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.