Gynecologic Oncology Residency Program Goals and Objectives

The educational objectives of the Roswell Park Gynecologic Oncology Residency Program include the following:


Educational Purpose

PGY-2 and PGY-3 residents are trained to manage gynecologic nonmalignant and malignant tumors. They perform preoperative evaluations and major and minor surgical procedures. They manage uncomplicated and complicated postoperative and critical care patients.

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Goals and Objectives

By the end of the rotation, the resident will learn the following:

Medical Knowledge

  • Basic sciences
  • Indications for screening for BRCA1 and BRCA2
  • The anatomy of the internal and external pelvic organs
  • The vasculature and lymphatics to the internal and external pelvic organs
  • The relationship between the bladder, ureter, bowels and uterus
  • The histology of gynecologic malignancies
  • Chemotherapeutic agents used for gynecologic malignancies
  • Side effects of chemotherapeutic agents used for gynecologic malignancies

Patient Care

  • Perform comprehensive history and physical on patients with gynecologic malignancies
  • Order and interpret appropriate diagnostic test for gynecologic malignancies
  • Manage postoperative complications in patients with gynecologic malignancies
  • Manage critical patients with gynecologic malignancies
  • Describe the indications for radiation and chemotherapy in patients with gynecologic malignancies
  • Describe the complications of radiation and chemotherapy
  • Describe the principles of palliative care
  • Describe the principles of pain management

Practice-based Learning

  • Maintain gynecologic oncology case mean numbers at the national average
  • Attend grand rounds, chapter reviews and journal clubs
  • Describe statistical test (Chi-square and t-test)
  • Use information technology (PubMed literature, Cochrane Database)

Communication

  • Communicate effectively with patients and family members
  • Sustain a therapeutically sound relationship with patients and family members
  • Maintain comprehensive, timely and legible medical records
  • Present clear, concise clinical presentations to attendings, residents and medical students

Professionalism

  • Demonstrate respect for physicians, referring physicians, residents, medical students, nursing staff and clerical staff
  • Demonstrate responsibility for the care of all patients on labor and delivery
  • Demonstrate accountability for all clinical decisions
  • Advocate for all patients
  • Demonstrate ability to teach medical students
  • Demonstrate ability to interact with hospital staff

Systems-based Practice

  • Demonstrate interest in understanding the local health care system structure
  • Demonstrate an understanding of the roles of the health care team members
  • Effectively use ancillary service personnel

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Types of Clinical Encounters

The PGY-3 resident will manage the following conditions:

  • Describe the clinical presentation of VIN and VAIN
  • Perform vulvar biopsies
  • Describe the differential diagnosis of vulvar carcinoma
  • Describe the FIGO staging of vulvar cancer
  • Counsel a patient about treatment options including surgery, radiation and chemotherapy
  • Describe the prognosis of vulvar cancer
  • Describe the FIGO staging, treatment and prognosis of vaginal cancer
  • Describe the classification of cervical dysplasia
  • Describe the treatment options for cervical dysplasia
  • Describe the FIGO staging, treatment and prognosis of cervical cancer
  • Describe the classification and management of endometrial hyperplasia
  • Describe the FIGO staging, treatment and prognosis of endometrial cancer
  • Describe the classification and management of ovarian tumors
  • Describe screening methods to identify patients at risk of hereditary ovarian cancer
  • Describe the histology of ovarian cancers
  • Describe the FIGO staging, treatment and prognosis of ovarian cancer
  • Diagnose and manage hydatidiform mole
  • Describe the diagnostic approach to gestational trophoblastic disease (GTD)
  • Classify metastatic GTD in low and high risk
  • Counsel patients regarding treatment, prognosis and recurrence

The PGY-3 resident will manage the following conditions:

  • Abdominal hysterectomy
  • Staging laparotomy
  • Washings, exploration and omentectomy
  • Suction curettage of molar pregnancy
  • Cervical conization (LEEP and cold knife cone)

The PGY-3 resident will manage the following conditions:

  • Radical hysterectomy
  • Lymph node dissection
  • Radical vulvectomy
  • Vaginal reconstruction
  • Exenteration
  • Bowel resection

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Rotation Structure

Rotation Sites:
Roswell Park Cancer Center -2 modules

  • 7 a.m. rounds with chief fellows (daily)
  • 8 a.m. rounds with GYN oncology attending (daily)
  • The PGY-3 resident remains on the unit for 10 to 12 hours

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Resident Supervision

All GYN oncology procedures performed by the PGY-2 and PGY-3 residents on patients are performed under the supervising faculty member.

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Method of Evaluation

  • The PGY-2 and PGY-3 residents receive┬ádaily feedback from fellows and attending faculty physicians
  • Faculty physician evaluations are performed at the end of the rotation
  • Global evaluations are performed semi-annually

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Reading List

  1. Clinical Gynecologic Oncology, DiSaia, 7th Ed. (May 2007)
  2. Practical Gynecologic Oncology, Berek, 5th Ed. (2009)
  3. Atlas of Procedures in Gynecologic Oncology, Levine, 2nd Ed. (2007)
  4. Principles and Practice of Gynecologic Oncology, Barakat, 6th Ed. (2013)
  5. ACOG Compendium 2011

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