Curriculum

Clinical Experience

MMC OB Statistics

  • Greater than fifteen years of continuous growth
  • Anticipated births for 2021: 6,000
  • YTD NTSV C-section rate: 16.8%
  • Total C-section rate: 14%
  • TOLAC>35%; VBAC>90%
  • Induction rate: 19%
  • NICU Admission rate is 1% below US average

PROCEDURE

ACGME minimums: All Graduate Residents Meet or Exceed OPLOG Minimums

NSVD

200

C-section

145

Operative Delivery

15

TAH

35

TVH

15

LAH

20

Urogyn

25

Laparoscopy

60

Hysteroscopy

40

Invasive Cancer

25

Rotations

The majority of training occurs at Monmouth Medical Center with rotations occurring at private physician offices for subspecialty rotations and Community Medical Center (CMC) for gynecologic surgery in the third year.

Sample Schedule

PGY1

OB

GYN

GYN

OB

GYN

GYN

OB

OB

Nights

GYN

MFM

Nights

GYN

PGY2

Ante

Nights

Nights

GYN

GYN

REI

Ante

GYN

GYN

Ante

GYN

Ante

GYN

PGY3

GYN (CMC)

GYN

URO
GYN

OB

OB

GYN

Nights

Away

OB

Nights

ONC

OB

GYN (CMC)

PGY4

OB/
GYN

ONC

ONC

Nights

GYN

ONC

GYN

OB

GYN

GYN

OB

GYN

OB/
GYN

Specialties

MFM - work alongside our Perinatologists and ultrasound technicians at Monmouth Medical Center’s Antenatal Testing Center. We have the opportunity to practice performing ultrasounds including nuchal translucency, Level 2, cervical length and growth. We also assist performing tests such as amniocentesis and chorionic villous sampling. Residents routinely review and discuss current antepartum patients in the hospital and develop management plans.

REI - work at a local practice alongside several Reproductive Endocrinologists to learn the basics of reproductive and infertility. We are able to participate in office procedures such as egg retrievals and/or in-vitro fertilization and perform hospital procedures such as diagnostic laparoscopies and/or myomectomies. Residents also learn how to educate patients on options during infertility consultations.

URO/GYN - work with local Urogynecologists in both hospital and office settings. We assist in performing in-office procedures including urodynamic testing, cystoscopy and Urgent PC. Throughout the week, we have several surgical cases including DaVinci robotic assisted hysterectomies and/or pelvic floor surgeries.

GYN/ONC - work with a Gynecologic Oncologist to perform in-patient consultations and DaVinci robotic assisted surgeries at two RWJ Barnabas hospitals. We also lead monthly GYN/ONC clinic days at the Women’s Wellness Center and treat a variety of complex malignancies including cervical, endometrial, vulvar, ovarian, etc.

MONMOUTH MEDICAL CENTER FAMILY PLANNING CLINIC - residents work in a Title X Monmouth Medical Center Family Planning Clinic on campus providing all aspects of reproductive health.

Didactics: Each morning at sign out our junior residents present all patients on Labor and Delivery and Antepartum. An in-depth morning report involves discussion of patient management and analysis of FHR tracings with input from program faculty and private physicians for Performance Improvement.

A core resident didactic lecture series presented by Dr. Massaro and other faculty members supplement the experiences gained through rotations. Following the lecture series, an ACOG practice bulletin or a review of recent literature on a particular topic is presented and discussed by a resident. Residents and medical students attend this weekly lecture series every Wednesday during protected didactic time while Certified Nurse Midwives and faculty cover the resident service.

A preoperative and pathology conference is held every Wednesday. Preoperative cases and pathology findings from the previous week are discussed with supervising faculty.

In addition to the traditional M&M and Journal Club meetings, residents attend regular OB-Pediatric, Near Miss and Performance Improvement conferences plus the following throughout the year:

Cutting Edge: Annual conference for the past 30 years on various OB-GYN topics providing continuing medical education to attending staff, CNMs, RNs, residents and students held mid-summer each year.

OB Essentials and GYN Necessities: A 2-day annual conference taught by the residents to present high yield topics to medical students, interns, and nursing staff. This conference qualifies as continuing medical education for several hospital employees and showcases the residents as teachers.

ALSO: Advanced Life Support in Obstetrics, is a critical care skills workshop led by Dr. Massaro for incoming interns. This course teaches our interns how to tackle high risk situations they may encounter throughout residency. This training certifies our residents for up to 3 years. All Laborists, DODs, and residents as well as many of the CNMs and nursing staff are ALSO certified.

Outpatient Experience

Clinic Schedule

Monday

Tuesday

Wednesday

Thursday

Friday

High Risk OB

OB

OB

Gynecologic Oncology (Monthly)

Gynecology Continuity

OB

Didactics

Gynecology Continuity

Our residents spend time at a federally qualified health center (FQHC) which is conveniently located across the street from the hospital. In addition to outpatient obstetrics and gynecology clinics, our residents receive experience in high risk obstetrics and gynecologic oncology clinics, staffed by experts in their respective fields.