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Clinical Services

A 564-bed acute-care hospital, Rochester General Hospital records more than 31,644 admissions each year and 114,497 visits to its outpatient clinics. More than 18,880 patients are treated annually in the Hospital's OR, while the Emergency Department attends to more than 101,616 annual visits. Rochester General has earned a reputation for excellence in a variety of specialties RGH offers a full array of services to meet the healthcare needs of upstate New York residents, including nationally recognized programs in specialties including Cardiac, Cancer, Orthopaedic, Vascular, Surgical and Diabetes. The hospital's distinctions for quality include being recognized nine times as a Solucient/Thompson Top 100 Cardiac Hospital; and being designated by New York State and The Joint Commission (TJC) as an accredited Stroke Center. Additionally, RGH has earned Nurse Magnet Hospital recognition from the American Nursing Credentialing Center - the nation's highest honor for excellence and innovation in nursing care.

Perinatology, Antenatal Testing and High Risk Obstetrics

Residents Participate in Gynecologic SurgeryThe division of Perinatology and Antenatal Testing provides diagnostic services (such as ultrasound, amniocentesis, non-stress testing, biophysical scores, and AFP testing) in addition to genetic counseling for risk factors such as maternal age and hereditary disorders. A high-risk obstetrical clinic is held every Tuesday attended by a Perinatologist and members of the resident staff. The division is staffed by Perinatologists from our faculty and the University Of Rochester Medical Center. Residents begin rotations in Ultrasound and Maternal Fetal Medicine during their first year and enjoy a Maternal Fetal Medicine rotation during the next 3 years of their residency.

Reproductive Endocrinology
In the second and third year, residents rotate to the Institute for Reproductive Health and Fertility in Rochester. The facility is a private referral center for in vitro fertilization and other assisted reproductive techniques. Residents assist the Institute's reproductive endocrinologists in infertility surgery at Unity Hospital, an affiliate member of Rochester Regional Health System. During this rotation, residents gain considerable experience in performing vaginal ultrasound procedures and gain extensive knowledge in the subspecialty of reproductive endocrinology.

Gynecologic Oncology
Rochester General Hospital's facilities include a comprehensive Cancer Center. Gynecologic oncologists, medical oncologists, surgeons, pathologists, and radiation oncologists treat one-third of the area's cancer patients. The GYN Oncology Division at RGH is staffed by the Chief of our department, Dr. Eugene Toy, who is also the Director of Gyn Oncology. Our Residents rotate to his weekly clinic and enjoy the opportunity to learn surgical technique from him during their Gyn Onc rotations. Second and third year residents also rotate for one month once per year to Roswell Park Cancer Institute. During their time at Roswell, residents spend two half days a week at the oncology office in clinic, and on Wednesday, they scrub with the oncologists for oncology surgical procedures.

Gynecologic Surgery
Comprehensive gynecologic surgery is performed on an inpatient and outpatient basis. More than 1600 outpatient and 700 inpatient surgical procedures are done each year. Rochester General Hospital’s gynecologists conduct many of these procedures robotically or laparoscopically. Resident staff is trained in open and laparoscopic surgical techniques, as well as, through different simulation modules and animal labs.

Our gyn operating room is also equipped with the state of the art daVinci Robotic system and has been one of the leading hospitals in the nation regarding the number robotic surgeries done. Most recently, the hospital has purchased the newest daVinci Xi robot and our residents are currently receiving training in the operation of this state of the art robot. Working together with our expert surgeons, our residents leave the program with excellent hands on training in robotic surgery.

Urogynecology
Our Residents rotate on urogynecology during their third and fourth years. During this time, our residents spend some of their rotation in a private physician's office, becoming more familiar with urodynamic testing procedures and the preoperative and postoperative management of patients with various problems related to distortion of pelvic anatomy. Urogynecological and pelvic reconstructive surgical procedures are performed at Rochester General Hospital and residents scrub with the urogynecologists on these procedures while on this rotation. After four years of residency, our residents develop excellent surgical skills in most of the urogynecology procedures under the expert guidance of our eminent urogynecologists.

Obstetrical Inpatient Facilities
Our obstetric unit is equipped with 16 Labor, Delivery, Recovery, and Postpartum (LDRP) suites and 18 antenatal and postpartum/post-op beds. The unit also has a four bed L&D triage, four high-risk labor rooms, two Labor, Delivery, and Recovery (LDR) rooms as well as two operating rooms that are dedicated only for cesarean births.
The philosophy of the inpatient unit is a Mother-Baby Care Unit, in which mothers and their infants are encouraged to share the same hospital room. Rochester General Hospital’s Birthing Center received special recognition in 2000 with its designation from the World Health Organization and the United Nations Children’s Fund as the first "Baby-Friendly" hospital in New York State. This designation is given to hospitals that demonstrate a commitment to the health and well-being of mothers and their babies through the implementation of a rigorous set of protocols supporting breast-feeding. In this environment, residents are encouraged and taught to promote and support breast-feeding mothers. Rochester General's obstetrics volume continues to grow, and currently exceeds 2,400 births a year.

Pediatrics and Neonatology
Rochester General has a comprehensive pediatrics department, which includes a division of neonatology. A 12-bed Level II Special Care Nursery Unit is located adjacent to the Labor and Delivery unit. Attending pediatricians and neonatologists are available around the clock. Pediatric residents from the University Of Rochester Medical Center also rotate through the nursery at RGH for part of their NICU experience.

The Women's Center (TWC)

The Women’s Center provides the majority of the department’s outpatient services. Its staff includes physicians, physician assistants, nurse practitioners, nurse midwives, registered nurses, registered dietitians, and social workers. The Women’s Center offers a variety of educational programs and services to the patients.

An important feature of The Women’s Center is the development of the resident continuity practices where each resident follows a group of patients in a private practice setting throughout the duration of their residency. Residents have protected time to see patients in their office session one full day every 2 weeks during the four years of the program. An OB/GYN attending physician is present at each of the continuity practice sessions to consult with and supervise the residents on a variety of clinical situations. This continuity model provides a valuable opportunity for residents to become familiar with the practical aspects of managing a patient in an ambulatory setting as well as offering improved care for our patients. During this clinical practice, residents also become familiar with office procedures like IUD and Nexplanon insertion, endometrial biopsy, colposcopy, etc.