William Schlaff, MD
Chair and Bowers Professor, Department of ObGyn
Many experienced Obstetrician Gynecologists have long known what our field has now formally recognized: that a woman's primary physician is often her Obstetrician/Gynecologist. In keeping with this recognition, in 1996 the Residency Review Committee enacted new requirements in obstetrics and gynecology mandating the teaching of primary care in obstetrics and gynecology residency programs.
At Jefferson, we have incorporated a high-quality primary care curriculum into our program. This involves extensive time in family medicine, including both inpatient and outpatient experience; a lecture series of primary care topics which draws on the faculty of the entire university; an ongoing ambulatory care experience in our department which emphasizes continuity of care; and a developing relationship with the Geriatric Division of the Department of Family Medicine. We are committed to the concept of Obstetrician-Gynecologists as primary care providers.
The obstetrical educational experience is wide and varied. The total number of deliveries to which our residents are exposed numbers approximately 10,000 per year. Thomas Jefferson University Hospital does approximately 2000 deliveries per year and the Virtua Voorhees Hospital in NJ approximately 6000. The referral base for the Division of Maternal-Fetal Medicine numbers approximately 25,000 deliveries per year, which provides a large and varied perinatology service. The Maternal Observation Unit in the Pavilion Building cares for a sizable inpatient high risk service. Under the direction of Vincenzo Berghella M.D., the Division of Maternal-Fetal Medicine provides advanced high-risk care to a large referral base in the Delaware Valley.
The Department provides a wide range of outpatient services as well. The Antenatal Testing Center (AEC) provides a comprehensive range of antepartum fetal evaluation services. These services include NSTs, comprehensive ultrasound, Doppler studies, percutaneous uterine blood sampling, PUB's, fetal echocardiography, and comprehensive perinatal consultation. The Division of Genetics and Fetal Medicine, a pioneer in the field of CVS, is a nationally recognized center for the management of genetic problems, teratogenic exposures, and fetal abnormalities. It is responsible for the performance of prenatal diagnostic procedures. The center is staffed by Maternal Fetal Medicine physicians with a subspecialty in genetics, by clinical geneticists, and by trained genetic counselors.
The surgical experience in the residency program is outstanding. The combination of Thomas Jefferson University Hospital and the Virtua Voorhees Hospital in NJ provides a large volume of surgical cases, with an excellent breadth of experience. The combination of university and community experience gives residents an exposure to a wide variety of approaches to the surgical patient. Comparison of national residency program surgical volume statistics shows Jefferson favorably in availability of all major and minor surgical procedures.
The fulltime Division of Reproductive Endocrinology is complemented by a large private infertility practice. The Division offers a surgical volume which is extraordinary in both its size and its diversity. Resident exposure to all areas of advanced operative laparoscopy, laser and robotic technique is outstanding. In addition, the Division offers excellent exposure to all areas of assisted reproductive technologies.
The Division of Gynecologic Oncology is part of the Thomas Jefferson Kimmel Cancer Center. The Division maintains an extremely active outpatient practice, with extensive colposcopic procedures, including laser and LEEP procedures, available to our residents. A close relationship is maintained with the Bodine Center for Cancer Treatment, which provides brachytherapy and other services to oncology patients at Thomas Jefferson. Our residents also benefit from 2 gyn-oncologists at Virtua Voorhees Hospital in NJ.
The Division of Urogynecology maintains a fully-equipped outpatient facility for diagnosis and management of pelvic floor dysfunction, as well as an active surgical practice. All patients are seen in this facility under direct attending supervision. Last year, about 140 major urogynecologic surgical procedures were performed by the two full time attendings.
Finally, the General Division performs a large volume of gynecologic surgery and covers emergency room cases.
Ambulatory Care Experience
Service patients are seen by resident physicians and medical students in the Ambulatory Care Facility in the 834 Chestnut Street Building. Approximately 20,000 patients per year are seen in this setting. A full-time faculty member is physically present during each session to educate and supervise residents and students in various aspects of outpatient care.
Resident assignments are based on the concept of continuity of care. Beginning in the PGY 2 year, each resident has one half-day per week in the clinic. There are no "general" or "open" clinic sessions; all sessions are continuity clinics, and any patient seen by a particular resident is followed up by that resident in his or her continuity clinic for the duration of that individual's residency. This system encourages house-staff to be more involved with their ambulatory practice, improves care and increases patient compliance, and helps residents to derive maximal educational benefit from ambulatory encounters. The continuity clinics are supplemented by clinics in Family Planning, MFM, Colposcopy, Methadone OB Clinic, and Preoperative clinic. Residents also see patients in the full time faculty specialty office hours to round out the clinical experience in Menopause Medicine, Reproductive Endocrinology, Geriatrics and Urogynecology.
William Schlaff, MD
Abigail Wolf, MD
834 Chestnut Street
Philadelphia, PA 19107
We participated in the National Residency Match Program and utilize the Electronic Residency Application Service (ERAS).