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The mission of the female pelvic medicine and reconstructive pelvic surgery rotation is threefold:
The accomplishment of these goals will require the vigilance of the residents, not only to be at the appointed place at the appointed time, but to have read and digested material from independent study. It will also require the organizational skills to ensure that clinics run smoothly and the operative schedule remains full. The FPMRS service consists of a senior resident supported by a third-year resident in the weekly clinics. The following guidelines pertain primarily to the senior resident assigned to the service.
Unlike any other service in the department, there is very little structured preparation for the FPMRS block to date. In contrast to this service, residents have an intimate association with general gynecology and obstetrics from the time of internship onward. In depth exposure to gynecologic oncology occurs in the second year, and all are covered in monthly patient management conferences. Even topics in reproductive endocrinology are discussed on a weekly basis at noon conferences. For this reason, if the resident is to have any degree of autonomy or be anything other than an observer, a program of reading and independent study must be well underway by the beginning of the rotation. Showing up in the OR and not understanding precisely why a given procedure is being performed, or attending clinic without understanding the common urologic diagnoses and how they are detected are things which are simply unacceptable.
When assigned to FPMRS, the resident attends clinics, performs urodynamic procedures, and attends surgery with Dr. Hebert and Dr Kahn. Experience in FPMRS is also obtained in general gynecology, particularly in rotation at Huey P Long, in Pineville, LA.
Margie Kahn, MD
David Hebert, MD