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PGY1-5

The first postgraduate year of training is a broad-based basic clinical training year based upon the requirements of the Royal College which will provide the resident with broad functional capabilities and enable him/her to successfully complete the MCCQE Part 2.

Currently our PGY1 is comprised of the following rotations: General Obstetrics & Gynecology, General Surgery, Internal Medicine, Sexual Medicine/Women’s Health, Emergency Medicine or a Research block, Intensive Care, Anesthesia and Pediatrics. These rotations take place in Hamilton as well as surrounding communities.  The Goals & Objectives are obviously specific to each rotation.

The Academic Half Day (AHD) component of the PGY1 year is comprised of the CORE curriculum.  This curriculum has been developed by the General Surgery program and is based upon the “Principles of Surgery” program.  It includes academic sessions, skills sessions and an introduction to research as well.

These 13 blocks of the program consist of training in General Obstetrics & Gynecology. The PGY2 will spend time covering Labour and Delivery, attending gynecologic procedures in the operating room, seeing patients in the Emergency Department and attending ambulatory clinics in both obstetrics, gynecology and prenatal diagnosis.  The majority of the year is spent within Hamilton but a small portion of time is spent in neighbouring communities. The residents do have protected time to spend in the Center for Minimal Access Surgery weekly in order to assist with the development of their laparoscopic skills. Evaluations take place every 8 weeks and after call activity.

All PGY2-PGY5 residents attend a weekly academic half day with sessions addressing the various CANMEDS domains. There are four regularly scheduled sessions focusing on Minimal Access Surgery held at the Center for Minimal Access Surgery.

All PGY1-PGY5 write the APOG multiple choice exams on a yearly basis. The results are reviewed by the program director and discussed with each resident individually.

During these two years, residents will focus on completion of the subspecialty rotations including Maternal Fetal Medicine, Reproductive Endocrinology and Infertility, Urogynecology, Gynecologic Oncology, Colposcopy and Pathology, and Ultrasound. As well, there is an opportunity to do a rotation specifically within Minimal Access Surgery.

Evaluation is done at the mid-point and end of each rotation as well as for on call activity.

During their residency the residents have 6-9 blocks of elective time. The bulk of this is usually within these two years. There is the opportunity for electives outside of the province or even outside of the country as the residents are able to request a three block elective period off of the call schedule. It is expected that during these elective experiences, the resident will be doing call at the elective site in order to enhance their learning experience.

PGY3

PGY4

During the final 12 months of the program, the resident rotates for at least six blocks and a maximum of 9 blocks as a Chief Resident at McMaster University Medical Centre and St. Joseph’s Hospital. The time is approximately equal between Obstetrics and Gynecology.

During the blocks on Gynecology, the resident has general charge of the gynecologic wards and operating room and carries out administrative responsibilities relative to other learners in the system. He or she is responsible for the staffing and conduct of the chief resident clinics, the consulting services including the emergency room, and the gynecologic operating room.

In the months in Obstetrics, the resident has general charge of the labour and delivery area, the obstetrical wards and the consulting services in the Chief Resident Clinic for which they are responsible for reviewing referrals and scheduling appropriately. Again the Chief Resident is responsible for teaching junior learners and delegating roles and responsibilities appropriately amongst the junior learners to ensure all have an excellent educational experience while on the rotation.

Prior to the Royal College exam the PGY5 resident will be scheduled on a Senior Rotation during which they will have significantly reduced clinical activity allowing them some preparation time prior to the exam.

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