Purpose: To develop and evaluate a 4-week Foundations rotation for incoming OBGYN residents at the University of Ottawa to improve the transition into postgraduate training.
Background: As post graduate medical education moves from a time and process-based system to a competency-based training framework, our program acknowledged that a strong orientation is essential to a new medical graduate’s successful transition to a junior resident. “Transition to Discipline” is at the base of the CanMEDs Competence Continuum and so well constructed foundational rotation is necessary for incoming OBGYN residents
Methods: We organized a group of stakeholders in education and identified existing strengths that could be leveraged within the undergraduate and postgraduate curriculum. We partnered with Surgical Foundations and our Simulation Centre colleagues to incorporate multiple domains of education designed to both build on existing knowledge and expand skills training needed to be prepared for expectations of a PGY-1 level trainee. A qualitative and quantitative survey was administered to residents who completed the orientation block rotation in 2017.
Results: This 4-week comprehensive rotation included wellness, orientations, workshops, certifications, simulation labs, lectures, and service initiations. Skills and simulation sessions incorporated practise models with C-section, perineal laceration repairs, vaginal deliveries, ultrasound, and obstetrical emergencies. Certification courses in Fetal Heart Surveillance in Labour and Neonatal Resuscitation were completed along with the mandatory bootcamp for Surgical Foundations. Residents joined the undergraduate curriculum and attended a wide range of didactic lectures on pertinent OBGYN topics. All open time was spent shadowing senior residents on core rotations. Based on surveys completed by the trainee this rotation was extremely well received, and found to better prepare the learners for transition to residency. A final assessment for each trainee was completed highlighting professionalism and collaboration and added to their resident file.
Discussions: The “Foundations” rotation was assessed as a comprehensive orientation which facilitated smooth transition to discipline from medical students to junior residents in the OBGYN department.
Topics: CREOG & APGO Annual Meeting, 2020, Student, Resident, Faculty, Residency Director, Residency Coordinator, Interpersonal & Communication Skills, Practice-Based Learning & Improvement, GME, Assessment, Simulation, Team-Based Learning, General Ob-Gyn,
Salina Kanji, MD, Department of Obstetrics and Gynecology at the University of Ottawa; Tracy Mitchell, CMEA; Laura Hopkins, MD, MSc, FRCSC
