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Obstetrics and Gynecology

Obstetrics and Gynecology

We take pride in our combined program in Obstetrics and Gynecology and believe we are among the best programs in the country! Our mission is to train excellent obstetrician gynecologists who can practice general obstetrics and gynecology or pursue competitive fellowships, and who will contribute meaningfully to our field.

We seek candidates who are bright, mature, happy and have a strong work ethic.  We match residents that desire the pursuit of excellence and possess dedication to patients, while maintaining a sense of self.

Selection of a residency program is one of the most important decisions that a young physician will make.  You owe it to yourself to ensure you evaluate each program carefully.  We hope you see the reasons we believe PIROG is an exceptional program for training skilled leaders in the field of obstetrics and gynecology.  We look forward to meeting you soon. 

Facts/Statistics

  • "Team" concept
  • Continuity of care
  • Mixture of private and resident care
  • Graduated responsibility and authority
  • Combined exposure to Ambulatory care and subspecialties 
  • Dedication to treating underserved and marginalized patient populations including recent immigrants and refugee patients, transgendered patients and patients in need of specialized care in perinatal substance abuse

What Makes PIROG Excellent?

  • Combination of large public and large private hospital
  • Ability to function with graded autonomy, but supervised
  • Leadership dedicated to continual improvement
  • Well-developed and structured curriculum
  • Close working relationship with dedicated faculty

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:

  • Maricopa Integrated Health System (MIHS)
  • St. Joseph’s Hospital and Medical Center (SJH)

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 Obstetric Services at both hospitals combined have over 8,000 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 and Creighton University School of Medicine.

Residents who graduate from our program have received surgical instruction and experience in patient care covering the entire spectrum of gynecology and obstetrics 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. 

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.

Application/How to Apply

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

Curriculum

PGY Year 1

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 to each of the major teaching hospitals. The resident spends two blocks each ingynecology, obstetric days and obstetric night float. One block each is spent in the Surgical ICU, gynecologic oncology, ambulatory care and Ultrasound.

PGY Year II

The second year is an opportunity to further develop clinical and leadership skills. The second year resident is responsible for the high risk OB patients with the supervision of the Chief resident and helps the interns throughout the year. The second year consists of two blocks each in obstetrics and obstetric night float.  One block each is spent in gynecology, gynecologic oncology, REI and Family Planning.

PGY Year 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 operates with specialist at affiliated institutions, giving the resident an opportunity to experience more of the clinical medical community. The PGY-3 year includes experiences in general gynecology, urogynecology, pediatric & adolescence gynecology, gynecologic oncology, obstetric night float and high- risk obstetrics.

PGY Year 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, oftentimes 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. 

Affiliations

Our program is a collaborative effort of the Maricopa Integrated Health System and St. Joseph's Hospital and Medical Center.

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.

  • Arizona Associates in Reproductive Health
  • Arizona Oncology
  • Biltmore Surgical Center
  • Chandler Regional Hospital
  • Honor Health
  • Phoenix Children's Hospital
  • University of Arizona Medical School
  • Valley Urogynecology Association

Fellowship Info

Minimally Invasive Gynecologic Surgery Fellowship at St. Joseph’s Hospital and Medical Center
https://www.dignityhealth.org/arizona/locations/stjosephs/about-us/research-and-education/fellowship-programs/minimally-invasive-gynecologic-surgery 

Student Info

http://www.mihs.org/academic-programs/undergraduate-medical-education-program/obstetrics-gynecology

Teaching/Research

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
  • Ethics, genetics, reproductive technology, breast disease
  • Comprehensive training in Family Planning during PGY 2 year (opt-out structure)

Research

Research and scholarly activity are supported by the program. Residents participate in a directed longitudinal research curriculum during PGY-1. Early in the intern year residents are assigned to a group for development of their required residency research project, group meetings are part of the intern curriculum and mentored by faculty who are seasoned researchers. Dr. Dean Coonrod, MD, MPH, is the director of research programs and also oversees our journal club series in statistics and research design, the journal club series takes place every other year. Residents have had research accepted at a wide range of academic events including local programs and national programs such as annual meetings of the Western Association of Gynecologic Oncologists, the North American Society for Pediatric and Adolescent Gynecology, the Pacific Coast Ob/gyn Society, the American Association of Gynecologic Laparoscopists and the annual meeting for the Society of Gynecologic Oncology.

Ambulatory Clinics

We prepare our residents to manage all aspects of ambulatory care including primary and preventive care for women, routine and high-risk obstetrics, management of common gynecologic conditions and experience in subspecialty area such as REI and gynecologic oncology. Residents have exposure to a wide range of in-office procedures including office hysteroscopy, MVA for incomplete and missed abortion, colposcopy and LARC placement.

Resources

ACGME
AMA
ABOG
ACOG
APGO
True Learn
My Tip Report

Contact Us

Sabrina Duarte
Sabrina_Duarte@dmgaz.org
602-344-5084

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