Jersey City Medical Center: Obstetrics and Gynecology

The Faculty of our department instruct and advise our residents through diversified clinical situations and educational experiences that enable them to learn:

  1. General Considerations
    • To provide an understanding of the basic principles and scientific concepts of physiology, embryology, anatomy, pharmacology, pathology, microbiology, and immunology, and their application in the discipline of Obstetrics, Gynecology, Reproductive Endocrinology, and Oncology.
    • To provide an understanding of ethical, medicolegal, and quality assurance issues as they relate to the practice of Obstetrics and Gynecology
    • To provide an understanding of federal and state laws/guidelines that impact the practice of Obstetrics and Gynecology and influence the process of postgraduate education
    • To provide an understanding of HMOs, PPOs, IPAs, etc., and the business aspect of managed care agencies and hospitals
    • To provide an understanding of time management skills and stress reduction skills
  2. Primary and Preventive Care
    • To provide individualized, culturally sensitive, age-specific screening and preventive care. This requires the ability to perform the following clinical tasks:
      • to obtain an accurate, concise history, perform a complete physical examination, and synthesize the findings to formulate an appropriate medical or psychological diagnosis
      • to order appropriate age-specific screening, diagnostic, and/or imaging studies that pose minimal risk to the patient, are cost-effective, and yield maximum clinical information to aid in establishing a definitive diagnosis(es)
      • to discuss the findings and provide the patient with appropriate information as it relates to preventive care, diagnosis, and treatment, including the risks and benefits of the proposed treatments, possible treatment outcomes, and her prognosis
      • to demonstrate responsible documentation in the patient's medical record with emphasis on writing concise, well-organized descriptive progress notes that chronicle the medical or surgical course in conjunction with thorough, timely completion of discharge summaries
      • to foster communication with the patient, thereby facilitating patient education in order to prevent disability and/or disease with appropriate detection, behavioral modification, and preventive treatments
      • to involve the patient and her family in the decision making process as it relates to her health care
      • to implement a plan of management formulation with the patient in which a definitive clinical outcome may be monitored to assess the effectiveness of treatment(s) and/or accuracy of the diagnosis(es)
      • to provide personal and psychological support to all patients with either acute or chronic illness(es)
      • to assess socioeconomic issues that may impact on the patient's ability to maintain appropriate referrals to social, financial, pastoral, or legal support
    • To become a responsible, conscientious, collegial clinician with emphasis on:
      • the ability to develop and maintain an emphatic, non-judgmental, non-paternalistic relationship with patients in which there is respect for the patient's feeling and consideration of patient's cultural heritage and psychosocioeconomic dynamics
      • the ability to promote collegial, respectful, tolerant, interpersonal relationships with colleagues, students, and ancillary staff
      • the ability to advise, teach, and act as a consultant to patients and peers in a helpful, positive manner
      • the ability to assess the limits of one's knowledge and seek assistance through consultation or referral as appropriate
      • the ability to offer and accept constructive criticism
    • To appreciate the importance of continuing medical education as it relates to the self-assessment of skills and systematic update of the primary care, obstetrics, and gynecologic knowledge base
  3. Obstetric Care
    • To provide individualized, culturally sensitive, age-specific obstetrical care and services. This requires the ability to perform the following clinical tasks:
      • recognition of anatomic and physiologic signs of pregnancy, physiologic changes associated with pregnancy, biochemical and ultrasonographic findings that confirm, date, and localize the pregnancy
      • identification of historical, physical, psychological, or social factors that are indicative of underlying medical disease(s) for which consultation should be obtained and/or appropriate medical or surgical intervention implemented. This includes particularized knowledge in embryology, genetics, abdominal and vaginal sonography, and maternal/fetal medicine
      • development and implementation of a plan of prenatal care in which progress of prenatal course can be monitored to determine need for intervention for either maternal or fetal indications
      • understanding the basic principles and technical skills in order to monitor and manage the antepartum, intrapartum, delivery process, and post-partum course of both low and high risk patients comprehensively
      • to be familiar with principles and management of obstetric analgesia and anesthesia
      • to be familiar with principles and practice of well-baby examinations and neonatal resuscitation
      • to be familiar with care rendered in the normal, intermediate, and intensive care nurseries in order to communicate with the mother about the status of the newborn
      • to provide continuing age-specific counseling for reproductive options, family planning, and contraceptive services
      • to assess the patient's psychological and socioeconomic needs which may impact the family structure and her ability to function as a care giver and to provide support and intervention as necessary
  4. Gynecologic Services
    • To provide individualized, age-specific, supportive comprehensive gynecologic services. this requires the ability to perform the following clinical tasks:
      • to provide screening, preventive, and health maintenance counseling services and referral in the following areas:
        medical or surgical contraceptive techniques
        diet and weight loss
        substance abuse and risk-taking behavior
        smoking cessation
        HIV and STD prevention and/or treatment
        sexual practice or sexual abuse
        injury prevention
        dental health
        psychological issues
      • to differentiate between benign and malignant gynecologic diseases that can be managed medically versus those diseases that require surgical intervention
      • to implement appropriate pharmacologic interventions and monitor clinical outcomes of such management
      • to intervene surgically in an appropriate time-frame
      • to communicate the risks and benefits of a management plan, either medical or surgical, to the patient and her family
      • to institute an appropriate and cost-effective pre-operative evaluation with emphasis on underlying systemic disease
      • to perform diagnostic and therapeutic surgical procedures with an emphasis on proficiency in technical skills
      • to monitor a patient post-operatively with emphasis on the prevention and management of post-operative complications
      • to participate in the management of the critically ill patient in either the medical or surgical intensive care unit
      • to diagnose, manage, and monitor breast, urologic, and endocrine disorders
      • to articulate the principles, mechanisms of actions, and toxicities of radiation and/or chemotherapy and to be able to communicate this information with to the patient and her family
      • to be aware of social problems that may be encountered in the community, and the ability to identify the problem and offer appropriate support, intervention, and referrals. This would include, but not be limited to, behavioral problems, child abuse, spousal abuse, elder abuse, substance abuse, sexual dysfunction, and sexually transmitted diseases including HIV and AIDS
  5. Research
    • To provide an understanding of basic research principles that emphasize research design and analysis as applicable to clinical problems through participation in the Journal Club and its clinical studies.
      Participation in Journal Club serves to:
      • provide a forum for critical appraisal of issues in contemporary, basic, and clinical research literature
      • develop and sharpen analytical skills and thought processes necessary for critical appraisal of research literature

      Participation in clinical research serves to teach the residents to:
      • develop basic electronic bibliographic retrieval skills
      • write a research proposal divided into an introduction summarizing research evidence in the area, a purpose, clearly stating the hypothesis, and a detailed methodology section, which may be submitted to the IRB or to request research funds
    • Develop the skills necessary for an organized data collection based on defined research purpose and to perform basic statistical analysis on collected data
    • To produce abstracts of completed studies for submission to national and international conferences
    • To produce presentation materials, such as slides, overheads, and posters for efficient sharing of research data
    • To produce a competitive manuscript based on a completed research project suitable for publication in a peer-reviewed journal.