Clinical Skills: Goals & Expectations
From OBGYN
The student is expected to master the basic skills needed to obtain a complete gynecologic and obstetric history, including a sexual history, contraceptive history, and menstrual history. The student also learns the skills and techniques to comfortably perform a complete breast and pelvic exam, including a speculum exam, and collection of cervical cytology and cultures. Students will also participate and learn other procedures and skills related to Obstetrics and Gynecology.
The Department of Ob-Gyn and Women’s Health teaches the core material and required skills through the following clinical and educational experiences:
Contents |
1. Labor and Delivery Suite
Students are assigned to the Labor and Delivery Unit during the clerkship. The attending, resident, or midwife responsible for the patients supervises all clinical experiences. When a patient is admitted in labor, the student follows the course of normal labor eventuating in a vaginal delivery. The student performs the delivery under direct supervision. Fetal heart monitoring and other monitoring techniques are observed. Normal and abnormal labors, antepartum complications, and high-risk obstetrical cases are discussed by the attendings, residents, and midwives for student understanding. Students participate in Cesarean Sections. Students should participate in the admission and hospital course of the patients and are encouraged to write notes in the patients’ charts.
2. Gynecology
Students are assigned to the Gynecology service for participation in hospital-based Gynecology. The cases include elective and emergency admissions as well as ambulatory surgery. The student is to evaluate the patient under direct attending or resident supervision. The usual inpatient is one scheduled for an operative procedure in which the student participates in the history, physical examination, evaluation, and surgery. The patient is followed post-operatively until she is discharged. Students are expected to round and write notes during the patient’s hospital course.
3. Outpatient Services
A scheduled rotation in the various clinics is prepared for active student participation in ambulatory Ob-Gyn patient management. Attending and resident supervision and teaching occur in all clinic sessions which include: antepartum and postpartum care, ambulatory gynecology clinics, infertility and endocrine clinics, preconception care, high risk obstetrics, genetics, diabetes and prematurity clinics, gynecological tumor follow-up, as well as regular family planning clinics and specialty clinics (i.e. colposcopy). The exact schedule varies at each site. Each student is also given Emergency Room experience, with the exact schedule being site specific. The required faculty Observed Clinical Encounter (OCE) takes place in the ambulatory setting.
4. Departmental Grand Rounds
Every Tuesday from 8:00 am to 9:00 am, Forchheimer Bldg., 3rd floor lecture hall. Attendance and sign-in are required.
5. Clerkship Teaching Day
Tuesdays are designated teaching days. Lectures are held in the Belfer Education Center from approximately 9:30 am until early afternoon. Major subjects are presented to all students from all sites. Attendance and sign-in are required.
