It is important that a program adapt to the particular needs of each resident. We are capable of arranging specialized electives, developing tutorials and changing curriculum to respond to an individual's needs. We have a two-track system in obstetrics. The first track provides basic prenatal education. A second track is available for residents who want more experience, especially for those planning to perform obstetrics upon graduation. Residents, with the approval of the faculty and compliant with regulatory guidelines, can design new electives such as palliative care, osteopathy for allopaths and international experiences.