Rotation Schedule

PGY-1

PGY-2

PGY-3

PGY-4

Labor and delivery days: Residents will be exposed to a breadth of obstetric practices and varied patient acuity on labor and delivery working with Swedish and Polyclinic Ob/Gyn attending providers, certified nurse midwives, L&D nurses, doulas, cultural navigators, and more.
Night float: Night float team will consist of one resident from each post-grad year covering L&D, benign gynecology, gynecologic oncology, and antepartum services. Night float consists of night shifts from Sunday to Thursday nights. Weekend call teams will cover Friday and Saturday nights.
Benign gynecology: Gynecologic surgery rotation throughout all four years to develop procedural skills in hysteroscopy, laparoscopy, and open abdominal surgery.
Gynecologic oncology: Residents will learn how to medically and surgically manage patients with gynecologic malignancies with an emphasis on robotic and open abdominal surgery.
Ambulatory gynecology: In the PGY-1 year, residents will spend time with pelvic floor physical therapy, in breast cancer clinic, with providers at the Swedish Ballard location including the menopause and sexual dysfunction clinic, with perinatal psychiatry, and in addiction medicine clinic. In the PGY-4 year, residents will return to the menopause and sexual dysfunction clinic, work with the addiction recovery service, follow with medical genetics, and spend focused time in gender-affirming care clinic.
Community gynecology: In the PGY-2 year, residents will operate at the Swedish Issaquah campus two days per week, spend time in the Maternal Fetal Medicine clinic, and work on their research projects.
Antepartum: Residents will work with maternal-fetal medicine specialists in the medical and surgical management of high-risk antepartum admissions, deliveries, postpartum patients, and peripartum ICU patients.
Family planning: Residents will learn how to provide contraceptive counseling, medically and surgically manage abortion, and triage complications of outpatient terminations. Family planning care, including first and second-trimester procedures, will be performed in both the inpatient setting and in conjunction with a community family planning clinic. All residents will be expected to participate in the family planning rotation unless they elect to opt-out for personal reasons.
Continuity clinic: Residents will be starting continuity clinics in the PGY-1 year, with the continuity clinic experience spanning all four years of training. “Conti” clinic will be one half-day every week throughout the year, except when the resident is on night float rotations. Residents will be in the role of primary caregiver for their patients within their continuity clinic, under the supervision and guidance of our experienced Ob/Gyn faculty. Continuity clinics will draw from Seattle’s diverse population and will serve publicly and privately insured patients.

The Swedish Ob/Gyn residency will accept 6 residents per year

Rotation blocks will each span approximately 4 weeks (unless noted as a continuous 8-week rotation) and give the resident thorough experience with the depth and breadth of general Ob/Gyn, with the ability to add electives in specific areas of interest in the 2nd, 3rd, and 4th years, to allow the resident to tailor their training in areas of interest (see tracking section on the website for more information). The PGY-4 resident will serve as chief of their respective services and will be responsible for oversight and management of the service.

Residents can expect to receive an excellent education at Swedish Medical Center, which is a large tertiary hospital system.  The main campus (First Hill) is in an urban setting, with a strong academic focus.  It is well known for its excellent obstetrical care and minimally invasive gynecology expertise and benefits from a large L&D and triage area, large level 4 NICU, and both inpatient and same-day surgery facilities.

Residents will primarily do their rotations at Swedish Medical Center – First Hill, which is ideally located close to downtown Seattle.  OBGYN physicians providing care at this site include both employed and private practice doctors.  Residents will gain experience treating patients across the socioeconomic scale, providing care to a large population of immigrants and refugees, homeless patients, chemically dependent patients, and will benefit from an excellent LGBTQIA2+ healthcare initiative.

The main campus has representation of every major medical specialty, for consultation and learning opportunities. Residents will participate in the care of patients in our inpatient acute recovery unit for chemically dependent pregnant women. Our strong Family Medicine faculty will be asked to provide direct teaching on areas important to the primary care of women. Residents will also have dedicated time in faculty specialty clinics, such as the Women’s Wellness Clinic, MIGS surgical clinic, Menopause clinic, MFM clinic, and Oncology clinic. Residents will perform gynecological surgery in a variety of settings, including the main hospital site and a free-standing surgical center attached to the First Hill Campus.