FM to OB/GYN - Apply as a PGY2 or PGY1?

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Leukocyte

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Hello,

I just had a question that I was not sure of. If an applicant completed a Family Medicine residency, and now wants to do a second residency in OB/GYN....would he/she apply to PGY-1 positions, or would he/she qualify to apply to PGY-2 positions if one opens up?

Thanks.
 
Probably PGY-1. OB/Gyn is so surgery heavy that coming from family medicine you would be pretty behind in your surgical skills if you went straight into a PGY-2 position. As a PGY-2 myself I've done nearly 200 c-sections already and as a second year it is expected that you know what you are doing with those things. Coverage for the more difficult cases would be an issue if we had a PGY-2 here with PGY-1 surgical skills and experience.

That said, all programs do different things at different points in the training, but I imagine all OB interns do a good amount of operating so I don't think you would be able to get around that hurdle.
 
Thank you for your reply. I hope it is not too late to apply for prgrams at this time.
 
We had one of our Family Med PGY-3's leave our program, and enter OB. They made her start as PGY-1 without having to do the "family med/internal med" rotation - and just added another elective.
 
Hello,

I just had a question that I was not sure of. If an applicant completed a Family Medicine residency, and now wants to do a second residency in OB/GYN....would he/she apply to PGY-1 positions, or would he/she qualify to apply to PGY-2 positions if one opens up?

Thanks.

You will have to start PGY-1. Most, if not all, programs will not accept anyone into a PGY2 OBGYN position without the requisite PGY1 experience. It's inconceivable to have a PGY2 without experience running the L&D floor, triage, OR/hospital-wide consults, and being 'surgeon' on the surgical cases (like c-sections, hysterectomy, laparoscopic cases).
 
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