PREREQUISITES AND PLACEMENT IN THE CURRICULUM:
The student must have completed their OB/GYN Clerkship prior to taking this elective. We recommend that TeLinde’s Operative Gynecology is suggested, but not required reading.
This elective develops progressive responsibility leading to an intern role on the team. This is for students who are interested in a career in OB/GYN who would like exposure to gynecological sub-specialty care. During this elective students are responsible for hospital rounds, hospitalized and outpatient patients, preoperative workups, surgeries, involvement in gynecologic ultrasound and colposcopy, and family planning services and procedures. Attendance at all service and departmental rounds and conferences is expected to further knowledge and experience of the OB/GYN field.
While on this elective, students should be expected to demonstrate the following procedures: inpatient and outpatient histories and physicals, the development of oral presentations that include differential diagnoses and treatment plans, independent pelvic examinations, demonstration of introductory knowledge of colposcopies and gynecological ultrasound, counseling patient on family planning options, and perform pre-op workups.
Students should be able to:
1. Present cases accurately and succinctly including initial management plans based on complete differential diagnosis.
2. Explain the rationale for laboratory and biophysical testing
3. Create management plans for the most common presentations in the subject area
4. Teach basis for diagnosis and management of assigned selected cases to the team members
Students will assess and assist in managing a wide range of gynecological patients in the outpatient clinical setting, as well as the inpatient setting. They will gain competency through inpatient and outpatient histories and physicals, independent pelvic examinations and performing pre-op workups.
Students will begin to develop a knowledge base to assess and manage the full range of routine and complex gynecologic patients. They will gain competency through the development of oral presentations that include differential diagnoses and treatment plans, demonstration of introductory knowledge of colposcopies and gynecological ultrasound, independent study time and participation in scheduled didactics.
Practice-Based Learning and Improvement
Students have clear learning objectives and required skills in order to direct their learning and performance throughout the rotation. Additionally, students will gain an understanding of the current evidence-based standard of care in gynecology.
Interpersonal and Communication Skills
Students will be interpersonally engaged with patients, families and colleagues while providing case presentations and thorough and complete medical record documentation. Students will also gain competency through counseling patients on family planning options.
Students are expected to maintain integrity, compassion and honesty with responsible behavior while considering the needs of the patient and the patient’s family and friends. Interactions with patients, families, colleagues and supervisors will assist in gaining competency in this area.
Students will work as a valuable part of the team to ensure that gynecology patients receive care in an efficient and effective manner. They will work collaboratively with other medical students, residents, fellows and attendings to care for the patient.
Learning activities include hospital rounds, hospitalized and outpatient patients, preoperative workups, surgeries, involvement in gynecologic ultrasound and colposcopy, and family planning services and procedures.
Students are graded by both the gynecology residents and attendings who oversaw the students in the various clinics and hospital settings. Residents submit their formal evaluations in a grading system in New Innovations. Attendings provide collective feedback to the elective preceptor at the weekly Gynecology division meetings. The preceptor then uses this feedback to fill out the final evaluation form for the student.
Students will be provided a mid-point feedback form at the beginning of the elective and will be required to meet with a senior resident or faculty member to go over the form and receive feedback. The student will then turn that form into the medical education coordinator in the Department of OBGYN to keep in the student’s records.
Program Number: ELEC 268
Coordinator: Therese Kirsch, MD
Duration: 4 weeks
Night Call: No
Students Accepted: Min - 1; Max - 1
Housestaff Used as Faculty: Yes
Number of hours per week: 50-60 hours
Lectures/Conferences/Faculty Contact: 1-4 hours/week
Laboratory: 0 hours
Independent Study: 0-4 hours/week
Outpatient: 20-30 hours/week
Inpatient: 30 hours/week