OHSU

Educational Objectives

Care team at Doernbecher Children's Hospital

For the OBGYN Residency Program

The obstetrics and gynecology training program at OHSU combines structured teaching environments such as skills labs, observed and debriefed patient encounters, and didactics and journal clubs with busy clinical and operative services to fulfill the educational objectives outlined by the Council of Residency Education in Obstetrics and Gynecology (CREOG). Its outstanding faculty and superb clinical facilities provide a top-notch training program that prepares graduates to be competitive for fellowship positions or to be outstanding generalist OBGYN physicians. The key educational objectives include:

1. Comprehensive exposure to the core curriculum in Obstetrics and Gynecology as outlined by CREOG.

2. Education, assessment, and demonstration of competency in patient care, medical knowledge, communication skills, professionalism, practice-based learning and improvement, and systems-based practice.

3. Development of complete proficiency in office gynecology, evaluation and management of all general gyn problems, performance of office gyn procedures including colposcopy, endometrial evaluation, and limited gyn ultrasound, and ability to function as a consultant in gynecology.

4. Mastery of low- and high-risk obstetrical management in the ambulatory and inpatient settings, including performance of limited obstetrical ultrasound and exposure to genetics.

5. Technical proficiency in basic and complicated gynecologic operative procedures, pre- and post-op evaluation, and management of complications.

6. Training in primary care, including the use of complementary and alternative medicine, in order to address the total healthcare needs of women.

7. Training in menopause management and geriatrics, with an emphasis on the special needs of an increasing geriatric population.

8. Proficiency in first and second trimester abortion, follow up care, and complications. See Abortion Policy.

9. Exposure to reproductive endocrinologic, urogynecologic, and gynecologic oncologic evaluation, surgical care, and postoperative care, as well as medical management unique to these patient populations.

10. Proficiency in the analysis and interpretation of medical literature and epidemiology, and the use of electronic media to gather current publications and research.

11. Exposure to basic and clinical research in obstetrics and gynecology, including experience creating, analyzing, interpreting, and presenting original research in women’s health.

Abortion Policy

We have developed a mechanism for helping residents who are struggling with the dilemma of whether they hold a moral objection or whether they are just disturbed by or uncomfortable with the procedure itself.

It is the department's expectation that all residents will receive instruction in contraception and abortive counseling and techniques.

It is the department's expectation that residents will perform abortions with appropriate faculty supervision.

It is not the department's policy that residents will be required to perform abortions.

Exceptions will be based on: OHSU's medical staff policy regarding conscientious objection(2).

Presentations by the residents seeking exceptions, with her/his justification for that exception, to a three person faculty panel, chaired by the program director.
The purpose of this panel will be to be supportive and constructive and not directive and coercive. The panel will establish its own criteria for exceptions along the lines of, but not necessarily identical to, criteria established elsewhere(3).

Where exceptions are approved by the panel, the residents will be required to be involved in pre-abortal counseling and post-abortal care of patients undergoing termination of pregnancy.

1. Family Practice Perspectives 1987, 19:158-162
2. OHSU Hospital and Clinics Policies and Procedures/Conscious Practice Oct. 1997
3. Journal of Medical Ethics, 1996, vol. 22, 115-120