Schedules & Work Hours

 

Didactics

Formal resident didactics are held every Tuesday morning from 8:30-11:30 AM.  Each week residents have two educational sessions consisting of lectures, case-based learning, simulation, ultrasound, research and statistical education.  This time is protected for resident education and no educational duties should interfere with the learning environment. 

Departmental grand rounds and morbidity and mortality conference are held bi-weekly on a rotating schedule prior to resident didactics.  Upper level residents are responsible for case selection, preparation, and presentation for M&M conference.  Grand rounds are delivered by guest speakers and faculty members of the department of OBGYN.  Journal club is held quarterly.  Second year residents present a pertinent journal article of their choice with the help of a faculty mentor.   

Resident Call Schedule

Residents of all levels complete 8 total weeks of a night float rotation split into two 4-week blocks.  The 1st, 2nd, and 4th year resident work Sunday through Thursday night at the Shawn Jenkins Children’s Hospital/Pearl Tourville Women’s Pavilion covering labor and delivery, postpartum, antepartum and pediatric GYN consults.  The 3rd year resident works Sunday through Friday night at the Main MUSC Hospital two blocks away covering gynecology, gynecologic oncology, and consults.

Weekend call is split into two shifts.  One resident works 12 hours overnight Friday and 12 hours on Sunday during the day.  A second resident works a 24- hour shift from Saturday morning to Sunday morning.  Call is divided evenly within a class.  Most residents are on call 2 weekends a month with 2 weekends off. 

Rotations

PGY1	PGY2	PGY3	PGY4
Ambulatory Benign GYN GYN ONC L&D Days L&D Nights Postpartum REI	Antepartum Benign GYN Family Planning GYN ONC L&D Days L&D Nights	Antepartum Benign GYN Elective GYN Coverage GYN Nights GYN ONC	Benign GYN Coverage GYN ONC L&D Days L&D Nights Outpatient Surg

Description of Rotations

Labor & Delivery/Night Float (Obstetrics): PGY level 1, 2, 4. ~3000 deliveries a year, 17 L&D rooms, 4 triage rooms, 2 OB ORs, Mother Baby Unit. The floor is covered by a 1st, 2nd, and 4th year resident in addition to a Certified Nurse Midwife and Attending physician daily. The 1st year is responsible for vaginal deliveries, primary cesarean sections, and triage visits with assistance from the 2nd and 4th year residents as needed.  The second-year resident performs all repeat cesarean sections and other obstetric procedures including cerclage placement, cordocentesis, external cephalic version, amniocentesis as needed. 

Postpartum: The postpartum service is covered by a 1st year resident and a Certified Nurse Midwife.  Together they round on the service daily and care for the patients as appropriate.  In the afternoon the 1st year resident spends time split between ultrasound, reproductive infectious disease clinic, family medicine clinic, and continuity clinic.

Gynecology: PGY level 1, 2, 3, 4. Early operative exposure with graduated autonomy and case load. Experience includes Preop Conference and Clinic, Colposcopy Clinic, PAGS Experience, Urogyn, MIGS, Robotic Curriculum, Outpatient Surgery rotations for upper levels. The team also covers the VA clinic and the VA OR.  

Gynecologic Oncology: PGY Level 1, 2, 3, 4. Early operative exposure with graduated autonomy and case load. Collaborative experience with Radiation Oncology, Palliative Care, various consulting teams. Participate in national clinical trials in partnership with the GOG. Weekly tumor board and preop clinic. 

Ambulatory: PGY 1. This is a clinic rotation. The intern will spend time in Internal Medicine and Women’s Health clinics. One ½ day is reserved for ultrasound basics.  

REI: Residents spend 4 weeks during 1st year rotating with 4 faculty REI physicians at Coastal Fertility Specialists.  During this rotation they are exposed to infertility counseling, workup, and management.  Additionally, they observe in infertility procedures including hysterosalpingograms, intrauterine inseminations, egg retrieval, embryo transfer, and transvaginal ultrasound. 

Antepartum: The inpatient antepartum service is covered by a 2nd and 3rd year resident.  Daily responsibilities include rounding and consultations.  Each resident also spends one half day per week with a Maternal Fetal Medicine attending in clinic seeing high risk obstetrical patients.

Family Planning: MUSC is a Ryan Residency Training Program and offers residents the full scope of family planning.  During this 8-week rotation 2nd year residents run a family planning clinic specializing in complex contraceptive and miscarriage management.

Elective: Residents receive 4 weeks of elective time during their third year.  Time is often spent completing away rotations, participating in international or domestic OBGYN experiences, or as intensive research time.

Outpatient Clinic/Surgery: The “OPS” rotation offers 4th year residents a taste of life after residency.  With 2 ½ clinic days a week and 2 OR days a week with a private practice Gynecologic Oncologist at Roper Hospital residents experience the full spectrum of life as an OBGYN.

Continuity Clinic: Overall our program averages approximately 60 continuity clinics a year. They are spread over several rotations. Patient complexity and workload commensurate with level of training. 

Coverage: For 8 weeks during 4th year residents float between various services based on volume and need.