You can expect rigorous and comprehensive training in both in-office gynecologic procedures and surgery throughout all four years of your residency.

During your in-office gynecology training you will become proficient evaluating and managing common and complex gynecological issues, performing ambulatory procedures and educating patients on preventative health management.

You will perform the following ambulatory procedures:

  • colposcopy
  • conization
  • biopsies
  • placement and removal of all long-acting, reversible contraceptive devices

Your surgical training and management of hospitalized patients will occur in a graded fashion: the complexity of procedures will increase as your surgical skills develop.

The majority of your rotations is will be equally divided between obstetric and gynecology services.

You will gain experience managing:

  • ectopic pregnancy
  • ovarian torsion
  • severe pelvic infections
  • uterine bleeding related to medical comorbidity and malignancy
  • pelvic masses

You can expect to become proficient in all modes of surgical therapy, including experience with abdominal, vaginal and minimally invasive modalities. You will also be trained in the use of the DaVinci robotic surgical system.

Upon completion of training you will be proficient in:

  • laparoscopic and hysteroscopic sterilization
  • operative hysteroscopy
  • endometrial ablation
  • laparoscopic adnexal surgery
  • total laparoscopic hysterectomy
  • abdominal and vaginal approaches to hysterectomy

Additionally, you will have significant surgical experience during subspecialty rotations in female pelvic medicine and reconstructive surgery, gynecologic oncology and reproductive endocrinology and infertility.


We will train you to manage common gynecologic disorders on the inpatient gynecology service, including uncomplicated preoperative and postoperative patients. You will perform minor gynecological surgeries and assist during major surgeries. You will manage patients with common gynecological disorders in the emergency room.

During rotations, your role will include evaluating and managing all gynecological admissions and consultations. You will gain experience conducting physical exams and interpreting laboratory results and a variety of imaging modalities.

Procedure experiences you can expect include:

  • dilation and curettage
  • hysteroscopy
  • basic laparoscopy
  • basic colposcopy


During your second year of training we will teach you how to manage complex gynecologic disorders, including complex preoperative patients. You will assist during major gynecological surgery and manage complicated postoperative patients. You will also be expected to manage patients in the emergency room who present with complex gynecological disorders.

You will continue to participate in more advanced laparoscopic cases and robotic procedures.

At this point in your training, you will be able to serve as primary surgeon on all basic gynecological procedures.


During your third year, you will be trained to manage complex gynecological disorders, including complex preoperative patients; perform major gynecological surgery; and manage complicated postoperative patients in the critical care units.

You will lead the resident team on the gynecology service and manage patients in the emergency room who present with complex gynecological disorders.


In your fourth year, you will lead the resident and health care team on the gynecology service. You will also use your expertise to act as a consultant for physicians managing patients with gynecologic disorders.

You will continue your training in managing complex gynecological disorders. You will manage complex preoperative patients, perform major gynecological surgery and manage complicated postoperative patients in the critical care units.


Patient volume can vary, however, you will typically:

  • perform 3 to 5 procedures per day in the operating room
  • see 4 to 5 gynecology visits per clinic session

Clinical Sites

Years Taken

(In each year, some combined OB-GYN)

Patient Population

You will care for patients of all ages and socioeconomic status.

Our sites at Buffalo General Medical Center, Erie County Medical Center and Women and Children’s Hospital typically serve an urban, lower-income population.

Millard Fillmore Suburban Hospital typically serves a suburban patient population generally cared for by private physicians. Most of these MDs are involved in resident education and hold teaching appointments with the university.