MINIMALLY INVASIVE GYNE COLOGIC SURGERY Hye-Chun Hur, MD Division Director Faculty Louise P. King, MD, JD EDUCATION The Minimally Invasive Gynecologic Surgery Division provides comprehensive training to residents and REI fellows, as well as faculty development programs. Principles and surgical skills in pelvic/abdominal, vaginal and minimally invasive procedures are taught in a progressive manner over the course of the residency program. This approach allows residents to develop the competencies expected of well -trained gynecologists by the end of the four-year curriculum. The gynecologic training experience is enhanced by outside rotations at Mount Auburn Hospital, Needham, and Milton Hospital, as well as by ambulatory hysteroscopy and surgery in the Shapiro Clinical Center and in private offices. In addition to daily inpatient management and teaching rounds with the Gynecology Attending of the Week, there is regular teaching at the bedside and in the operating theater on all cases. Weekly staff and resident conferences are held to enhance evidencebased care. Educational surgical meetings are held on a monthly basis with a gynecologic surgical committee to discuss surgical planning for resident patients. Third-year residents rotate with the Minimally Invasive Gynecologic Surgery (MIGS) team in the inpatient operating room as well as in the ambulatory surgical setting. Monthly skills sessions in the simulation laboratory, and resident didactic series are conducted on a bimonthly basis. Biannual GYN resident workshops offer an intensive three-hour simulation learning experience for all residents in the program. The residents participate in a structured Fundamentals of Laparoscopic Surgery (FLS) program that includes didactic and skills training in laparoscopic techniques. Passing the FLS cognitive and skills examination is a requirement during the third year of the residency program and offers the residents the opportunity to be FLS-accredited prior to completing their OB/GYN training.
Hye-Chun Hur, MD Section Head
OPERATIVE STATISTICS OPERATIVE LAPAROSCOPY AY 10 AY 11 AY 12
352 548 436
LAPAROSCOPIC HYSTERECTOMY AY 10 AY 11 AY 12
149 268 302
ROBOTIC MYOMECTOMY AY 10 AY 11 AY 12
5 16 12
ROBOTIC HYSTERECTOMY AY 10 AY 11 AY 12
44 80 110
Residents experience a tremendous volume of minimally invasive surgical patients resulting in our graduates consistently ranking in the 80th-90th percentile of procedure numbers nationally. CLINICAL CARE The MIGS division provides patient-centered care with state-of-the-art equipment. Our minimally invasive gynecologic surgical specialists are fellowship-trained to perform advanced gynecologic surgeries using the latest minimally invasive techniques, which include traditional laparoscopic and robotic approaches. Laparoscopic hysterectomies, removal of ovaries and ovarian cysts, myomectomies, surgical treatment of endometriosis, robotic surgery and hysteroscopic sterilizations are some of the many services offered. Louise P. King, MD, JD
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BETH IS RA EL DEACON ESS M EDICAL CENTER