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Rotation and Evaluation

Rotation Schedule

The First Year
  • Five Months - SSM Health St. Mary's Hospital obstetrics
  • One Month - SSM Health St. Mary's Hospital obstetrics/ultrasound
  • Two Months - SSM Health St. Mary's Hospital gynecology
  • Two Months - Specialty clinics
  • Two Months - Night float
The Second Year
  • One month - Surgical Intensive Care Unit at SSM Health St. Mary's Hospital
  • Two months - SSM Health St. Mary's Hospital gynecology
  • One month - Gynecology clinics
  • One month - St. Luke's Hospital gynecology and gynecologic oncology
  • One month - Specialty clinics
  • One month - Gynecologic oncology
  • Two months - Night float
  • Three months - SSM Health St. Mary's Hospital obstetrics
The Third Year
  • Two months - Reproductive endocrinology/infertility
  • One month - Gynecologic oncology
  • Two months - Night float
  • One month - Urogynecology
  • Two months - SSM Health St. Mary's Hospital obstetrics
  • One month - Specialty clinics
  • Two months - St. Luke's Hospital gynecology and gynecology oncology
  • One month - SSM Health St. Mary's Hospital gynecology/Saint Louis University consults
The Fourth Year
  • One month - SSM Health St. Mary's Hospital gynecology/Saint Louis University consults
  • Two months - Urogynecology
  • Two months - SSM Health St. Mary's Hospital Obstetrics
  • One month - Specialty clinics
  • Two months - Gynecologic oncology
  • Two months - St. Luke's Hospital gynecology and gynecologic oncology
  • Two months - Night float
Resident Experience
  • General obstetrics and gynecology
  • High-risk obstetrics
  • Neonatal intensive care unit
  • Operative gynecology
  • Gynecologic malignancies
  • Infertility and endocrinopathies
  • Pathology
  • Diagnosis and management of breast disease
  • Urogynecology
  • Genetic disorders
  • Ultrasonography
  • Psychosexual counseling
  • Critically ill patients
  • Emergency medicine
  • Basic medical epidemiology and statistics
  • Ethics and medical jurisprudence

Resident Evaluation

Continuous, individual evaluation is an integral part of our residents' education throughout four years of training. Residents are formally evaluated by faculty after each rotation and on specific encounters during that rotation. Faculty members are also encouraged to provide ongoing feedback to residents about their attitudes, knowledge and skills throughout their time of interaction. In addition, residents are evaluated using the 360° evaluation method, including evaluations from not only from faculty, but also their peers, medical students, patients, nurses and self evaluation.

Six-Month Evaluation

At the six-month evaluation intervals, residents are provided with a written evaluation summary that has been prepared by the program director. This summary is based on resident performance in their assigned rotations, their Council on Resident Education in Obstetrics and Gynecology (CREOG) examination scores, Obstetrics and Gynecology Milestones assessed by the Clinical Competency Committee, and any other issues deemed important by the resident or the faculty.

Yearly Evaluation

The residents and faculty are encouraged to evaluate the program on a yearly basis. Residents also evaluate their rotations on a monthly basis. An anonymous, formal written evaluation of the faculty by the residents is conducted on a yearly basis. These evaluations are summarized at the yearly Program Evaluation Committee Meeting where changes or improvements are discussed, if necessary.

Self-Assessment

Residents are encouraged to submit a self-assessment on a yearly basis. The progress of this self-assessment is discussed with their faculty adviser. Residents are encouraged to communicate with their faculty advisers as often as necessary for assistance with professional development.

Core Competencies

Resident performance, in general, is also discussed at the semi-annual Clinical Competency Committee meetings as the basis for promotion to the next level and graduation of the chief residents.

Residents are evaluated using the core competencies provided by Accreditation Council for Graduate Medical Education (ACGME). These include patient care, medical knowledge, practice-based medicine, systems-based practice, professionalism and interpersonal and communication skills. Residents are then assessed using milestones, which are knowledge, skills, attitudes and other attributes for each of the competencies organized in a developmental framework from less to more advanced.  

Interpersonal, Communication and Teaching Skills

Medical students and nurses routinely submit their evaluations of the residents concerning their teaching performance. This is included in the clinical competency committee review process. Patients also evaluate the residents on professionalism and communication. Finally, the residents are evaluated by their peers. This 360-degree evaluation process evaluates the residents’ competence in interpersonal and communication skills and teaching skills.

Performance and Professional Development

Complaints concerning resident performance are referred immediately to the program director, who meets with the individual resident for constructive counseling. Residents regularly meet with the director and the associate director to discuss organizational issues, progress in training, performance and professional development. As a result of this process, most conflicts are prevented or resolved and the director continues to personally monitor progress. If deemed necessary, more formal confidential counseling is available at the medical school. When required, remedial work is assigned.

It should be noted that the director places equal importance in rewarding good performance. This is stressed at the periodic meetings with individual residents as well as during case conferences.