University of Tennessee College of Medicine (Nashville) Program

The University of Tennessee Health Science Center College of Medicine (UTHSC-Nashville) offers a comprehensive Obstetrics and Gynecology residency program that is fully accredited by the ACGME. This program places a strong emphasis on developing residents' clinical competence in obstetric decision-making and surgical techniques. The primary training facility, Ascension Saint Thomas Hospital Midtown (ASTHM), is notable for being the largest obstetric hospital in Tennessee and a leader in obstetric simulation training nationally. Residents are exposed to a robust experience in general and subspecialty obstetrics and gynecology, which is essential for those considering fellowship opportunities in major subspecialties.

The residency program operates under a fundamental philosophy that emphasizes viewing residents as apprentice attending obstetrician-gynecologists, fostering a professional development environment that supports personal growth and experience. Resident wellness is a core tenet of the program, ensuring that clinical responsibilities are continually assessed for educational value, thereby enhancing the residents' experiences and personal satisfaction in their roles. Training is provided by a dedicated core faculty and volunteer faculty members who offer mentorship in both obstetric and surgical management. 1

Application and Admission Requirements

The application process for the UTHSC-Nashville program is competitive, participating in the National Resident Match Program (NRMP). Prospective applicants must submit an application through the ResidencyCAS Application Portal, with applications accepted until September 25, 2024. A complete application consists of the following: a ResidencyCAS application, a transcript from medical or osteopathic school, a Medical Student Performance Evaluation (MSPE), a personal statement, three letters of recommendation (with at least one from a member of the Department of Obstetrics and Gynecology), and results from the United States Medical Licensing Examination (USMLE) or COMLEX exams.

It is worth noting that the program is friendly to DO and IMG applicants, making it a viable option for a broad range of candidates. Selectivity is based on the completeness and competitiveness of the application materials. 8

Curriculum Overview

The residency curriculum is designed around a structured two-year rotation system covering varied topics to prepare residents for the American Board of Obstetrics and Gynecology (ABOG) certification. The program dedicates at least three hours a week to protected conferences addressing essential competencies and clinical knowledge. In addition to rotation-specific teachings, a variety of seminars, journal clubs, and patient safety discussions are facilitated to ensure well-rounded education. All residents receive online access to leading OB/GYN journals and essential resources, including textbooks and supportive materials. 5

Clinical Rotations

The first year of residency (PGY-1) involves split rotations in obstetrics, gynecology, and ambulatory care, with a focus on developing foundational skills in managing patient care. PGY-1 residents engage in obstetric care, perform deliveries, and gain critical experience in gynecology, supplemented by an outpatient clinic throughout the four years. This hands-on approach continues into the subsequent years, with exposure to subspecialties, including maternal-fetal medicine and gynecologic oncology. As residents progress through PGY-2 and PGY-3, they enhance their surgical skills and continue to refine their competencies in managing high-risk obstetric patients and gynecologic surgeries. 9

Research Opportunities

The program encourages research throughout the residency, with an expectation for residents to produce a quality research project before completing their training. Dedicated resources from the Graduate Medical Education office help residents navigate study design, institutional review board processes, and statistical analyses. The program encompasses elements of quality improvement and patient safety in its clinical practice, underscoring the importance of research and evidence-based medicine in providing high-quality care. 6

Training Facilities and Resources

Ascension Saint Thomas Hospital Midtown serves as the primary site for training, boasting a significant volume of approximately 7,000 annual deliveries and over 1,200 gynecologic procedures. The facility is equipped with a Level III NICU and provides comprehensive maternal-fetal medicine services. Additionally, the program emphasizes the importance of simulation training, with resources available for both obstetrics and minimal invasive surgical techniques, vital for contemporary OBGYN education. 7

Benefits and Living in Nashville

Residents benefit from a range of support initiatives, including an educational stipend, health insurance, and access to library resources that enhance their learning experience. Nashville, known as "Music City," is a vibrant city offering a diversity of cultural, dining, and entertainment options, making it an appealing location for residency training. The city's numerous attractions, events, and professional sports teams contribute to a rich living experience beyond the hospital environment. 2