the Program

PROGRAM FACTS

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OBSTETRICS AND GYNECOLOGY

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Obstetric Services

Approximately 3,000 infants are born each year at Aurora Sinai Medical Center. With the large number of births, opportunities abound for the practice of preventive as well as diagnostic and urgent obstetrical patient management.

The Inpatient Obstetrics Unit is the focus of obstetrical training. The unit consists of labor, delivery, recovery rooms (LDR), maternal fetal intermediate care rooms (MFIC), critical care, surgical rooms and a recovery room. The Inpatient Postpartum Unit with a well-born nursery completes the Inpatient Obstetric Unit. Any woman who has delivered in an LDR suite or is post-cesarean delivery is admitted to this unit for her postpartum stay. The unit is fully equipped to handle all high-risk obstetrical patients as well as normal newborns.

The Neonatal Intensive Care Unit is one of the finest Level III perinatal intensive care centers in southeastern Wisconsin. Intensive care for the high-risk infant is provided by a multidisciplinary team comprised of neonatologists, registered nurses, respiratory therapists, occupational therapists and social workers. An intermediate care nursery is available to care for infants with medical problems who do not require intensive care.

Aurora Women's Pavilion is a new tertiary care center within the Aurora system. The estimated 3,000 deliveries per year will be used to complement and supplement residents' OB experience.

Obstetrical Clinics include low-risk patients assigned to residents in their continuity clinic and high-risk specialty and prenatal diagnostic clinics. The obstetrical clinics provide a comprehensive obstetrical care program, which involves nutritionists, social workers, and registered nurses in addition to residents. A specialty program utilizing a perinatologist is available for high-risk obstetrical care.

The Perinatal Assessment Center provides extensive outpatient antenatal testing, genetic counseling and prenatal diagnostic services. Amniocentesis, ultrasonography, and other clinical techniques are offered. Residents also rotate in medical genetics at a private genetics office. The Perinatal Assessment Center includes dedicated OB/GYN ultrasound units available for diagnostic and intervention purposes.

Obstetrical Critical Care consists of intensive care dedicated to the care of critically ill obstetric patients within the Women's Health Services area. A faculty member who is board certified in maternal-fetal medicine as well as critical care medicine teaches and supervises residents in the care of these high-risk patients. This unit has the capability for invasive monitoring, and patients are managed by perinatalogists and appropriate medical consultants.

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Midwifery Program

The midwives of the Aurora University of Wisconsin Medical Group (AUWMG) provide prenatal care and deliver approximately 600 women each year. Primary preventive and gynecologic care is also provided. The services provided by the midwives support resident education by enabling residents to care for patients with a higher level of risk and serving as a major referral source to the residents.

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Gynecological Services

The general gynecology program emphasizes preventive health care and health maintenance for women as well as the surgical and medical management of gynecological disorders.

Residents rotate through general gynecology clinics as well as specialty clinics and participate in inpatient care on general gynecology, gynecological oncology, urogynecology and endocrinology-infertility services.

General gynecology experience is provided in the resident continuity clinics. The residents develop a panel of patients for longitudinal care over the four years.

Patients from the resident continuity clinics as well as private patients from the full-time, part-time and voluntary faculty receive medical and surgical management of gynecological disease on the inpatient gynecological service at Aurora Sinai Medical Center. Experience in all surgical approaches is provided including transabdominal surgery, transvaginal surgery, robotic procedures, and operative laparoscopy. A day surgery unit and an outpatient minor procedures unit are used for much of the minor and laparoscopic surgery.

Additional gynecological surgery experiences are scheduled at institutions outside of Aurora Sinai Medical Center. Aurora Sinai Medical Center, Aurora St. Luke's Medical Center, Aurora West Allis Medical Center, and Aurora Bay Care provide concentrated experience in major gynecological surgery and oncology.

Residents gain experience in colposcopy and the diagnosis and treatment of patients with vulvar and cervical disease and neoplasia. Experiences include colposcopy, LEEP, laser, cryotherapy and medical management.

The Continence Center is staffed by a faculty urogynecologist and trained nursing staff. Residents develop expertise in urodynamic testing, the complete evaluation of urogynecologic complaints and advanced pelvic surgery.

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Infertility/Endocrinology and Family Planning

Residents gain experience in Aurora Fertility Services office, a busy reproductive endocrinology and infertility service at Aurora Women's Pavilion in West Allis and Women's Center at Aurora BayCare in Green Bay. Residents learn all assisted reproductive technologies including IVF. Diagnostic procedures include cytogenetic testing, transvaginal ultrasound, egg retrieval, office hysteroscopy and HSG. Family planning is offered in all ambulatory settings and in the clinics of Planned Parenthood Association of Wisconsin, Inc.

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Gynecological Oncology

Our residents are integral members of our Gynecological Oncology service at Aurora Sinai Medical Center, Aurora West Allis Medical Center, and Aurora St. Luke's Medical Center. They participate in all aspects of GYN malignancy, diagnosis, and all aspects of patient outcomes. They receive extensive experience in robotic assisted surgeries in both benign and gynecologic oncology.

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Primary Care

Primary care experience is an integral part of the OB/GYN Residency Program, as are continuity clinics. In addition, a core of rotations in primary care, both ambulatory and inpatient, have been developed. Experience in emergency medicine and ambulatory geriatrics reinforces the primary care experience. Rotations in general endocrinology, breast health, infectious diseases and psychiatry are also incorporated into the primary care curriculum.