- To provide opportunities for increasing responsibility, appropriate supervision, formal instruction, and critical evaluation and counseling, which all play a part in achieving goals related to curriculum objectives;
- To train physicians who know their limits and who know how to improve themselves on a life-long career journey that includes the ability to use various resources for self-improvement as well as improvement of the health care system in general;
- To focus on and elevate the importance of the role of teacher that each faculty member and resident assumes in our academic setting;
- To train physicians who are good teachers of not only other physicians, nurses and trainees, but also of patients and their families;
- To provide formal as well as informal training in the art of adult education throughout the four years of residency to both faculty and residents;
- To teach and enhance the quality of patient care.
The curriculum incorporates the necessities to allow for PGY progression in each milestone, while also acknowledging that residency is the process by which a resident discovers and explores potential career paths. Because some career interests are first encountered or discovered during the time in residency, a driving force for the curriculum design is early exposure to subspecialties during the first two years of residency, given the known application cycles for many of these fellowships in the PGY 3 year. Residents, during the PGY 1 and 2 years, rotate on services that include exposure to:
- Maternal-Fetal Medicine
- Gynecologic Oncology
- Female Pelvic Medicine and Reconstructive Surgery
- Reproductive Endocrinology and Infertility
- Pediatric and Adolescent Gynecology
- Minimally Invasive Gynecologic Surgery
- Contraception and Family Planning
Exposure to all subspecialties continues throughout the PGY 3 and 4 years, but early exposure allows a resident to better understand the subspecialties, explore research with dedicated faculty, and establish mentorship in a chosen area if desired. The Residency Master Schedule provides a glimpse into the experience of a resident over the four year program. Our most solemn promise is that schedule will not stay the same, but instead, will vary every year. It is our passion to meld opportunity with need, and as opportunities and needs evolve, we will adapt the schedule accordingly to provide residents with the best opportunities available at the given moment.
Resident as a Teacher
Residents will serve as educators for other learners. Wake Forest provides education to numerous learners including medical students, nursing students, APP (NP, PA, and CNM) students, and high school learners. The role of “resident as teacher” starts in week one of internship, where PGY 1 residents are paired with a group of student on the rotation for a dedicated resident driven educational session. This protected time is built into a resident rotation one half day weekly. The format varies, but includes suture clinics, didactics, and student presentations.
In both 2019 and 2020, an OBGYN resident received the institutional Outstanding Resident Teaching Award from the Medical School classes of 2020 and 2021, respectively.
Facilities and Training Locations
The sponsoring institution for the residency, Wake Forest Baptist Health, is located in Winston-Salem, North Carolina. The principal referral areas includes northwest North Carolina, southwest Virginia, southeast West Virginia and eastern Tennessee, an area of more than 3 million people. There are numerous networks hospitals and facilities, including Lexington Medical Center, High Point Medical Center, Davie Medical Center and Wilkes Medical Center. Opportunities for learners are always evolving in this large network.
Below are the current locations for residents during their residency.
This referral center and university-based medical center has approximately 850 beds and serves as the primary site for the OBGYN residency. Residency programs in almost all specialty and subspecialty areas of medicine are available, with a total house staff of approximately 700 trainees and fellow physicians in more than 65 ACGME-accredited programs and approximately 30 additional fellowships.
Located at Wake Forest Baptist Health, The Birth Center opened in July 2019 and is an advanced and thoroughly modern facility. Features include:
- 30 private patient rooms with large windows, private bathrooms
- 24-7 access to maternal-fetal medicine specialists for high-risk pregnancies, complications
- Labor-delivery rooms specifically designated for midwife-assisted births and on-site midwife care located within The Birth Center for routine deliveries
- Ultrasound capabilities and on-site genetic counselors available as needed
- On-site Dale and Karen Sisel NICU adjacent to The Birth Center, with immediate access to neonatologists and 53 private rooms, 2 reserved for twins
- Access to Brenner Children’s, the area’s only children’s hospital with more than 100 specialists
Downtown Health Plaza
The Downtown Health Plaza is located in east Winston-Salem and delivers ambulatory care in medicine, pediatrics, and obstetrics and gynecology. Residents have a continuity clinic at this site during the four years of their residency under direct faculty guidance. The Downtown Health Plaza houses specialty OBGYN clinics in which the residents will be educated including Colposcopy and Leep/Dysplasia Clinic, GYN Ultrasound Clinic, and the Pediatric and Adolescent Gynecology Clinic.
Comprehensive Fetal Care Center
This center is located approximately 5 miles from the Medical Center campus. The Comprehensive Fetal Care Center (CFCC) is comprised of six ultrasound suites with 4D ultrasound technology as well as antepartum testing facilities. Our residents work with our maternal fetal medicine specialists, certified sonographers, genetic counselors, and other fetal care specialists at this location. https://www.wakehealth.edu/Locations/Clinics/c/Comprehensive-Fetal-Care-Center-Shepherd.
Comprehensive Cancer Center
Residents on the GYN Oncology Service care for patients with interdisciplinary teams at the Comprehensive Cancer Center. These teams include oncologists, radiation oncologists, surgeons, and numerous cancer support networks and patient navigators.
Wake Forest University Center for Reproductive Medicine
The Wake Forest Center for Fertility, Endocrine, and Menopause is home to the reproductive endocrinology and infertility clinics. The center features a state-of-the-art on-site in vitro fertilization (IVF) lab with an adjoining procedure suite.
Lexington Medical Center
Owned and operated by Wake Forest Baptist Health, Lexington Medical Center is located approximately 25 minutes south of the sponsoring institution. Ambulatory women’s services are provided by Wake Forest faculty providers who also rotate to Wake Forest Baptist Health in Winston-Salem.
Residents are involved in multiple didactic sessions, some which include other faculty or learners, and some which are dedicated primarily to resident level education. Wake Forest is actively investigating opportunities for involvement in the efforts towards a “national curriculum.” In response to the COVID-19 Pandemic of 2020, numerous resources have emerged for residents and for programs, and we commit to involvement in any that demonstrate educational potential needed by or desired by our residents.
Current formalized didactics and conferences for residents include but are not limited to:
- Departmental OBGYN Grand Rounds Wednesdays 7 am – 8am weekly
- Departmental OBGYN Quality Improvement (QI) Conference Wednesdays 7-8 am quarterly
- FPMRS Conference (alternating preop/research/journal club formats) Wednesdays 8:30-9:30 am weekly
- GYN Oncology Educational and QI Conference Wednesdays 3-4 pm weekly
- GYN Oncology Tumor Board (multidisciplinary) Wednesdays 4-5 pm twice monthly
- REI Educational Conference and Journal Club Tuesday afternoons weekly
- Perinatal Diagnosis Conference (Multidisciplinary) and MFM Conference Wednesday afternoons weekly
- Benign GYN Preoperative Conference Mondays weekly
- Resident centered didactics Mondays 1:30-4:30 pm weekly
- 1:30 – 3:30 pm Education session led by faculty
Format varies: journal club, OB or GYN simulation, didactic
- 3:30 – 4:30 pm Alternating schedule:
- Wellness activity
- Resident led didactic
- Resident Administrative Meetings led by Administrative Chief Resident
- 1:30 – 3:30 pm Education session led by faculty
- TVH and Mid-Urethral Slings: A Hands-On Course
Each year in February, the department hosts a CME course to educate practitioners on vaginal hysterectomy and mid-urethral slings. The Benign Gynecology and FPMRS faculty lead the course, which includes both didactics as well as hands-on simulation on both cadavers as well as pelvic model simulators. Residents from the other OBGYN residencies in North Carolina are invited to attend along with our own residents.