Since 2002, we have graduated 44 residents, the majority of whom are adeptly serving their communities as generalists. We have also been fortunate to place 9 graduates into fellowships. That in of itself is quite an accomplishment. To better understand the competitive nature of fellowships in OB/GYN, allow me to provide you with some data. There are only 79 maternal fetal medicine positions, 46 gynecologic oncology positions, 47 female medicine and pelvic reconstructive positions, and 25 fellowship positions in family planning.
In 2010, Einstein opened the Center for Clinical Competency (short video overview).
This state-of-the-art simulation center is located in the Korman Building, just steps from Labor and Delivery. The center houses two Lap Sim virtual reality laparoscopic trainers, a complete Operating Room, two ICU rooms, a neonatal resuscitation model, a lecture hall, and conference room space. We have several OB/GYN educational research studies currently underway.
The Accreditation Council of Graduate Education (ACGME) Resident Review Committee (RRC) visited our program in July 2011. This body is responsible for ensuring the training of all residents. Over the past several years we have been responsible for proving competency in the 6 Core Competencies, (professionalism, medical knowledge, system based practice, practice based learning and improvement, interpersonal skills and communication, and patient care) as well as to confirm that our residents have the requisite surgical and obstetrical cases. The maximum cycle length that a program may achieve is 5 years.
Perhaps the most exciting news came shortly after receiving our 5-year accreditation from ACGME when we were granted the opportunity to immediately expand our program from 16 residents to 20. This increase in complement enables us to send residents to the newly opened Einstein Medical Center Montgomery (EMCM).
EMCM affords our residents the unique opportunity to have two vastly disparate training models within a single residency program. At the main campus, now called Einstein Medical Center Philadelphia (EMCP), the residents experience an urban tertiary care trauma center with a level 3 NICU. Over 85% of the women who we serve at EMCP are insured through the state welfare system. At EMCM the residents are trained in a state of the art suburban hospital with a Level 3 NICU, 60% of the women in this community are commercially insured. This new paradigm allows the residents to learn the intricacies associated with caring for women and families in the urban and suburban setting. In just the first 3 months that the hospital has been opened, it is clear that the surgical volume will provide significant enhancements to our program. In addition to robotic surgery, the residents will learn single port laparoscopy and have the opportunity to work on the urogynecology service. This additional volume will insure our residents are able to achieve the requisite cases as determine by the RRC and be trained for the future.
For those interested, yes, we are training the residents to use the robot. We have one robot at our Elkins Park Hospital (EMCEP), and one robot at EMCM. From a resident education point of view, the robot has added a level of complexity to the training. A resident must perform at least 51% of any case to be able to log the case as surgeon, anything less is assigned to the assistant role. The ACGME is only interested in the surgeon role. Thus, without the benefit of the teaching console, we are loosing cases to the robot. The case that may have been a LAVH, a complete laparoscopic hysterectomy, or worse, the TVH is now at times being completed robotically. We fully realize that robotic technology is the future and thus we have adopted a formal training program to insure our graduates will be “robot ready” upon graduation.
We hope that you share in the excitement of the current state of the program that you helped to shape. Our residency mission states:
“Maintain a learning environment to enable our residents to achieve
levels of training that exceed their own expectations.”
It is our hope that you feel your program has
delivered upon its mission statement