Joseph DeNagy DO, Margaret Caulkins MD, PGY1.

“The first year of residency training is crucial in that it lays the foundation for each of the ensuing years of instruction,” says resident Margaret Caulkins, MD, shown with faculty member Joseph A. De Nagy, DO. “Your hands-on responsibilities will increase as you develop proficiency.”


The first year of your obstetrics and gynecology residency gives you a strong foundation in the field.

Clinical Program

Name of Rotation Length of Rotation
Obstetrics   9 modules
Gynecology 2 modules
Women’s Imaging 1 module
Emergency Medicine 1 module
Continuity Clinic One half-day per week

Our department follows the ACGME Milestones program which emphasizes increasing responsibility based on demonstrated competence in each of the individual milestones.

During your first year of residency, you will be responsible for basic obstetrics and gynecology, including normal deliveries, dilation and curettage, laparoscopies and surgical assistance on more complex cases. You will also supervise and train medical students.

In order to assist with the transition to your new role, the first week of training includes a “boot camp” where basic skills are covered.

Utilizing both lecture and simulation, topics such as fundamental surgical skills, interpretation of fetal heart rate tracings, vaginal delivery, cesarean section, episiotomy repair and basic office procedures will be covered. You will also obtain neonatal resuscitation certification.

Didactic Program

Lectures and training experiences vary from week to week, but may include basic lectures in obstetrics and gynecology, quality assurance and quality improvement presentations, research lectures, pathology conferences, neonatal conferences, journal clubs, Council on Resident Education in Obstetrics and Gynecology (CREOG) reviews and various clinical workshops.

You will participate in simulation experiences for obstetrics emergencies, hysteroscopy and laparoscopy labs and an anatomy laboratory featuring cadaver dissection.

You are expected to actively participate in all experiences and will be scheduled to present two basic obstetric and gynecologic topics.

Teaching Duties

From your first year, you will serve an integral role in educating medical students. You will be expected to be involved with teaching and training on all rotations, and your role will evolve over the course of your training as your knowledge base, experience and skills develop.

As you teach, your own skills and knowledge will be reinforced.