relaxed setting for career discussion and advice. Mentor-resident meetings occur throughout the year. Resident preference is used to guide the assignments.
Twice a year, residents engage in a resident-only all day retreat for the purpose of team building, communication, and building morale. This is a completely resident-directed event, and funded through the Dept of Ob/Gyn. One of the unique venues has been a scavenger hunt in the Kemah Boardwalk. During the resident retreat, faculty members cover the resident responsibilities, allowing all the residents to be off campus.
Chief Resident Continuity Rotation
Residents need to progressively become more autonomous, and eventually working toward evaluating and managing their own patients. To help the adjustment to independent practice, each Chief resident has a 2 month rotation where they evaluate gynecologic patients in the outpatient setting and make decisions for therapy. Those patients whom they want to take to the operating room are presented at the Gynecologic Disposition Conference, where the resident must defend their proposed management based on current literature, and be prepared to discuss alternative therapies and why their proposed plan is best.
Urodynamic Studies Curriculum
Urinary incontinence is a common disorder of women. The ob/gyn physician should be well versed on how to evaluate these complaints and understand the role of cytometric studies, including how to perform these tests. Upper level residents in our program are instructed on how to perform urodynamic studies in the residency continuity clinic under the director of Dr. Konrad Harms. Residents have a primary role in supervising the performance of specialized multi-channel cystometric evaluation of patients identified as having urinary complaints, and interpret those studies, making diagnoses of stress urinary incontinence, urge incontinence, combined incontinence, or other disorders.
Funding for Resident Research Presentations
Residents who have their research accepted to regional or national conferences are given funding to pay for their travel expenses. In the past 5 years, residents have presented to national conferences such as the American College of Ob/Gyn, the Association of Professors in Gynecology and Obstetrics, the American Institute of Ultrasound in Medicine, Central Association of Ob/Gyn, and the Texas Association of Ob/Gyn. Venues include Orlando, New York City, Salt Lake City, San Francisco, San Diego, San Antonio, and Austin.