Obstetrics and Gynecology Teaching and Research Office/Obstetrics and Gynecology Department

I. Department Introduction West China Second Hospital’s Department of Obstetrics and Gynecology is a key discipline of the Ministry of Education; a construction project for a national clinical key specialty of the Ministry of Health (gynecology and obstetrics); a national specialty construction unit for menopause healthcare and maternal healthcare; an accredited unit for Ministry of Health human assisted reproduction centers; a national continuing education base for obstetrics and gynecology; a key national construction base for obstetrics and gynecology resident training of the National Health Commission; a standardized specialist training base of Sichuan Province; the Clinical Research Center for Obstetric and Gynecologic Diseases of Sichuan Province; the Sichuan Provincial Quality Control Center for Obstetrics and Gynecology; the Sichuan Provincial Quality Control Center for Female Pelvic Floor Dysfunctional Diseases; and the Sichuan Provincial Obstetrician Training Base. It is an obstetrics and gynecology medical center integrating medical care, teaching, research, and preventive healthcare; an important clinical diagnosis, treatment, and referral center in western China for critical, difficult, and severe obstetric and gynecologic cases; an authorized site for conferring master’s and doctoral degrees under the former State Education Commission and a postdoctoral station; and, as a core medical specialty course, it undertakes theoretical and practical teaching for medical professionals at all levels at Sichuan University, including undergraduates, graduate students, standardized trainees, and visiting trainees. It is a national continuing education base for obstetrics and gynecology, a key national construction base for obstetrics and gynecology resident training, and an institution for national-level and provincial-level first-class undergraduate courses. It is the institution where recipients of the National 100 Outstanding Doctoral Dissertations and recipients of the First Prize of the Ministry of Education’s Natural Science Award are based; it is the institution where the former chair, former vice chairs, former deputy chair of the Youth Committee, and current standing committee members of the Chinese Medical Association Society of Gynecologic Oncology, as well as the former vice chair, current chair-elect, and deputy chair of the Youth Committee of the Chinese Medical Association Perinatal Medicine Branch, are based; and it is the institution where the chief and deputy chief editors of the national higher-education medical planning textbook Obstetrics and Gynecology and the chief editor of the Chinese Journal of Practical Gynecology and Obstetrics are based. It has research platforms including the Ministry of Education Key Laboratory of Birth Defects and Related Women’s and Children’s Diseases and the Sichuan Provincial Key Laboratory of Gynecologic Oncology. As the Obstetrics and Gynecology Subcenter of Sichuan University’s West China Telemedicine Center, it reaches more than 700 hospitals nationwide in telemedicine and teaching. Through teleconsultation, distance education, service appointments and referrals, visiting study, on-site guidance, and other forms, it has dispatched senior physicians to the obstetrics and gynecology departments of more than 100 regional alliance hospitals to provide clinical guidance and discipline development; some have also served as deputy directors of medical affairs and department directors. This has promoted improvement in the clinical diagnosis and treatment of obstetrics and gynecology in the areas reached by the center and played an important leading role in talent training and discipline development. On November 11, 2017, in the “2016 China Hospital Science and Technology Influence Evaluation Ranking” released by the Chinese Academy of Medical Sciences, the Department of Obstetrics and Gynecology ranked fourth. It ranked sixth in the “2020 Best Specialty Ranking” released by the Fudan University Institute of Hospital Management. The current department director is Zheng Ying; the academic director is Zheng Ying; and the deputy directors are Pan Xiaoling, Xing Aiyun, Zhang Jiawen, and Li Zhengyu.

II. Discipline Development The Department of Obstetrics and Gynecology currently comprises gynecology, gynecologic oncology radiotherapy and chemotherapy, obstetrics, reproductive endocrinology/family planning, the Reproductive Medicine Center, and the Obstetrics and Gynecology ICU. It comprehensively covers general gynecology, gynecologic oncology, reproductive medicine (including reproductive endocrinology and assisted reproductive technology), family planning, general obstetrics, fetal medicine, maternal medicine, and the Obstetrics and Gynecology ICU. There are currently 20 doctoral supervisors and 41 master’s supervisors; 1 recipient of a National 100 Outstanding Doctoral Dissertation; 10 academic and technical leaders of Sichuan Province and 27 reserve candidates; 27 academic and technical leaders of the Sichuan Provincial Health and Family Planning Commission and 21 reserve candidates; and 9 recipients of special government allowances from the State Council. Closely focusing on the diagnosis and treatment of obstetric and gynecologic diseases, health management, preventive healthcare, and related fields, the discipline has achieved notable results in research on gynecologic malignant tumors, major pregnancy-related diseases, fertility regulation and prenatal diagnosis, and female reproductive health. It has a well-structured academic echelon and has formed a complete medical education and research discipline system extending from basic research and applied research to clinical research, promotion, and application. It has undertaken numerous national research projects, including 863, 973, and National Natural Science Foundation projects. It has received a number of science and technology achievement awards at or above the provincial and ministerial levels and various industry awards, holds more than 100 patents, and has achieved multiple technology transfers. Its research has been published in high-level domestic and international journals such as Nature, Lancet, JAMA Oncology, Nature Communications, and Cell Research, demonstrating the strong capabilities of the hospital’s Department of Obstetrics and Gynecology.

III. Clinical Work The department adheres to a patient-centered approach, emphasizes education in medical ethics and professional conduct, and serves patients wholeheartedly. To alleviate the difficulty of obtaining medical care and registering, the Department of Obstetrics and Gynecology has in recent years introduced special-needs clinics, evening clinics, weekend clinics, and other services to make medical care more convenient for the public. It actively participates in emergency response and medical assistance in western China, supports projects providing full-course services for subsequent childbirth in disaster areas, and has repeatedly dispatched experts to earthquake-stricken areas to provide free consultations and health education and to train relevant technical personnel. Each year, it dispatches a number of experts to provide paired assistance to medical institutions in remote and ethnic-minority areas. The two campuses of the Department of Obstetrics and Gynecology currently have more than 700 authorized beds. They have established a full-course care system for gynecologic tumors, a management system for difficult and critical maternal and child cases, an end-to-end integrated reproductive service platform, a transport and rescue system for acutely and critically ill patients, and a fetal-origin disease management platform. They are equipped with dozens of sets of globally advanced endoscopic minimally invasive equipment, including integrated operating rooms, hybrid operating rooms, surgical robots, and fetoscopes. In 2019, the department became China’s first comprehensive medical center integrating gynecologic malignancy screening, surgery, radiotherapy, chemotherapy, and other services。。 Gynecology and Gynecologic Oncology Radiotherapy and Chemotherapy: The department performs multi-port and single-port laparoscopic surgery, da Vinci robotic surgery, hysteroscopy, and other minimally invasive procedures for all types of benign and malignant gynecologic diseases. It is one of the medical centers in China with the highest number of single-port laparoscopic operations for gynecologic malignancies。。 The single-port minimally invasive gynecologic surgery team was the first internationally to report “single-port staging surgery for early ovarian cancer with lymph-node dissection at the level of the renal vein,” “single-port laparoscopic radical hysterectomy without a uterine manipulator,” and “single-port laparoscopic extraperitoneal lymph-node dissection for advanced cervical cancer.” For these innovative procedures, it has also developed related medical patent instruments with independent intellectual property rights. Multiple multidisciplinary team (MDT) teams for fertility preservation have been established. In 2019, the gynecologic malignancy team used single-port laparoscopy to perform the first ovarian-tissue cryopreservation procedure in Sichuan Province for a young patient with a malignant tumor. At the same time, it has vigorously developed other micro- and minimally invasive technologies, and possesses advanced hysteroscopic equipment and imaging systems to meet the diagnostic and treatment needs of patients of different ages with various intrauterine diseases. The Haifu focused-ultrasound tumor-treatment system, as a noninvasive treatment method, provides female patients with more options compared with traditional open and endoscopic surgery. Obstetrics: It is a national benchmark institution for the comprehensive prevention and treatment of obstetric hemorrhage and the lead institution of the Sichuan Province and Chengdu obstetric emergency expert groups. It is currently a treatment and referral center for critically ill pregnant and postpartum women in western China. It undertakes perinatal critical-care monitoring, prevention, guidance, and treatment; has standardized local procedures for screening, management, and referral of high-risk pregnancies, as well as emergency plans, emergency procedures, and practical technical standards for perinatal emergencies and critical illness. It has a high level of capability in diagnosing and treating critical illnesses and manages a large number of referred cases of pregnancy complicated by critical illness and rare diseases. It has also preliminarily initiated the use of fetoscopy for intrauterine diagnosis and treatment of fetuses. Reproductive Endocrinology/Family Planning: It is a national menopause-healthcare construction unit. It performs endoscopic diagnosis and treatment, including laparoscopy and hysteroscopy, for gynecologic endocrine diseases and infertility; various fertility-restoration microsurgeries; and the diagnosis, referral, management, and rescue of contraceptive-operation complications and difficult, critical gynecologic endocrine diseases in western China. It also conducts healthcare and research for women during menopause and old age, various family-planning procedures and related operations, and the application and promotion of various new contraceptive methods. Reproductive Medicine: It was the first medical institution in Sichuan Province to carry out PGT. It performs in vitro fertilization–embryo transfer and intracytoplasmic sperm injection, husband-sperm artificial insemination, donor-sperm artificial insemination, interventional puncture treatment of pelvic cysts, lymphocyte immunotherapy for recurrent miscarriage, routine semen analysis, infertility-antibody testing, B-ultrasound ovulation monitoring, and various other assisted reproductive technologies. In 2019, it became the first institution in Sichuan Province to obtain PGT operating accreditation.

IV. Talent Training Through years of construction and development, the Department of Obstetrics and Gynecology of West China Second Hospital, Sichuan University, has established a new type of teaching faculty of appropriate size and rational structure, with a high level of professional ethics and strong innovation awareness and practical ability. Doctoral supervisors: Gynecology: Zhao Xia, Xi Mingrong, Wang Hongjing, Li Zhengyu, Zheng Ai, Zheng Ying, Zhou Shengtao, Yin Rutie, Wang Ping, Niu Xiaoyu, Li Jinke. Obstetrics: Liu Xinghui, Zhou Rong, Wang Xiaodong, Hu Yayi, Xiao Xue, He Guolin. Reproductive Endocrinology/Assisted Reproductive Technology: Xu Liangzhi, Huang Wei, Qin Lang. Master’s supervisors: Gynecology: Chen Jie, He Yuedong, Li Chunmei, Lin Wei, Liu Hui, Lou Jiangyan, Pan Xiaoling, Yang Pei, Yao Yuan, Zhang Jiawen, Wang Danqing, Miao Yali, Bian Ce, Qi Xiaorong, Cui Tao. Obstetrics: Xing Aiyun, Zhang Li, Peng Bing, Zhou Shu, Yu Haiyan, Gong Yunhui, Yao Qiang, Shan Dan. Reproductive Endocrinology: Tan Shiqiao, Liu Hongwei, Zhang Dan, Fu Jing, Zhang Jing, Hu Ying, Chen Hengxi. Reproductive Medicine: Ma Qianhong, Xiao Zhun, Huang Zhongying, Zhu Huili, Zhang Yaoyao, Tang Tian. Prenatal Diagnosis: Liu Hongqian, Hu Ting, Wang Jing. As a core medical specialty course, the Department of Obstetrics and Gynecology undertakes theoretical and practical teaching for all specialties and levels at the West China School of Clinical Medicine, the School of Basic Medical Sciences and Forensic Medicine, the School of Public Health, and other schools of Sichuan University, including five-year clinical medicine students, international students, and undergraduate students in nonclinical medicine. It provides more than 1,800 teaching hours annually and, at the same time, receives more than 1,000 interns, visiting trainees, graduate students, and others each year for clinical practical teaching. It actively cooperates with the School of Clinical Medicine to update teaching concepts and improve teaching methods, successfully integrating advanced teaching models into all teaching activities of the Department of Obstetrics and Gynecology, and has received unanimous praise from students in all specialties. Each year, the Department of Obstetrics and Gynecology admits several postdoctoral fellows, more than 10 doctoral students, and nearly 30 master’s students. It has cumulatively trained 8 postdoctoral fellows, nearly 200 doctoral students, nearly 600 master’s students, more than 150 seven-year-program graduate students, and nearly 100 eight-year-program graduate students. Li Zhengyu’s doctoral dissertation received the 2009 “National 100 Outstanding Doctoral Dissertations” award, and Xiao Xue’s doctoral dissertation received the 2011 “Sichuan Provincial Outstanding Doctoral Dissertation” award. Our department is a key national construction base for obstetrics and gynecology resident training. It undertook the Third Sichuan Provincial Resident Standardized Training Faculty Training Course, providing training for faculty from nearly 40 resident-training bases throughout the province. It enrolls more than 40 standardized resident trainees each year. The department actively conducts continuing education programs, providing intensive training on advances in knowledge, dissemination, popularization, and application of new technologies in subspecialties including general gynecology, gynecologic oncology, gynecologic pelvic-floor medicine, gynecologic endocrinology, assisted reproductive technology, prenatal diagnosis, and obstetric life support. Participants come from hospitals at all levels in provinces and cities throughout China, enabling new technologies to be disseminated quickly and widely and producing good results that benefit subspecialty development. It conducts an average of 10–20 national continuing medical education programs and nearly 10 provincial continuing medical education programs each year, with more than 10,000 attendances, making an appropriate contribution to talent development nationwide, particularly in multiple areas of western China. In recent years, the department has accepted an average of 120–150 visiting trainees each year. After six months to one year of clinical training, most visiting doctors have developed into key professional staff and academic leaders after returning to their hospitals, providing technical support for the development of local medical and health services.