Our Academic Program
The program is primarily located at Maine Medical Center. The patient teaching population includes both non-referred patients entering through the clinics or emergency department as well as the private patients admitted by the attending staff. 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: Obstetrics, Gynecology and Ambulatory Medicine.
Residents have 3 OB rotations per year. The internship focus is on establishing sound obstetrical skills in normal vaginal deliveries and acumen in our busy triage unit. The PGY2 residents focused on refining C-section skills and managing some higher risk pregnancies. The PGY3 resident serves as our MFM resident, rounding with the MFM attendings and managing very complex pregnancies. The OB chief is a junior attending rotation – to foster leadership skills and to refine complex obstetric skills.
Residents spend 3 months per year on our very busy GYN service, resulting in GYN resident statistics in the 75th -95th percentile range for almost all procedures, including vaginal hysterectomy. Our focus is on minimally invasive surgery and all graduates for the last three years have been competent at performing robotic hysterectomies and total laparoscopic hysterectomies. Our five GYN oncologists are very busy and, with a referral base from the entire state of Maine and Eastern New Hampshire, the Oncology service is a tremendous opportunity to learn pre- and post-operative management of complex patients as well as complex surgical skills, in a setting with no GYN oncology fellows. Residents also spend a total of 2 months rotating on the Urogynecology rotation, learning routine and complex urogyn procedures, as well as experience in the outpatient setting and with urodynamic testing.
Our residents spend one day per week in the Resident Continuity Clinic, starting July 1st of internship year, throughout the four years of training. This results in an unusually strong continuity experience. Our coverage system is structure specifically so that 90% of residents who book a surgery on their continuity clinic patient can participate in that surgery with one of 3 clinic preceptors. 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 perform outpatient procedures including colposcopy, LEEP procedures and office hysteroscopy. Residents rotate through two Reproductive Endocrinology rotations, both at Maine Medical Center as well as the Portland branch of Boston IVF. Abortion training is structured within the residency program; however residents can opt out of any/all abortion training.
Interns spend one month in the Emergency Department at MMC and one month doing ultrasound in the MFM office. During this month all interns write up a case report of an interesting case they have seen, starting their experience with research. Interns also spend one month of Ambulatory Medicine, rotating through the HIV clinic, Breast clinic as well as Gyn Oncology and MFM offices. The PGY2 residents spend one month in the Special Care Units, learning how to take care of very sick patients in a multi-disciplinary setting, before they become senior residents on the GYN Oncology service. Chief residents have 2 months of Ambulatory Chief rotation – the focus of this rotation is teaching in the Ambulatory clinic and supervising junior resident in the operating room. Third year residents enjoy one month of elective time.