core clinical clerkship - Penn Medicine - University of Pennsylvania

CORE CLINICAL CLERKSHIP
IN
OBSTETRICS & GYNECOLOGY SYLLABUS 2009
COURSE DIRECTOR: ANN HONEBRINK, MD
HONEBRIA@PAHOSP.COM
COURSE ADMINISTRATOR: ROZ LEVIT
RLEVIT@OBGYN.UPENN.EDU
WELCOME TO OB-GYN!
REVISED 12/2009
OG200 SYLLABUS - 2009 I. WELCOME/COURSE ADMINISTRATION................ 4
A.
DIDACTICS............................................................5
B. TEXTBOOKS AND OTHER SELF STUDY HELP...........5
C. PRECEPTOR PROGRAM.........................................6
II. COURSE OVERVIEW..........................................6
A.
OBJECTIVES.........................................................6
B. EVALUATIONS/ASSESSMENTS...............................6
1. SHELF EXAM
2.CLINICAL PERFORMANCE
C.
GRADING.............................................................
10
D. OTHER FINAL GRADE CONSIDERATIONS.................10 III. OTHER COURSE REQUIREMENTS.......................11
A. ATTENDANCE
POLICY............................................11
B. PATIENT ENCOUNTER SYSTEM...............................12
C. FEEDBACK
CARDS.................................................14
D.
PROFESSIONALISM................................................15
E. STUDENT EVALUATIONS OF THE COURSE AND FACULTY..15
F. MINI
CEX..................................................................15
G. WRITTEN H&P AND PHYSICAL EXAM...........................16 IV. OTHER INFORMATION...........................................16
A. CLINICAL
SITES..............................................................16
B. DIDACTIC SESSIONS
TOPICS...........................................19
C. SELECTED LECTURE/PROBLEM BASED LEARNING...........21
1. CLINICAL
SKILLS........................................................21
2.
OBSTETRICS.........................................................
....21
3.
GYNECOLOGY...........................................................27
4. INTERDISCIPLINARY SESSIONS WITH PEDIATRICS.......47
D.PRESENTATIONS AND ORAL PRESENTATION GUIDELINES..47
E. HUP RESIDENT "STUDENT SURVIVAL GUIDE".....................48
V. RELEVANT POLICIES.............................................53
A. INFECTIOUS DISEASE PRECAUTIONS .........................53
B. NEEDLESTICK
POLICY................................................54
C. POLICY FOR PELVIC EXAMINATIONS UNDER
ANESTHESIA BY MEDICAL STUDENTS ............................57
D. SAFE AND HEALTHY LEARNING ENVIRONMENT............58
E. HOLIDAY
POLICY.........................................................65
F.
PORTS.....................................................................
..65
G. DUTY
HOURS..............................................................66
VI.
APPENDICES...........................................................
.67
A. EVALUATION
FORM............................................................6
7
B. SELECTED PRESENTATIONS/HANDOUTS............................70
OBSTETRICS
GYN
C. CREOG "THE OBGYN CLERKSHIP: YOUR GUIDE TO
SUCCESS"........ATTACHED CORE CLINICAL CLERKSHIP IN OBSTETRICS & GYNECOLOGY I. WELCOME/COURSE ADMINISTRATION WELCOME TO OBSTETRICS & GYNECOLOGY! The Obstetrics & Gynecology core clinical clerkship focuses on health care
of women during the reproductive and post-reproductive years. The course
emphasizes care of the pregnant female, normal labor and delivery, common
obstetrical and gynecologic problems, preventive care, screening for
gynecologic malignancies, and family planning and sexuality. You have been assigned to one of seven hospitals/practices for your
clinical experience. In general, you will spend equivalent time on labor &
delivery, the gynecological services, prenatal and gynecology ambulatory
clinics. The course coordinator at each site will provide you with a
detailed schedule of your clinical assignments.
Opportunity for Students Interested in Women's Health The American College of Obstetrics and Gynecologists (ACOG) offers free
medical student membership to students interested in Women's Health and
OB/GYN. You will receive their educational resource materials (technical
bulletins, practice committee opinions, journals, etc.) at no cost.
Medical students are also able to attend certain ACOG sponsored meetings
free of charge. If you would like to become a Medical Student member of ACOG and be placed
on the mailing list to receive these publications please visit the link
below:
http://www.acog.org/departments/membership/medstudentapp.cfm

A. DIDACTICS . Attendance at all sessions, including the interdisciplinary sessions with
Pediatrics is mandatory. In addition, attendance is required at both the
video lecture and small group sessions on gynecology exam skills scheduled
on the first day of the rotation. During this session you will have the
opportunity to perform a pelvic examination on a female volunteer under
supervision. This is a crucial part of the beginning of your rotation. . Didactic sessions are held at HUP and you are expected to return for
these sessions. While we make every effort to keep schedule changes to a
minimum, our Attending and Fellow's clinical commitments can make last
minute schedule changes/ rearrangements necessary. Roz will alert you by e-
mail of any changes to the schedule so please check email periodically. If
a lecturer is late for their session, please call Roz at 215-662-2459 to
let her know so she can clarify the situation. We will also have some
sessions scheduled at the Simulation Center at the Penn Rittenhouse site.
These will be clearly marked in your schedule. . Core curriculum is covered in Problem Based Learning (PBL) sessions, Case
Management Conferences and lectures. For PBLs and case conferences,
clinical situations have been chosen to stimulate a discussion of the
important issues surrounding each case and to promote information
synthesis, decision-making and problem-solving. Students are expected to
research the clinical problems for the PBL prior to class and are
encouraged to participate. There are some topics that you are responsible
for but will be for self-study (listed in syllabus). . PBLs (case, learning objectives and study questions) and lecture
objectives are in the syllabus. You are expected to use at least one of the
required textbooks listed in the syllabus and supplemental reading is
encouraged. By the completion of the rotation students should have learned
the objectives listed in the syllabus. B. TEXTBOOKS AND OTHER SELF STUDY HELP Since most of the didactic sessions are case-based you must read prior to
the session. In addition, there are topics that may not be covered in the
didactics and you are responsible for learning these topics through self-
study. In addition, the Ob Gyn Department subscribes to the Association of
Professors of Gynecology and Obstetrics (APGO) sponsored uwise, a web based
study guide. This program has sample practice questions and answer
explanations as well as a practice test. We encourage you to use this tool
as a supplement to your studying. Please also hit the "submit" button when
you use the site so that your use and answers can be aggregated with other
Penn students. This allows us to know how often students use this tool and
to get comparative, subject sorted data on how our students do compared to
other schools. This is helpful in planning curriculum development and
justifying department subscription expense. No individually identified
data is generated!!
To log onto uwise go to:
http://www.apgo.org/elearn/uwise/index.cfm?doc=uWISE%20Units
No matter which clinical site you are at,
Your department user name is: pahosp
Your department password is: uwise Required Text (select one):
Moore JG, Hacker NF, Schmitt W (Eds.) Essentials of Obstetrics and
Gynecology, WB Saunders, 3rd edition.
Beckman CRB, Ling F, Baransky BM, Laube DW, Herbert WNP (Eds.)
Obstetrics and Gynecology, Lippincott Williams & Wilkins, 5th edition.
Callahan TL, Caughey AB, Heffner LJ (Eds) Blueprints in Obstetrics
and Gynecology, Blackwell Science, 4th ediition. Review books with cases (optional):
Morgan M and Siddighi S (Eds.) Obstetrics and Gynecology (NMS
series), Lippincott Williams & Wilkins, 5th edition.
Toy EC, Baker B, Ross PJ, Gilstrap LC: Case Files Obstetrics &
Gynecology, Lange Medical Books/McGraw-Hill.
Bader, T ed: Ob Gyn Secrets. 3rd Edition, Hanly and Belfus,
Philadelphia, Pennsylvania, 2003.
C. PRECEPTOR PROGRAM At the majority of sites students are assigned to a faculty member and are
expected to meet with him/her weekly. You will receive your preceptor's
name and contact information at your clinical site. You should contact your
preceptor the first week to set up a time to meet. Your preceptor may ask
you to prepare and present a patient or may pr