The OB/GYN residency program at MMC is an ACGME-accredited program whose vision is to train competent physicians/surgeons who are compassionate patient care providers, life-long learners, teachers and healthy contributing members of their communities.
- To train exceptional specialists in Obstetrics and Gynecology
- To foster a community of learners who are compassionate patient advocates
- To develop, in our trainees, the skills of critical thinking, evidence based medicine and complex problem-solving
- To support our residents in achieving the balance of a satisfying professional and a rewarding healthy life outside the hospital
- To graduate physicians who have the knowledge and skills to perform continuous professional improvement and life-long learning
- To instill the skills and love of teaching in our residents, preparing them for a career of educating patients, students and residents
Clinical experience is provided in the broad range of obstetrics and gynecology as defined by the American Board of Obstetrics and Gynecology. The educational program is supervised by the Program Director, one Associate Program Director, one Assistant Program Director, and the Resident Education Committee, on which two residents sit. A full time faculty practice provides teaching and supervision in all clinical arenas. In addition, residents enjoy a close working relationship with experienced obstetrician/surgeons in community practice. In addition to receiving a broad clinical experience, residents are supported in completing an independent research project during their residency, as well as actively participating in departmental quality improvement projects.Jason Lachance, MD
The Resident Experience at Maine Medical Center
OB/GYN Residency Program at Maine Medical Center
Our Academic Program
The program is primarily located at Maine Medical Center. The patient teaching population includes urgent/acute/emergent patients entering through faculty clinics or emergency department as well as patients admitted by the community providers. As Maine Medical Center is the only tertiary referral hospital for the entire state of Maine, there is a great variety and volume of patients, allowing for exceptional clinical training.
Our educational philosophy is that the entire OB/GYN residency educational experience must be founded on the three pillars of practice as advocated by the American Board of Obstetrics & Gynecology: Obstetrics, Gynecology and Ambulatory Medicine.
Residents have an average of three OB rotations per year. The focus of the PGY1 year is establishing sound obstetrical skills in normal vaginal deliveries, management of normal labor and post-partum care, and basic ultrasonography. The PGY2 resident experience is focused on developing obstetrical technical skills (C-sections, operative vaginal delivery, complex laceration repairs) and management of abnormal labor and complex intrapartum care of higher risk pregnancies. The PGY3 resident is focused on learning management of high risk pregnancies on the antepartum service, an experience that is closely aligned with the faculty in Maternal Fetal Medicine, rounding with the MFM attendings and managing very complex pregnancies. PGY4s spend their time on Obstetrics in a leadership role – overseeing the entire unit, working with multiple faculty leads, nursing leadership, and teaching/supervising junior residents as well as medical students.
Residents spend an average of 3 months per year learning various aspects of gynecology. Gynecologic Oncology is the busiest surgical experience and has the highest acuity of the inpatient experience. There is a strong focus on minimally invasive surgery and all graduates for the last several years have been competent at performing robotic hysterectomies as well as total laparoscopic hysterectomies. The GYN Oncologists also perform the bulk of all open abdominal surgery which remains a critical skill for PGY3 and PGY4 residents to develop. Residents also spend a total of 2+ months learning Urogynecology, both routine and complex urogyn procedures, as well as experience in the outpatient setting. In addition to these two teams, there is a wide array of benign gynecologic pathology that is managed by the general OBGYNs in the faculty practices. This team manages and triages ED consultations, ectopic pregnancies, tubo-ovarian abscess, amongst many other conditions that are the essential backbone of a general gynecology surgical practice.
Our residents spend one day per week in the Resident Continuity Clinic throughout the entire four years of training. This results in an unusually strong continuity experience. There is a commitment of not only the Residency Program and the clinic, but also the entire Department, that residents are highly encouraged to attend to the care of their own clinic patients – attend surgeries they have worked up, ensure continuous follow up, and attend deliveries when possible. The patient population is varied, with refugee and immigrant women comprising ~45% of our patients (most commonly from Somalia, the Congo, Rwanda, and Vietnam and lately from the Middle East). Residents gain additional ambulatory/office practice experience in Family Planning and spend time at Planned Parenthood (residents with religious or moral objections may “opt out”). Additional ambulatory experience includes several months in two different Reproductive Endocrinology practices, one based in a medical background including transgender care, and another heavily focused on infertility and the full breadth of that experience. Additional ambulatory experiences include shorter exposures to Pediatric and Adolescent Gynecology, Vulvology/Infectious Disease, Addiction Medicine, Breast Health, and Genetics – both perinatal and cancer risk prevention.
PGY1s spend one month in the Emergency Department at MMC. The PGY1 residents also spend one month in the Special Care Units (our local name for Intensive Care Units), learning how to take care of very sick patients in a multi-disciplinary setting, where they learn the latest in critical care of both the medical and the surgical patients which they are then able to apply as senior residents caring for critically ill obstetric and gynecology oncology patients. Third year residents enjoy one month of elective time to pursue interests and opportunities that we may be unable to offer locally – including additional exposures to subspecialty care for those interested in pursuing fellowships, international electives, research electives, or possible “job auditions” with local or non-local practices where they may be considering future employment.