Obstetrics and Gynecology

Course #: 880J

Title:  Maternal Fetal Medicine

Selective Director(s):  Jill Mauldin, M.D.

Maximum Number of students per block: 1 (2 January - June)

LEARNING GOALS AND OBJECTIVES:
At the completion of this clinical rotation, students will be able to:

1. Discuss in detail the management of patients with diabetes, multiple gestation and preterm labor.
2. Discuss various medical and fetal complications of pregnancy – such as hematologic, cardiovascular, pulmonary, renal, endocrine, infectious, congenital anomalies, and fetal growth disorders.
3. Discuss the management of an abnormal labor curve.
4. Discuss the available methodologies for genetic prenatal diagnosis.
5. Discuss the differences between a Level I and Level II prenatal ultrasound; identify the images necessary to complete a Level II ultrasound; and determine the limitations of 1st, 2nd, and 3rd trimester ultrasonagraphy.

TEACHING METHODOLOGIES AND ROTATION ACTIVITIES:
Students on this rotation will be expected to learn and achieve the educational goals and objectives through the following methodologies and activities:

1. Daily rounding responsibility on the hospitalized antepartum patients.
2. Daily participation in the Maternal Fetal Medicine Clinic.
3. Observe prenatal ultrasounds.
4. Observe genetic prenatal counseling.
5. Participation on the Labor & Delivery (L&D) night shift (5pm-7am) on each Monday night, including evaluation and triage of exam room patients, observation and performance of prenatal ultrasounds, management of labor and deliveries.

PATIENT ENCOUNTERS
Students on this rotation will be expected to work up and/or follow the following minimum number of patients with the specified conditions (i.e, 2 pediatric ear infections, 2 adult migraine headaches):

1. 1 patient with a medical complication of pregnancy (other than preeclampsia)
2. 1 patient with a fetal or obstetrical complication of pregnancy
3. 2 patients with pregestational or gestational diabetes
4. 2 patients with a multiple gestations
5. 2 patients with threatened/actual preterm labor

EVALUATION AND FEEDBACK:
Students on this rotation will be evaluated through the following methods, and designate by whom for each method:

1. Direct observation of clinical skills by residents and attendings.

Please outline when and how the learners will receive feedback on their performance:
The students will receive feedback on their performance throughout the rotation following their involvement with patients by attendings and residents.

Course #: 881J

Title:  Gynecology Women's Health Care

Selective Director(s):  Steve Swift, MD, Paul Underwood, MD, James Carter, M.D.

Maximum Number of students per block: 1

LEARNING GOALS AND OBJECTIVES:
At the completion of this clinical rotation, students will be able to:

1. Discuss the basic outpatient evaluation and treatment/management of several gynecologic disorders, including incontinence, pelvic organ prolapse, chronic pelvic pain, menopausal symptoms, and general gynecologic disorders.
2. Recognize the role of surgical intervention in the above conditions and the surgical procedures used to treat them.

TEACHING METHODOLOGIES AND ROTATION ACTIVITIES:
Students on this rotation will be expected to learn and achieve the educational goals and objectives through the following methodologies and activities:

1. Participation in patient care activities under supervision in outpatient gynecological offices.
2. Participation in gynecologic surgeries under attending supervision.
3. Participation in in-patient rounds on appropriate patients with attendings and residents.
4. Attendance at Tuesday morning departmental Grand Rounds, Tuesday afternoon educational conferences, and Friday morning chief of service rounds.
5. Completion of a review paper on topic of choice decided in conjunction with selective directors. Paper is to be at least 3 double-spaced pages in length and with no less than 15 references.

PATIENT ENCOUNTERS
Students on this rotation will be expected to work up and/or follow the following minimum number of patients with the specified conditions (i.e, 2 pediatric ear infections, 2 adult migraine headaches):

1. 6 patients with urinary or fecal incontinence
2. 6 patients with pelvic organ prolapse
3. 6 patients with menopausal concerns
4. 6 patients with chronic pain (pelvic) disorders
5. 6 patients with general gynecologic disorders

EVALUATION AND FEEDBACK:
Students on this rotation will be evaluated through the following methods, and designate by whom for each method:

1. Observation of clinical skills and knowledge by selective directors.
2. Completion of review paper as evaluated by selective directors.

Please outline when and how the learners will receive feedback on their performance:
Students will receive verbal feedback daily from the selective directors following clinical activities.