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Obstetrics and Gynecology

Obstetrics and Gynecology

Our close "family" relationship is a hallmark of this program. We seek candidates who are bright, mature, sensitive, and happy - who desire the pursuit of excellence, possess dedication to patients, and the enjoyment of family life which we all cherish. Selection of a residency program is one of the most important decisions you will make in your life. You owe it to yourself to ensure that you evaluate carefully, in each program. 

Residency Training Program - What is PIROG?

PIROG is the Phoenix Integrated Residency in Obstetrics and Gynecology, a four-year residency program, fully accredited by the ACGME that is integrated between two Medical Centers:
PIROG trains physicians to be capable of independent practice in our specialty, to be eligible for competitive fellowship programs, and to function as leaders in the community. The structure of our program allows the resident to gain experience by caring for service, non-profit, and private patient populations. Both institutions are committed to high quality post-graduate education and academic excellence. The Obstetrics Services at both hospitals combined have over 10000 deliveries per year (35% high risk). Both hospitals are tertiary care centers and receive maternal-transport patients. The large OB/GYN services are cared for by the full-time and part-time attending staff, our OB/GYN house-officers, Emergency Medicine and Family Medicine residents, Certified Nurse-Midwives, fourth-year medical students on elective rotations, and third-year medical students from the University of Arizona and Creighton University School of Medicine.

Resident's who graduate from our program have received surgical instruction and experience in patient care covering the entire spectrum of gynecology and obstetric practice. Our graduates are proficient in those areas outlined by the American Board of Obstetrics and Gynecology as well as the Residency Review Committee of the ACGME. 

Program Overview

Our program is a collaborative effort of the Maricopa Integrated Health System and St. Joseph's Hospital and Medical Center.
 
In addition, affiliations with the following institutions round out a program that provides the residency with a balanced experience encompassing managed care, private practice, critical care, ambulatory and primary/preventive care.Group Shot 1
  • Arizona Oncology
  • Arizona Vulvar Clinic
  • Biltmore Surgical Center
  • Chandler Regional Hospital
  • John C. Lincoln Health Network
  • Phoenix Baptist Hospital
  • Phoenix Children's Hospital
  • University of Arizona Medical School
  • Valley Urogynecological Association 
Phoenix Integrated Residency in Obstetrics and Gynecology (PIROG) is a four-year residency, fully accredited by the ACGME. We are proud of our program's dedication to academic excellence, compassionate care, professional ethics and family/community values.

Maricopa Integrated Health System is a 450 bed public hospital with OB suites, LDRs, Neonatal units, and Ambulatory Clinical Facilities. Two inpatient psychiatric facilities have a total of nearly 200 beds. MIHS serves patients of lower economic means. Service is provided through a system of family health centers, and financial counselors support patients in determining their method of payment, including the Maricopa Health Plan, which is also part of the health care system.

St. Joseph's Hospital & Medical Center (SJH) the oldest hospital in Phoenix, AZ is a 576 bed private, non-profit hospital associated with Catholic Healthcare West. It also has recently renovated OB, LDR, and Neonatal units.

The structure of our program allows the resident to gain experience by caring for service, non-profit, and private patient populations. Both institutions are committed to high quality post-graduate education and academic excellence. The Obstetrics Services at both hospitals combined have over 10,000 deliveries per year (35% high risk). Both hospitals are tertiary care centers and receive maternal-transport patients. The large OB/GYN services are cared for by the full-time and part-time attending staff, our OB/GYN house-officers, Emergency Medicine and Family Medicine residents, Certified Nurse-Midwives, fourth-year medical students on elective rotations, and third-year medical students from the University of Arizona on required OB/GYN clerkships.

Group Shot 3
         Group Shot 2
 
Subspecialty and general OB/GYN outpatient clinics are held daily at each hospital. Routine antenatal care for MMC patients is provided at a network of neighborhood family health centers scattered throughout Maricopa County. These clinics are staffed by our community-based physicians and certified nurse-midwives, as well as our Academic faculty.
 

As residents advance through the program, they assume increasing responsibility for the care of their patients.

Overall Residency Concept

  • "Team" concept
  • Continuity of care
  • Mixture of private and resident care
  • Graduated responsibility and authority
  • Limited work hours (meets ACGME requirements)
  • Combine exposure to primary care and subspecialties 

What Makes PIROG Excellent?

  • Combination of large public and large private hospital
  • Ability to function with graded autonomy, but supervised
  • Close working relationship with dedicated faculty
  • Laparoscopic simulator in the department with year-specific curriculum and learning modules

Teaching Plan and Teaching Experience

Clinical competence and academic excellence are attained by giving graded responsibility to the resident through exposure to all areas of obstetrics and gynecology under the direct supervision of board certified specialists and sub-specialists present in the department 24 hours a day. There is a strong emphasis on teaching. Senior residents actively participate in mentoring junior residents. Faculty members direct learning through didactic, experiential, research, and small group and individual.
  • Friday Morning Teaching (7am-10am)
    • Didactic lectures
    • Hands on Training (simulations)
    • Journal Club
    • Morbidity and Mortality
    • Multi-specialty lectures
  • Mock Oral Exams 
  • 24-hour in house attending supervision at both sites
  • 22 full time teaching attendings
  • Large community voluntary teach faculty
  • Multiple areas of teaching/skills
  • Laparoscopic and robotic surgeries, colposcopy, urogynecology
  • Domestic violence, perinatal substance abuse
  • Ethics, genetics, reproductive technology, breast disease

Research

The Program Director and faculty support research and scholarly activity. Residents are introduced to research during their first year through a series of tutorials, self-directed learning, and one-on-one mentoring. The program has a research requirement of one scholarly project to be completed during the residency. Residents are required to develop a research protocol, and encouraged to present findings on local, regional, and national levels. Dean Coonrod, M.D., M.P.H. directs departmental and resident research projects. Opportunities to share research efforts with peers occur during monthly research conferences, Journal Club, and an annual Research Day.

Experiential Learning

The house-office training program with eight residents at each level spans four years. A night float system is used at both hospitals to insure compliance with ACGME duty hour regulations. During all four years the residents have responsibility for patients in community-based primary and continuity care clinics. Graded responsibility begins with building a strong foundation in care of normal women’s health and low risk obstetrics. As the resident gains knowledge and experience, responsibility for operative management, high risk and gynecologic health problems, and teaching & administrative duties are added.

Continuity Clinics

Continuity Clinics make up a vital part of our training. We prepare our residents to be primary care providers by having the continuity clinics situated within the Family Health Centers. By doing this, we stress learning the primary care of women by having generalist faculty be the teachers of this experience. These clinics occur one half day per week and are designed to include the exposure to obstetrics and gynecology as well as primary health care for women.

Curriculum

PGY I

During the first year of post graduate training in OB/GYN emphasis is placed on basic Gynecology and Obstetrics. The first 4 weeks are spent on "OB bootcamp" split between OB days and nights at both Maricopa Medical Center and St. Joseph's Hospital. This helps acclimate the residents with the residents, attendings and staff at both hospitals. The resident spends two blocks each in obstetrics, gynecology and OB night float. One block is spent in the Surgical ICU, Antepartum at St. Joseph's and Ultrasound.

PGY II

The second year is an opportunity to work hard and get even more involved in patient care and in the operating room. The second year resident is responsible for the high risk OB patient's with the supervision of the Chief resident and helps the interns throughout the year. The second year consists of MMC OB Days, MMC Ambulatory, MMC Gyn, SJH OB Days, REI, MMC OB Night Float, SJH Gyn, SJH OB Night Float, SJH Gynecology Oncology and Family Planning.

PGY III

During the third year emphasis is placed on building a depth of knowledge and experience and further development of operative and clinical care management skills. This year is enhanced by opportunities to experience private practice as the resident spends time with subspecialist in their offices. The resident is first assist to the specialist at affiliated institutions, giving the resident an opportunity to experience more of the clinical medical community. The specific rotations are Urogynecology, SJH Ambulatory, SJH OB Night Float, Selective, and SJH Gynecology Oncology, Float, SJH Gynecology Night Float. The Selective is where the resident may take an elective rotation, such as offsite rotations to subspecialty training sites.

PGY IV

Full responsibility for management of patients' care is given during this final year. The resident further develops skills in practice management and leadership. During the final year the residents gain experience in the following areas: MMC OB Days, SJH Gyn, MMC OB Night Float, SJH OB Days, MMC Advance Gyn (During this rotation, the Chief resident is working closely, often times without lower level residents, in the OR with Advanced GYN and Oncology faculty as well as at offsite affiliated institutions. There is also the opportunity for medical coding instruction), SJH Oncology, MMC Gyn.

Faculty

The OB/Gyn teaching faculty includes:
  • 39 Board Certified Obstetrician/Gynecologists
  • 21 Board Certified sub-specialists 
    • 8 Maternal and Fetal Medicine
    • 3 Reproductive Endocrinology and Infertility
    • 5 Gynecologic Oncology
    • 1 Anatomic Pathology
    • 4 Female Pelvic Medicine and Reconstructive Surgery
  • A number of Board Certified Obstetrical Anesthesiologists
More than 20 community-based adjunct faculty members provide a comprehensive, well-rounded resident education experience. Residents are trained in the ambulatory services of laparoscopy, hysteroscopy, laser surgery, colposcopy and urethroscopy. Other spheres of teaching cognitive and technical skills include Genetics, Domestic Violence, Perinatal Substance Abuse Care, Urodynamics, Reproductive Technology, Ethics, and Benign Breast Disease.  
  • R. Michael Brady
    M.D., FACOG

    Residency Program Director
    Department of Ob/Gyn-SJH

  • Dr. Patricia Habak
    M.D., FACOG

    Associate Residency Program Director

  • Dr. Larissa Romero
    M.D., FACOG

    Assistant Residency Program Directo

  • Dean Coonrod
    M.D., M.P.H., FACOG

    Chairman, Department of Ob/Gyn-MIHS Director
    Clinical OB/Gyn Research
    University of Washington School of Medicine


General Obstetrics and Gynecology

  • Nyima Ali, MD
  • Carrie Aguilar, MD, FACOG
  • Joel Barkley, MD, FACOG
  • R. Michael Brady, MD, FACOG
  • Claudia Chambers, MD
  • Tracy Contant, MD
  • Dean Coonrod, MD, MPH, FACOG
  • Christine Craig, MD
  • Patricia A. Graham, MD, FACOG
  • Patricia J. Habak, MD, FACOG
  • Joseph Hanss, MD, LFACOG
  • Crista Johnson, MD, FACOG
  • Joseph Mott, MD
  • Susan Morton-Pradhan, MD, FACOG
  • Jim Mouer, MD, LFACOG
  • Edward Nash, MD, FSSACOG
  • Kathleen Norman, MD, FACOG
  • Adedayo Onibokun, MD, FACOG
  • Michael Peters, MD, LFACOG
  • Bidisha Ray, MD, FACOG
  • Larissa Romero, MD, FACOG
  • Megan Schendel, MD, FACOG
  • Amy Williamson, MD, FACOG
  • Walter A.C. Zuschke, MD, FACOG
  • Thomas Zheng, MD, FACOG
Maternal Fetal Medicine and Genetics
  • James Balducci, MD, MBA, FACOG
  • Linda Chambliss, MD, MPH, FACOG
  • John Garbaciak, MD, FACOG
  • Gregg Giannina, MD, FACOG
  • Joseph Harris, MD, FACOG
  • Monique Schoenhage, MD, FACOG
  • Shirazali Sunderji, MD, LFACOG
  • Evan Taber, MD, FACOG
Gynecology Oncology
  • Dana Chase, MD, FACOG
  • Heather Dalton, MD
  • John Farley, MD, FACOG
  • Bradley Monk, MD, FACOG
  • Lyndsay Willmott, MD
Gynecology Pathology    
  • David Greenspan, MD, FACOG
Urogynecology 
  • Paul W. Marshburn, MD, FACOG
  • Felipe Videla, M.D., FACOG
  • Shazia Malik, MD FACOG
Advanced Gynecologic Surgery
  • Mario Castellanos, MD
  • Nita Desai, MD, FACOG
  • Michael Hibner, MD, PhD, FACOG
Reproductive Endocrinology and Infertility
  • Mark Johnson, MD, FACOG
  • Linda Nelson, MD, PhD, FACOG
  • Ketan Patel, MD, FACOG
Affiliated Health Care Specialist
  • Tammalynn Bambulas, CNM, DNP
  • Tanya Barstow, CNM
  • Suzanne Hanson, CNM, MSN
  • Sylvia Hayashi, NP
  • Lucy Hosmer, CNM
  • Arlene Karlin, CNM, FNP
  • Colleen Keller, RN PhD
  • Mary Kenworthey, NP
  • Yvonne Lamos, CNM
  • Sue Liebherr, CNP
  • Anita Martinez, CNM, MSN
  • Sue Sarsam, CNM, RN, RNFA
  • Lisa Stahr, CNM, MPH
  • Donna Tash, CNM

Clinical Research

  • Dean Coonrod, MD, MPH, FACOG
  • Robert Garfield, PhD
  • Crista Johnson, MD, FACOG 
PIROG Roster


Application & Residency Selection

Appointments at the PGY I level are made through the National Resident Matching Program in the ERAS system. Application deadlines correspond to this system, but are interview dates typically fill up by October. Keep in mind we do not require a Dean's letter to receive an interview invitation; all other required documents should be downloaded.  
 
MIHS will accept J-1 visas for qualified residents accepted into an MIHS program, but MIHS does not sponsor residents on J-1 visas. MIHS does not accept or sponsor any other visas for its GME program residents. Applicants must be authorized to work in the United States. 
 
Documents Required:
-Dean's Letter (not required to receive an interview invitation)
-3 Letters of Recommendations
-USMLE Step 1 
-USMLE Step 2 (some applicants are invited for an interview before scores are received)
-Personal Statement
-Transcript
-Curriculum Vitae
-ECFMG Status Report (if applicable)

Factors important in the resident selection process include:
  • Academic qualifications
  • Dependability, responsibility, maturity, courtesy, confidence
  • Leadership skills
  • Interpersonal and communication skills
  • Dedication to Women's Health
  • Sense of humor and work ethic
  • US Clinical Experience
General residency statistics:
  • Approximate number of applicants per position - 50
  • Approximate number of interviews offered per position - 10
  • Percent of matched students who had "audition elective" - 11%
  • Percent of grads who pursue private practice vs. academic medicine - 71%
Medical Student 4th Year Electives
 
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Phoenix and the Valley of the Sun
 
Arizona's life-style is a true asset. A rich cultural heritage and sunshine are key attractions.
Outdoor recreation offers unique opportunities such as hiking into the Grand Canyon, rodeos, Indian ceremonies, lost mines, caves, jogging-biking-hiking trails, rivers, lakes, and guest ranches. Over one hundred and seventy golf courses dot the Phoenix area.
 
Sports enthusiasts can enjoy NFL football, NBA basketball, PGA golf, NHL hockey, major league baseball, and other growing professional sports such as Arena football, indoor soccer and WNBA basketball. College athletics and major university facilities are only five miles away at Arizona State University in Tempe.
Quality of life is measured by the natural beauty and unique cultural opportunities throughout the state. For anyone who has never experienced the Southwest, it will be a wonderful place to spend several years during their training.

Local Attractions
 
Phoenix is the largest city in Arizona and the fifth largest in the USA. The metropolitan area covers almost 400 square miles and is home to 3.5 million people.
 
Eighteen cities, including Tempe and Scottsdale, comprise the greater metropolitan area known as The Valley of the Sun. Phoenix lies 1,200 feet above sea level, situated on the valley floor.
 
Contrary to most people's idea of a desert, Phoenix is actually a semiarid desert and is bordered on all sides by mountain ranges. Trees, such as palo verde, mesquite, and cottonwood, grow in abundance. Many colorful varieties of cactus bloom from April through June, including saguaro, golden barrel, prickly pear, and ocotillo.
Numerous art museums, the Phoenix Symphony, and all of the facilities available in a large city can be found within a short drive of the hospital.
 
Comfortable living accommodations abound, whether apartment-style, condo, or single home dwellings. Residents may elect to live in many different community settings and usually learn to love the more relaxed Southwestern style of living and entertaining. Suits do not abound when the summer heat arrives, even for Grand Rounds presentations! 

Additional Information

Thank you for your interest in our residency program. If we can provide further information, please do not hesitate to contact us. Any of the faculty would be pleased to answer questions which you may have.
For additional information, please contact:

Sabrina Duarte
PIROG Program Coordinator
Phoenix Integrated Residency in Ob/Gyn
Dept of Ob/Gyn, Maricopa Medical Center
2601 East Roosevelt St.
Phoenix, AZ 85008
Phone: (602) 344-5084
Fax: (602) 344-5894
R. Michael Brady, MD 
Program Director 
2601 East Roosevelt Street 
Phoenix, AZ 85008 
Phone: (602) 344-5444 

Patricia Habak, MD
Associate Program Director
2601 East Roosevelt Street
Phoenix, AZ 85008
Phone: (602) 344-5071
Email: Patricia_Habak@dmgaz.org 

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