Obstetrics
and Gynecology
Educational Objectives: Demonstrate appropriate
knowledge and skills to understand the criteria for patient admission to labor
and delivery for observation and delivery. Demonstrate appropriate knowledge
and skills in history-taking and physical examination of patient with common
acute obstetrical problems including, but not limited to; first, second and third
trimester bleeding, all stages of labor, normal and complicated delivery, routine
postpartum care, postpartum hemorrhage, ectopic pregnancy, trauma in pregnancy,
preeclampsia and eclampsia, acute vaginal bleeding in the non-pregnant patient.
Demonstrate appropriate knowledge and skills in the development of differential
diagnoses, workup and management plans for the patient with problems including,
but not limited to, those listed above. Demonstrate appropriate knowledge and
skills in the performance of diagnostic and therapeutic procedures used in obstetrics
including, but not limited to; normal spontaneous vaginal delivery, abnormal
delivery presentation and management, episiotomy and repair, sterile speculum
examination for spontaneous abortion, fetal monitoring, and pitocin induction
of labor on the OB floor. Demonstrate appropriate knowledge and skills in interactions
with patients and family members.
Description of clinical experiences: Residents
are assigned to work as a member of the Obstetric and Gynecology team for
one month during their PGY-1. The resident's responsibility in the labor
and delivery area will be to manage patients from observation through delivery
to post partum. While in the clinics, residents will evaluate patients with
obstetric and some gynecologic problems. Supervision of all aspects of patient
care in clinics, labor and delivery, and in-patient wards will be provided
by attending OB/Gyn faculty and senior house staff. Uncomplicated labor and
delivery management may be directly supervised by certified nurse midwives
with supervision by faculty or senior house staff. OB/Gyn faculty will be
available in house at all times.
Description of didactic experiences: The
OB/Gyn Department provides a lecture/conference schedule on a monthly basis.
Residents will be encouraged to attend as many of these conferences as they
are able. They will be expected to attend the basic lecture series on Tuesdays
at 12:30 PM and the special presentation conferences on Wednesdays at 12:30
PM.
Evaluation process: Residents will receive
a written evaluation after completing the OB/GYN rotation. Residents are
evaluated on their knowledge base, facility in performing procedures, procedural
skills, and their facility in communication with patients, family, and other
medical personnel. Residents are required to keep a logbook of all procedures
performed.
Feedback mechanisms: Several times during
the year the preceptor meets with the resident. In addition, the Program
Director will meet with each resident two times per year to review the department
evaluation of the residents. More immediate feedback will be provided by
faculty on duty in the OB/Gyn Department or the Emergency Medicine Department.
|
