John Peter Smith Hospital Tarrant County Hospital District Program

Program Identity & Fit

JPS is Tarrant County's public safety-net hospital system, delivering high-volume obstetric and gynecologic care (4,000+ births annually) to an underserved county population, with residents managing a broad array of pathology across county and private hospital settings. The four-year program uses a distinctive longitudinal team structure rather than traditional block scheduling, blending inpatient, outpatient, and OR experience for continuity of care, and includes early and structured exposure to all OBGYN subspecialties (MFM, REI, gynecologic oncology, FPMRS) since it has no in-house fellowships, giving residents direct primary-surgeon access to complex subspecialty cases. Research is embedded from intern year through dedicated didactic time, quality-improvement projects, and institutional infrastructure (Office of Clinical Research, CEHDR), with community-oriented projects (jail health education, HPV vaccine acceptability, SBIRT) reflecting the program's public health/community outreach identity. The program appears to value residents who can thrive in a high-acuity, continuity-based, underserved-care environment with interest in both broad generalist surgical training and eventual subspecialty fellowship.