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 Each
year, the department handles 4,200 births, 6,000 admissions and
11,100 outpatient visits. In addition, there are 1,800 gynecological
surgical admissions. The department has 12 labor rooms, total
electronic monitoring, three well-equipped delivery/operating
rooms, and 38 private postpartum beds.
Monmouth is a state-designated regional perinatal center, where
high-risk patients with maternal and neonatal complications are
received and treated. The center serves as an educational and
consulting resource to hospitals and obstetricians throughout
central and southern New Jersey. Residents work alongside the
sub-specialists in maternal-fetal medicine and neonatology who
staff the center. Patients are seen in an outpatient setting
comparable to a private office.
Residents in Monmouth Medical Center's obstetrics and gynecology
program learn more than just the medical skills needed to become
a physician in this specialized field. They develop an equally
important skill---how to treat patients as people, offering them
and their families the support they need at what could be the
most joyful, or most difficult, time of their lives. After completing
the four-year residency---a total of 24 months devoted to clinical
obstetrics and another 24 months to clinical gynecology---residents
are prepared either to enter private practice or to enter a fellowship.
A highly regarded teaching faculty brings a wealth of experience
to the residency program in academics, clinical knowledge and
patient care. Certified sub-specialists in maternal fetal medicine,
reproductive endocrinology and gynecologic oncology are part
of the faculty, which takes an active role in helping residents
plan their future-whether it's starting private practice or entering
a postgraduate fellowship.
Residents combine a full academic schedule with clinical experience.
They are assigned to both inpatient and outpatient services,
assuring treatment of all types of patients—from those
in the emergency department and delivery room to those involved
in Planned Parenthood or seeking private practice care.
Residents gain experience working collaboratively with nurse-midwives.
In addition, residents develop close working relationships with
other departments, particularly pediatrics in the care of newborns.
Residents have training in fields that complement the study of
obstetrics and gynecology, including anesthesiology, pathology,
oncology, radiation therapy, medicine, psychiatry, breast diseases,
emergency medicine, and geriatrics.
Because surgical experience is an important part of the program,
residents receive intensive operative endoscopic instruction,
along with one-on-one operating room teaching and close supervision.
In the first year, the education is broadly based, and includes
a one-month rotation in the emergency department and four months
of ambulatory primary care, a one-month rotation in geriatrics.
While obstetrics is the primary focus of the first year, training
in obstetrics and gynecology and primary care is fully integrated
for the next three years. Oncology is included in the third and
fourth years.
In clinical obstetrics, residents are involved in an integrated
program of perinatal care, including identifying and assessing
high-risk mothers, intrapartum care and postpartum family planning.
There is instruction in obstetric techniques and maneuvers,
as well as in advanced methodology of fetal monitoring, pH scalp
sampling, genetics, ante-partum testing and ultrasonography.
In clinical gynecology, residents care for both outpatients
and inpatients with a full range of gynecological problems, and
also participate in family planning clinics.
Since residents develop skills at different rates, the program
is structured around the individual to assure that competency
is gained in all phases of gynecological and obstetrical practice.
Academically, activities include working and teaching rounds,
and grand rounds.
Weekly staff seminars provide the forum for updates on what's
happening in the field. There are case presentations, discussions
in such topics as perinatal mortality and talks by a host of
visiting professors. Presentations also involve ethics, health
law and business of medicine.
Residents also are involved in departmental research projects
and are encouraged to develop their own research interests, under
the guidance of Monmouth’s full-time epidemiologist research
director.
Click
to visit Obstetrics & Gynecology Residency site
To contact the Department telephone or e-mail: mmcobgyn@barnabashealth.org
David M. Wallace, M.D.
Raksha Joshi, FACOG, MRCOG,
MD
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