Residency Program

General Obstetrics and Gynecology

Obstetrics

At The Mount Sinai Hospital, the inpatient Obstetrics service is responsible for intrapartum and peripartum care of both service and private patients. During the day, first-, second-, and fourth-year residents are responsible for management of the labor and delivery floor. At night, a third-year resident with no daytime responsibilities manages the labor and delivery floor with the assistance of a physician’s assistant or a junior resident. Immediate backup is always available from the in-house chief resident, and 24-hour in-house attending coverage is provided. The postpartum floors are managed by the entire team. Care of service patients is the responsibility of the residents, with supervision and consultation by attending physicians. Over 5,500 deliveries a year take place at Mount Sinai, of which 60 percent are private and 40 percent are service.

The Obstetrics service at Elmhurst Hospital Center (EHC) is managed by a third-year resident working with a first- and second-year resident. Approximately 4,500 patients deliver each year at EHC, all of whom are on the clinic service. The prenatal clinics are staffed by a third-year resident working with nurse-midwives. At night, the labor floor, as well as the emergency room, is managed by either a third- or fourth-year resident, a second-year resident, and an intern. The attending staff provide active supervision of all aspects of the residents’ work. This supervision includes daily rounds and 24-hour in-house coverage for consultation.

Gynecology

Approximately 2,500 surgical procedures, including major and minor abdominal, vaginal, and endoscopic operations, are performed annually at The Mount Sinai Hospital. Three operating rooms are designated for gynecologic cases, five days a week.

The inpatient Gynecology service is supervised by a team of attendings that makes daily rounds with the residents. Inpatient and ambulatory gynecologic surgery and patient management are performed by residents under the supervision of attendings and senior residents.

Keeping pace with the rapidly changing world of medicine, the Division of General Gynecology has created several subdivisions and subspecialties. Residents train with faculty whose areas of expertise include urogynecology, infectious disease, breast disease, operative gynecology, operative laparoscopy, adolescent health, colposcopy, family planning, geriatric gynecology, and menopause.

The Division of General Gynecology has designated specialty clinics for urogynecology, menopausal management, and colposcopy. Residents rotate through these clinics as well as the surgical breast clinic, which is run by the Department of Surgery. The Division of General Gynecology also serves the Department of Emergency Medicine, where many patients with gynecologic problems are seen each year. Nearly 11,000 gynecologic visits per year are managed in the outpatient clinics.

At Elmhurst Hospital Center, the gynecology team staffs an operating room two and a half days per week and runs a busy gynecology clinic three sessions per week. Each year, over 1,300 major and minor gynecologic operative procedures are performed at EHC. As EHC is a major municipal hospital, the rotations there offer the residents valuable exposure to patients with complicated gynecologic problems.