The postgraduate training program in Gynecology and Obstetrics at Loma Linda University Medical Center is an approved four-year program. Eight candidates are selected each year for the first-year positions.
The four-year program is planned to provide progressively advanced training in gynecology and obstetrics. The resident physicians are directly responsible for the care of patients assigned to them. In addition to their inpatient care responsibilities, the residents participate in an active supervised outpatient program. It is expected that the residents will participate in the teaching program of the University and the research programs of the department. Supervision is provided by the chiefs of the services and the attending staff members of the respective hospitals. In the fourth postgraduate year, the resident assumes the responsibilities of chief resident. The chief resident is directly responsible to the chair of the department, the director of the residency training program, and the attending staff physicians for the organization and direction of the residency training program.
General Gynecology and Obstetrics, FPMRS and REI out-patient clinics are located in the Faculty Medical Offices across from the Medical Center. Our Resident Continuity Clinics are located in the SACHS Medical Office Building in San Bernardino, within a 10-minute drive of the hospital. Our GYN ONC and MFM Clinics are hospital-based.
Our Department's administrative and academic offices, as well as the Residency Program Office, are located immediately adjacent to the hospital at 11175 Campus Street, Coleman Pavilion, Suite 11105. Workstations for resident use are available in this suite. There are two call rooms plus a work room in the hospital immediately adjacent to Labor & Delivery for resident use.
The University Del E. Webb Memorial Library is located within a block of the hospital on campus and offers a full range of services which are available to the house staff.
The Loma Linda University Medical Center GYN/OB service is divided into four major divisions:
- The Obstetrical Service is the perinatal center for the four inland counties of Southern California. The service load now consists of 250-280 deliveries per month, approximately one-half of these being classified as high risk. The assignment of two senior residents to this service allows an expanding experience in high risk clinic management, consultative interface with referring physicians for high risk transports, supervision and consultation of the high risk antepartum subservice, and consultation and supervision of complicated obstetrical events in labor and delivery. This service is covered by five perinatologists who offer and encourage resident involvement in ongoing research activities.
- The Gynecologic Oncology Service offers the senior resident the opportunity of complete management of (on average) a 15-17 bed inpatient load. The four gynecologic oncologists attending this service make the senior resident an integral part of every surgical procedure, leading most to recognize this as the high point of their technical experience. In addition, two gyn oncology referral clinics and a breast clinic are held weekly, thus allowing the resident the opportunity for consultative examinations, continuity of care, and outpatient cancer management.
- Two board certified reproductive endocrinology-infertility specialists attend to the section of reproductive endocrinology. The resident assigned to this rotation is involved with the entire spectrum of surgical procedures as well as association with the attending staff on a one-on-one rotational basis for outpatient clinical services. Resident physicians are involved with new patient work-ups and continuity of care. In addition, the resident is involved with the fertility laboratories and the invitro fertilization program (including ovum harvest and invitro fertilization techniques) and the clinical and research activities of the andrology laboratory.
- The Female Pelvic Medicine and Reconstructive surgery service consists of two board certified urogynecologists. The senior resident on rotation through this service is involved with the complete outpatient work-up of pelvic relaxation in a fully-equipped urodynamic and cystometric laboratory along with the inpatient surgical correction and postoperative outpatient reevaluation.
- The Benign Gynecology service is attended by 12 full time generalists and several part-time gynecologists. The senior resident leads a team responsible for emergency benign gynecologic admissions, provides inpatient gynecologic consultative services and obtains robust gynecologic surgical skills including minimally invasive surgery. The service operates out of three main surgical centers: Loma Linda University Medical Center, Surgical Hospital and the Outpatient Surgery Center. All three are located within one-two miles of each other. This service also assists in the surgical care of female veterans at the Jerry Pettis Loma Linda VA Medical Center.
At Loma Linda University Medical Center, approximately 70% of the inpatient and outpatient obstetrical patient load are cared for primarily by the resident staff under the direct and individual supervision of the attending faculty. Approximately 98% of the inpatient and outpatient gynecologic patient population are cared for primarily by the resident staff under supervision.