Residency Program

Program Director, Dr. Jennifer Domingo-Mihalko

This is a successful, independent OB/GYN residency program in a hospital affiliated with Stanford University. Our residency program received a full 5-year accreditation by the Accreditation Council for Graduate Medical Education and the Residency Review Committee in OB/GYN on its last Site Review and maintains ongoing full accreditation. SCVMC is a Level 1 Trauma Center and has a Level 3 NICU. Our Program is a unique Community-Based Residency Program as, although we have independent training programs in OB/GYN, Internal Medicine and Radiology, the rest of our clinical services are run by Stanford services. With our internal Residency Programs and as one of Stanford’s main teaching hospitals, our hospital successfully trains up to 25% of physicians who currently serve in our community. The diverse and large patient population allows for ample exposure to clinical training in general obstetrics and gynecology as well as all the major subspecialties. Stanford medical students take their basic OB/GYN clerkship at SCVMC throughout the year and Residents are integrally involved in their education.

In our Residency Program ,strong emphasis is placed on the frequent educational conferences as well as the growth of responsibility for patient care by each resident. The Faculty assure the highest standards of medical care and maximum of graded supervision and training for the residents. SCVMC OB/GYN residents perform well on the annual in-training national comprehensive OB/GYN exam as well as on the Certifying and Qualifying Exams for our Specialty. We have had Residents successfully pursue and complete Fellowships in MFM, FPRMS and Advanced Laparoscopy. The majority of our Residents enter full-scope Generalist Practice and feel comfortable with the training provided in their Residency.

Rotation Schedule (1 block = 4 weeks)

PGY1

Obstetrics (3 blocks)
Gynecology (2 blocks)
Family Planning (1 block)
Gynecologic Oncology (1 block)
Night Float (2 blocks)
ER/MICU (1 block)
Inpatient Medicine (1 block)
Health Equity/Primary Care (1 block)

PGY2

Obstetrics (3 blocks)
Gynecology (2 blocks)
Family Planning (1 block)
Gynecologic Oncology (2 blocks)
Night Float (3 blocks)

PGY3

Obstetrics (3 blocks)
Gynecology (3 blocks)
Reproductive Endocrine & Infertility (1 block)
Minimally Invasive Surgery (1 block)
Night Float (3 blocks)

PGY4

Obstetrics (3 blocks)
Gynecology (3 blocks)
Minimally Invasive Gynecologic Surgery (2 blocks)
Gynecologic Oncology (3 blocks)

New Health Equity Rotation

As part of our Department’s commitment to reproductive justice and caring for underserved patients, we created a new Health Equity Rotation called ACCESS: Anti-Racism, Clinical Excellence, Community Engagement, Structural Competency and Self Reflection. This new rotation incorporates various clinical experiences with Community Health Center partners that focus on caring for marginalized patients ( including patients who are transgender, undocumented, incarcerated, have substance use disorders, or are homeless among others). The rotation features structured reading and lectures along with a longitudinal curriculum. Using a trauma-informed framework, we hope to help our residents to learn about heath care disparities and structural and social determinants of health for historically excluded groups. We also hope that this rotation lays the foundation for lifelong advocacy work.

Conferences

During each 2-year cycle, we cover all aspects of the national curriculum of Ob-Gyn recommended by CREOG. The teaching conferences are integrated with quality assurance and quality improvement programs to maintain the highest standard of practice by members of our department.

Dedicated Educational Time: Coverage is arranged so that Residents can attend the following sessions.

Thursday Morning Protected Educational Time

The entire Thursday morning is comprised of conferences and typically runs from 8am to 12 noon. These include Grand Rounds, Preop/Postop Conference, Journal Club, Pathology Conference, Diagnostic Imaging Conference and Didactic lectures.

GYN PREOP/POSTOP CONFERENCE
Once a week on Thursday mornings, this interactive teaching session is led by the Gyn Chief Resident. Gyn and Gyn Onc Service Attendings participate and provide support.
JOURNAL CLUB
Occurs every two months
PATHOLOGY CONFERENCE
Occurs every two months as an interdisciplinary conference with the Pathology department
DIAGNOSTIC IMAGING CONFERENCE
Monthly as an interdisciplinary conference with the Radiology department
DIDACTIC LECTURES
Once a week on Thursday mornings an Attending gives a lecture on a CREOG curriculum-based topic.

Surgical Skills Sessions

The Summer session covers basic skills such as repair of the 4^th degree laceration, c-section, abdominal and vaginal hysterectomy, IUD insertion, cone biopsy and manual vacuum aspiration. Additionally, there are two sessions on laparoscopic / Robotic surgical skills, one in the Fall and another in the Spring. In the Winter we have a session focusing on operative hysteroscopy.

Occurring four times per year during Thursday morning protected time, each session is focused on a particular area. We have the following Surgical Simulators to supplement our Surgical Skills Sessions: FLS Simulators (2); Vaginal Hysterectomy Surgical Simulator (MIYA MODEL) and C-Section Simulator. The FLS Simulators are available all year round for Residents to use.

OB Drills

Residents participate in multidisciplinary simulation drills to enhance our preparedness for obstetric emergencies. OB Emergency Drills are run on a bimonthly basis (6 sessions/year) with Residents rotating through various scenarios. The Drills not only focus on learning management of obstetric emergencies but also on improving communication skills amongst L&D team members.

Once a year we also hold a skills session for operative vaginal delivery, including both forceps and vacuum delivery with pelvic models.

GYN Team Weekly Teaching Sessions

Twice a week on non-OR mornings, the Gyn Team meets for didactic sessions:
- Gyn Service Attending didactic
- Practice-Based Learning session, which is given by a different Gyn Team Resident each week

OB Team Weekly Teaching Sessions

The OB Team meets after morning sign-out rounds for interactive teaching sessions
- OB Attending didactic, which is usually based on a landmark OB article, Committee Opinion, or Practice Bulletin
- Fetal Heart Rate Monitoring conference, led by the OB Chief Resident
- High Risk OB Conference, led by the Antepartum High Risk OB Resident
- Practice-Based Learning session, which is given by a different OB Team Resident each week

Monthly QA/QI Conferences

NICU PERINATOLOGY CONFERENCE
This interdisciplinary conference is held every 3rd Friday (Neonatologists & OB).
GYN QA/QI COMMITTEE
Monthly, which residents attend and actively participate.
OB QA/QI COMMITTEE
Monthly, which residents attend and actively participate.

Wellness Curriculum

Monthly Process Group, which is confidential and attended by Residents and a moderator only
Starting in July 2020 we implemented a Wellness Curriculum with interactive sessions occurring every 2 months, which are led by our Wellness Chief Resident or the Wellness Faculty Advisor

Night Float/Call Schedule

As of the 2010-2011 Academic Year, our Residency Program has converted to a Night Float Schedule. Our program no longer has 24-30-hour CALL shifts. The Night Float/CALL schedule is designed with a 16 hr maximum work shift for all residents and includes Patient handoffs. The Night Float Team works from Sunday – Thursday Night (5 shifts) in 14-16 hr shifts. The Day Teams work 10-13 hr shifts with one weekend shift. Residents get 1 day off/week and one weekend off/block (days off/ block). As a result, the Program is compliant with ACGME Work Hours Regulations and has resulted in an overall improvement of the Educational Environment and has enhanced overall Resident Well-Being.

Contact Us

For more information or other inquiries contact:

Nicole Losik-Aguilar
OB/GYN Residency Program Coordinator

Santa Clara Valley Medical Center
751 S. Bascom Avenue
San Jose, CA 95128

Phone: (408) 885-5554
Email: [email protected]