Women's Health Clerkship

Total Contact Hours:

375.15 hours

Director:

Sheela Barhan, M.D., Associate Professor, Obstetrics and Gynecology

Description:

The Clinical Clerkship in Women's Health will prepare the student to:

  • Understand the process of normal labor and delivery
  • Participate as a principal & assist in normal labor and delivery
  • Recognize complications of pregnancy
  • Obtain a complete history and physical
  • Recognize and manage common Ob/Gyn problems
  • Learn to do a pelvic examination
  • Recognize clinical features of common Gyn disorders

Learning Goals, Assessment, Practice, Teaching and Learning Activities, and their Integration with the Institutional Educational Objectives:

What does our institution want our graduates to do?

If your students mastered the content of your course, what would they be able to do?
 

What will students need to do for them and others (peers, professors) to know whether they have achieved this specific learning goal?

How will students get the information they need to learn?

1.
Institutional Objectives

2.
Learning Goals

3.
Assessment
Activities (graded)

4.
Practice/Feedback Activities (non-graded)

5.
Teaching and Learning Activities

K1

C1, C2, C3

P1, P2, P3

Given a patient with an uncomplicated pregnancy, demonstrate knowledge of normal labor and delivery:

  • Explain normal physiologic changes
  • Describe common problems in obstetrics
  • Demonstrate knowledge of intrapartum care
  • Demonstrate knowledge of postpartum care of mother and newborn

 

Biweekly quizzes

Shelf Examination

Resident/attending observation

Patient/procedure logs

Resident and attending formative feedback

Inpatient care

Follow specified patients from the onset of labor to delivery.

K1, K2, K3

C1, C2, C3

P1, P2, P3

Actively participate as a principle and assistant in normal labor and delivery

Resident and attending assessment of ability to assist in the delivery process

Biweekly quizzes

Shelf Examination

Patient/procedure logs

Resident and attending formative feedback

Inpatient care

Assist the residents/attending in the process of normal labor and delivery.

K1, K2, K3

C1, C2, C3

P1, P2

Conduct a comprehensive history and physical exam with obstetrical and gynegologic patients.

Residents and attendings will evaluate histories and physicals.  Student will give two formal presentations and be graded.

Patient/procedure logs

Resident and attending formative feedback

Inpatient care

Write a history and physical for patients admitted to both the gynecologic and the obstetrical service. 

K1

C1, C2, C3

P1, P2, P3

Recognize and manage common problems in the ambulatory obstetrical and gynecologic patients, including:

  • Family planning
  • Recurrent abortions
  • Endometriosis
  • Infection of lower and upper genital tract
  • Neoplasias of the upper and lower genital tract
  • Infertility
  • Hyperprolactinemia

Clinical observation and morning rounds.

Shelf examination

Biweekly quizzes

Patient/procedure logs

Resident and attending formative feedback

uWise questions

Inpatient care in the clinics, emergency room and Obstetric triage

K1

C1, C2, C3

P1, P2, P3

Perform pelvic examinations and interpret abnormalities

Resident and attending will monitor student and give formal feedback at mid-term.

Patient/procedure logs

Participate in the teaching associates program at the beginning of the rotation.

Resident and attending formative feedback

Perform mentored pelvic examination on patients in clinics and operating room

K1

C2, C3

P1, P2, P3

Given the common gynecologic condition listed below, be able to develop an appropriate differential diagnoses, identify appropriate diagnostic testing, and develop approaches to treatment for:

  • Breast diseases
  • Family Planning
  • Recurrent abortions
  • Benign gynecologic lesions
  • Endometriosis
  • Infections of upper genital tract
  • Infections of the lower genital tract
  • Malignant condition of the vulava vaginal, cervix uterus and ovaries
  • Menopause
  • Infertility

 

                

Student will see patients in the clinics and then present patients to residents and attendings

Biweekly quizzes

Shelf examination

Resident and attending formative feedback

uWISE questions

Participate in the clinics and obtain clear history of present illness.

Present cases to the residents and attendings.

K1, K2, K3

C1, C2

P1, P2, P3

Develop a thorough understanding of contraception, including sterilization and abortion

Resident and attending will evaluate students on their ability to recommend types of reversable and permanent contraception

Biweekly quizzes

Shelf examination

Resident and attending formative feedback

uWISE questions

Lectures by faculty

Reading

Participating in clinics

K1, K2, K3

C1, C2, C3

P1, P2, P3

Demonstrate the ability to be a capable surgical assistant by being able to:

  • suture appropriately
  • tie one and two-handed knots
  • name instruments
  • identify pelvic structures

Resident and attendings will grade students on their ability to be capable function as an assistant in the operating room                   Biweekly quizzes

Shelf examination

Patient/procedure logs

Resident and attending formative feedback at time of surgery,

laparoscopic simulator

Students will assist in both minor and major surgeries in gynecology

Students will assist in the care of pre- and post-opt patients

K1

C1, C2, C3

P1, P2, P3

Make informed decisions in working with ob/gyn patients and colleagues where there are complex moral or ethical issues

Residents and attending will assess ability of student to interact with the patients.

Biweekly quizzes

Shelf examination

Resident and attending formative feedback

ethics case studies

Patient care

Case discussions including conference with ovarian cancer survivors.

K1, K2, K3

C1, C2, C3

P1, P2, P3

Orally present ob/gyn patient case histories to colleagues using appropriate scientific literature to support diagnostic, prognostic, and treatment options

Student will be graded on the two presentations. That grade will be based on the quality and clarity of the presentation as well as demonstrated knowledge about the pathophysiology of the disease process

Resident and attending formative feedback

Give two oral presentations to assigned faculty members.  These cases will be based on patients the students have actually seen.

K1, K2, K3

C1, C2, C3

P1, P2, P3

Describe common procedures in ob/gyn and select those procedures are appropriate for specific conditions

Each student will present a procedure common to obstetrics and gynecology to the clerkship director as well as to his/her colleagues.  

Biweekly quizzes

Shelf examination

Resident and attending formative feedback

Student will participate in a variety of procedures involved in obstetrics and gynecology throughout the eight-week period. They will also be involved in laparoscopic simulation training.

C2, C3

P1, P2

Demonstrate the ability to seek out and listen to feedback on performance, accept it positively, and respond to it constructively by improving performance.

Evaluation by the residents and attending faculty

Inpatient formative feedback

Ambulatory formative feedback

Role modeling

Inpatient care

Ambulatory care