Obstetrics and Gynecology Residency

Residencies

Our residents benefit from extensive experience ranging from vaginal and abdominal gynecological surgeries to an intermediate care nursery and neonatal intensive care unit (NICU).

The majority of our residents’ education comes from working with patients in attending physicians’ private practices where they are exposed to a myriad of practice styles and philosophies. Residents also work in an outpatient clinic.

Each resident is part of a small team, similar to a small group practice. Senior residents, acting as senior partners in a group practice, head the teams. An attending physician is present in all clinics for consultation and assistance.

PGY1

• Breast/sonography

• Internal medicine

• Obstetrics

• Gynecology

• Ambulatory gynecology

• Emergency medicine

PGY2

• Reproductive endocrinology and infertility

• Maternal fetal medicine

• Obstetrics

• Gynecology

• Gynecologic oncology

• Urogynecology

PGY3

• Gynecologic oncology

• Maternal fetal medicine

• Urogynecology

• Gynecology

• Obstetrics

• Research

PGY4

• Gynecologic oncology

• Maternal fetal medicine

• Gynecology chief

• Obstetrics chief

• Urogynecology

• Elective

Rotations

Obstetrics

Baylor Dallas receives referrals from all over North Central and Northeast Texas and has a large number of complicated and high-risk obstetric patients. Last year, nearly 5,000 babies were born at Baylor Dallas.

The resident gains experience in:

• Operative vaginal deliveries (forceps, vacuum extraction and rotations)

• Tubal ligations and all related complications

• Vaginal deliveries

• Caesarean sections

Under the supervision of an attending physician, residents learn to manage normal labor, abnormal labor, pre-term labor, post-term labor, multi-fetal pregnancies, induction of labor and inhibition of labor.

Residents also gain experience with hypertension, infection and hemorrhage patients, as well as manage co-morbid conditions that can complicate a pregnancy, including diabetes, cardiac disease and connective tissue disorder.

The perinatologists on the medical staff at Baylor Dallas are part of a high-risk referral/outreach program that regularly receives transfers from outlying communities. Residents spend three blocks working with the perinatologist on the maternal-fetal medicine service.

Residents gain experience in:

• Sonography

• Genetic counseling

• Prenatal testing

• High-risk evaluation

• High-risk follow-up

Baylor Dallas is a Christian-based hospital. Training in elective termination of pregnancy is not offered on Baylor Scott & White Health campuses; however, those residents who wish to have training in this area are able to do so in family planning at another institution.

Gynecology

Our gynecological service includes more than 30 private practice gynecologists on the medical staff at Baylor Dallas. Last year, surgeons performed more than 2,100 minor gynecologic procedures at Baylor Dallas.

Residents gain experience in procedures such as:

• Abdominal hysterectomy

• Vaginal hysterectomy

• Tubal ligations

• Operative laparoscopy

• Operative hysteroscopy

• Endometrial ablation/resection

• Laparoscopically assisted vaginal hysterectomy (LAVH)

• Laparoscopically supracervical hysterectomy (LASH)

• Urogynecologic procedures

• Tubal microsurgery

• Robotic surgery

Gynecologic Oncology

Our residents benefit from the expertise of a highly experienced team of gynecologic oncologists, radiation oncologists, medical oncologists and specialized oncology. Our faculty members are dedicated to mentoring residents and providing superior, compassionate patient care and conducting research that advances the treatment of gynecologic cancers. The gynecologic oncologists on our medical staff are part of a statewide network of physicians with offices throughout Texas.

Reproductive Endocrinology and Infertility (REI)

Under the supervision of reproductive endocrinologists on the medical staff at Baylor University Medical Center, residents participate in all phases of evaluation and treatment of infertility and related reproductive endocrine disorders. The resident also learns how to perform vaginal ultrasound for monitoring of ovulation, semen analysis, post-coital tests and semen preparation for intrauterine insemination.

Assisted reproductive techniques include in-vitro fertilization, embryo transfer, intracytoplasmic sperm injection, zygote intrafallopian transfer (ZIFT), and gamete intrafallopian transfer (GIFT). The surgical experience focuses on basic and advanced operative laparoscopy, in addition to microsurgical procedures and operative hysteroscopy.

Primary Care

Residents have a month rotation in the office of one of the OB/GYN generalists within Baylor Scott & White Health. Residents also rotate for one month on the internal medicine service and one month in the emergency department.

Urogynecology

With the exception of interns, residents spend one month in a urogynecology office where they learn urodynamic evaluation and cystoscopy. They also learn basic urogynecology procedures, as well as pre- and post-operative management of these patients.

Conferences

The various lectures alternate to provide a well-rounded curriculum. The didactic core lectures cover not only obstetrical and gynecological care but also primary care issues affecting the practitioner. Residents also attend lectures on the business and political aspects of medicine. The core curriculum for the didactic lecture series is selected from the Council on Resident Education in Obstetrics and Gynecology (CREOG) Educational Objectives book. In addition, outside lecturers are brought in to participate and deliver lectures several times a year.

Didactic Schedule

Wednesday mornings are devoted to educational didactics and is protected time for our residents.

Research

Our residents regularly participate with teaching staff in clinical discussions, rounds, journal clubs and research conferences in a manner that promotes a spirit of inquiry and scholarship. Baylor Dallas residents’ participation is encouraged in all scholarly opportunities available at the institution.

Residents are required by the end of the third year to complete a research project. Third-year residents present their research at the annual Julian Wells Lectureship and Scientific Session. Outside faculties who attend this city-wide conference act as judges in selecting the most exceptional project for the Devereaux Award. Other awards presented on Julian Wells Day include the Strother Award for academic achievement and the Joseph Warren Award for commitment to excellence, balance and leadership.