Residency Programs  > OB/GYN Residency  > Program Overview 

Program Overview          Print This Page

This residency provides formal instruction, appropriate supervision, increasing responsibility, and critical evaluation in leading you to the knowledge, skills and attitudes needed by a successful obstetrician/gynecologist. The majority of our graduates have entered private practice. However, as interest in post-residency fellowship training increases, our residents have proven themselves to be competitive in obtaining and completing these fellowships.

Palmetto Health serves as a tertiary-level hospital providing referred health-care delivery for a population in excess of 1.2 million from 16 counties and 20 hospitals. Established in 1948, the hospital's residency program affiliated with the University of South Carolina School of Medicine in 1977 and is now known as the Palmetto Health/University of South Carolina School of Medicine Residency Program.

Our faculty is committed to providing an environment in which housestaff achieve their maximum potential, both technically and cognitively, in all areas of our medical discipline. The departmental structure is designed to provide in depth exposure and teaching in the entire spectrum of our specialty.

Our main training site is Palmetto Health Richland Hospital. We are on the forefront of obstetrics education, offering our patients CenteringPregnancy prenatal care, Baby-friendly hospital care, perinatal psychiatry services, and immediate postpartum LARC insertion. Our gynecology service is comprehensive with a dedicated minimally invasive surgery curriculum, robotic curriculum, family planning, urogynecology, and peds/adolescent surgery.

Continuity of patient care is considered crucial. The resident is provided two half-day Continuity Clinics during most rotations. Patient assignments are graduated to reflect the increasing experience of each resident. This experience begins with normal obstetrics and gynecology and moves toward more complicated problems as the year of training increases.

All of our residents complete and present a research project and participate in quality improvement projects in the Palmetto Health System. Scheduled teaching sessions include OB rounds, GYN rounds, oncology rounds, journal club, pre-op conference, pathology/colposcopy conference, OBGYN morbidity and mortality conference, OB/NICU conference, core curriculum lectures, and twice monthly grand rounds.

Our residents have a quarterly wellness curriculum, Residents as Teachers training, regular simulation sessions, dedicated leadership training, and a yearly resident retreat.

Upon completion of this program, each resident will be competitive in the areas of clinical practice and in the academic arena.

In the first postgraduate year (OBG1), residents begin training in both routine and high-risk obstetrics, as well as general gynecology and minor operative surgical procedures. In addition, training begins in ultrasonography. General medical knowledge and critical care experience occur during ICU and NICU/Anesthesia rotations..

The second year of training (OBG2) expands and deepens training in the specialty of obstetrics and gynecology. This includes rotations in the subspecialties of gyn oncology and reproductive endocrinology. Primary care experience is gained during an emergency medicine rotation. Breadth of training is expanded with rotations in high-risk OB and ultrasound.

During the third year of training (OBG3), the focus of training is depth of high-risk obstetrics and major operative gynecology.  Gynecologic skills are expanded with one-on-one experiences with private practice attendings in the community. In this year, residents also complete family planning training.

The fourth year of training (OBG4) presents the resident with the role of teacher. The system of graduated responsibility establishes the fourth year resident as service chief in general obstetrics, high-risk obstetrics and gynecology. Additional training in urogynecology surgery, benign gyn surgery and reproductive endocrinology occur. Each fourth year resident has an elective rotation, during which the residents may choose their experiences to broaden and deepen their knowledge in a particular area of interest.

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