OB-GYN Residency
General Information

The program is considered an “integrated” program according to ACGME definitions. The primary institutions involved in the program are WRAMC and WRNMMC. The residents spend approximately 50% of their time in the Washington DC area at one of these two facilities. After the merger of the two separate WRAMC and WRNMMC programs in 1995, facility construction and realignment of services led to clinical and educational services in the facilities as follows:

WRNMMC:

• All obstetrical services, including high-risk obstetrics
  (Maternal-Fetal Medicine)
• Gynecology services (benign gynecology)
• Part of the Reproductive Endocrinology and Infertility
  (REI) service

WRAMC:

• Gynecology services (benign gynecology)
• Part of the Reproductive Endocrinology and Infertility (REI) service
• Urogynecology
• Gynecologic Oncology

After construction was completed at WRNMMC in 1996, all obstetric services were located at WRNMMC. The Mother and Infant Care Center (MICC) is an ultramodern facility, consisting of Labor-Delivery-Recovery (LDR) and Labor-Delivery-Recovery-Postpartum (LDRP) units, three surgical suites, completely electronic records and fetal monitoring, and an Antepartum Testing Center, in which all antepartum testing and detailed sonographic fetal anatomic surveys are performed. All neonatal services, including the Neonatal Intensive Care Unit (NICU) are co-located on the unit, resulting in a seamless integrated functional facility for care of obstetric patients and neonates. A dedicated obstetric anesthesia service is also housed on this unit. After construction was Take Virtual Tour of Birthing Room.

The Walter Reed Army Medial Center facility contains state-of-the-art gynecologic and gynecologic surgical capabilities. Advanced endoscopic surgeries are performed, including hand-assisted laparoscopic surgery, total laparoscopic hysterectomy, and endoscopic gynecologic oncology surgery. In addition, several of the faculty are experienced in the use of robotic surgery, which is currently housed at WRAMC.

There are currently four rotations at separate facilities; three of which are considered “extramural” according to ACGME definitions. During the PGY-2 year, residents rotate at Womack Army Community Hospital (WAMC) at Fort Bragg, NC, for obstetric education and experience. The high obstetric volume at WAMC leads to a superb obstetric experience, including complicated obstetric cases and obstetric procedural experiences. During the PGY-3 year, there are three gynecology rotations; one rotation at DeWitt Army Community Hospital (Dewitt) at Fort Belvoir, VA, one rotation at Inova Fairfax Hospital in Fairfax, VA, which is one of the busiest women’s health centers in the nation, and one rotation at Washington Hospital Center in Washington, DC, which is a very busy medical center offering high-volume, complex cases. These three rotations provide an outstanding experience in gynecology and gynecologic surgery. The rotation at Dewitt started in July 2005; this rotation was formerly performed at Malcolm Grow USAF Medical Center at Andrews Air Force Base, MD.

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