Residency Program Overview

Competency-Based Medical Education, building competency by design

PGY1 

A stage covering broad-based competencies that every trainee must acquire before moving on to more advanced, discipline-specific competencies
Transition to Discipline
 
Transition to discipline (2 blocks)
  • ObGyn
  • Surgical foundation
TTD emphasizes the orientation and assessment of new trainees arriving from different medical schools. During TTD (2 blocks) the resident will attend the Surgical Foundations Bootcamp while spending time in 3 weeks each of Obstetrics, Clinics and the Operating room.
Foundations of Discipline
 
Junior Obstetrics (4 blocks) For this rotation you will be paired with a Chief OB Resident. You will learn basic obstetric ultrasound skills and the principles of management of normal and abnormal labour. You will manage antepartum, intrapartum and postpartum inpatients and perform spontaneous vaginal deliveries, instrument assisted deliveries and Caesarean sections. The expectation is that by the end of this rotation you will be able to do a C-section as primary surgeon with a skilled assistant.
Ob/Gyn Clinics (1 block) The Clinics rotation gives residents exposure to a wide variety of outpatient obstetrics (both low risk and high risk pregnancies) and general gynecology. 
Off-Service Rotations in:
  • Anaesthesiology (1 block) 
  • Neonatology (1 block)
  • Internal Medicine (1 block)
  • Emergency Medicine (1 block)
  • General Surgery (1 block)
  • ICU (1 block)
These "off service" rotations provide broad general experience in preparation for obtaining the qualification of Licentiate of the Medical Council of Canada (LMCC).

PGY 2

Foundations of Discipline Continued
 
Junior Gynaecology (4-5 blocks) For this rotation you will be paired with the Chief Gynaecology Resident who functions in both a teaching and mentoring role. You will work in the operating room, wards, clinics and the ER. The expectation is that by the end of this rotation you will be able to do a TAH & BSO as primary surgeon with a skilled assistant.
Junior Gynaecologic Oncology
(3 blocks
)
For this rotation you will be paired with the Senior Gynaecologic Oncology Resident and will gain early experience in the surgical and inpatient care of women with gynaecologic malignancy. You will work in the OR, in the Regional Cancer Clinic, and provide care, including chemotherapy and palliative care, to patients.
Community Ob/Gyn (3 blocks) The junior community rotation is at the Brockville General Hospital, a primary care community hospital located 45 minutes from Kingston. Here the residents have their first opportunity to develop clinical and surgical skills outside a teaching centre. Lodging is provided.
Women’s clinic/gynaecology clinics (1 block) The resident will be exposed to counselling of women seeking 1st trimester terminations, both medical and surgical, will perform surgical terminations and will spend time in general gynaecology clinics when not in the Women's Clinic.
Research (1 block) This protected research block enables the resident to formulate a research question and begin development and implementation of a research project early in residency. 

PGY3

You will gain intermediate level exposure to subspecialty practice. This stage will provide broad experience and help in career planning. 
Foundations of Discipline Continued
 
Maternal Fetal Medicine (4 blocks)
During the MFM rotation, the resident learns advanced skills in ultrasound and is exposed to high-risk pregnancies.
Urogynaecology (4 blocks) While on the Urogyne service, the resident learns the interpretation of urodynamics (including videourodynamics) and performs various anti-incontinence procedures and abdominal and vaginal reconstructive procedures for pelvic organ prolapse. 
Reproductive Endocrinology & Infertility   (4 blocks) While on the REI service, the resident participates in the Ovulation Induction/Intrauterine Insemination Program and performs intrauterine inseminations. There is also a satellite IVF program in Kingston. Operative laparoscopy and hysteroscopy are learned and performed by the resident. 

PGY4 

Core of Discipline
Chief Obstetrics (4 blocks) This rotation provides consolidated OB experience at the senior level. You will also have a teaching and mentoring role for your Junior resident (PGY1). 
Community Ob/Gyn (4 blocks) These blocks are spent at a community location of the resident's choosing. 
Gynaecologic Oncology (4 blocks) In this rotation you will gain experience in surgery, chemotherapy and radiotherapy, and palliation for gynaecologic oncology patients. You will participate in complicated inpatient care and you will also have a teaching and mentoring role for your Junior resident (PGY2).  

PGY5 

Transition to Practice
Chief Gynaecology  (4 blocks) This rotation provides consolidated gynaecologic experience at the senior level. The Chief is responsible for managing gynaecologic inpatients, triaging in-hospital consults and patients in the Emergency Room, and performing (or assisting the junior resident in) all general gynaecologic operative procedures. You are in charge of the Chief Gynaecology practice. You will also have teaching, mentoring and administrative roles.
Electives (4-5 blocks) Electives in PGY-5 allow for late flexibility, as well as an opportunity for new or reinforced experience, at a time where fellowship or practice planning is key. You will also have more time to study for upcoming exams.
Ob/Gyn Clinics (4 blocks) In the final year of residency the resident completes a 4 block rotation in ambulatory clinics. Attendance to general obstetrics and gynaecology clinics plus high risk OB, urogynaecology, reproductive endocrinology and infertility and colposcopy clinics is a great tool for residents as they prepare for the Royal College exams.