Department of Obstetrics and Gynecology
Residency Curriculum Goals and Education Objectives
Revised: June 2011
PGY-2
I.
Obstetrics- Labor Floor Day Team
GOALS AND OBJECTIVES: Continued general exposure to all aspects of obstetrics
with focus on operative vaginal deliveries and cesarean delivery, maternal and fetal
assessment, and development of labor management skills especially in patients with
high-risk pregnancies
CORE COMPETENCIES:
Patient Care
Medical Knowledge
Interpersonal and Communication Skills
Professionalism
-Actively manage laboring patients
admitted to Labor Floor
-Participate in operative vaginal deliveries
and complicated cesarean deliveries
-Participate in management of antepartum
patients admitted to Labor Floor
-Care for OBGYN patients in the
outpatient Dickens Center setting
-Understand normal and abnormal labor as
well as indications for operative and
cesarean delivery
-Know management of term and preterm
delivery with associated medical
complications
-Become familiar with principles of
Obstetric anesthesia
-Be familiar with obstetric emergencies and
team-based management i.e. shoulder
dystocia, stat c/s, breech
-Communicate with patients and families in
an urgent care setting
-Optimize care provided by healthcare
team by communicating with nursing staff,
anesthesia, pediatrics
-Master a standardized effective signout
process for optimal transitions of care
-Demonstrate respect, compassion,
integrity, and responsiveness to needs of
patients in labor and postpartum
-Work with nursing towards common
patient-centered care approach
Practice-Based Learning and Improvement
Systems-Based Practice
-Communicate with senior residents,
fellows and attendings with regards to
changes in patient status
-Participate in Team Admissions
-Participate in Risk Reduction initiatives
-Participate in Quality Improvement and
Patient Safety initiatives
-Prepare to discuss management of patients
on service using evidence-based medicine
-Participate in work and teaching rounds on
Labor Floor and Postpartum Service
-Attend monthly M+M conferences to
improve patient safety, learn from errors,
become informed about complex medical
issues
-Attend Morning and Noon Conferences
-Adopt and encourage debriefing as critical
component of team-based care and
practice-based learning
-Use Baby Tracker system for data
monitoring
-Adopt Pitocin protocol, Second stage
protocol
II.
Obstetrics—Night Float
GOALS AND OBJECTIVES: Continued general exposure to all aspects of
obstetrics with focus on operative vaginal deliveries and cesarean delivery,
maternal and fetal assessment, and development of labor management skills
CORE COMPETENCIES:
Patient Care
Medical Knowledge
Interpersonal and Communication Skills
Professionalism
-Actively manage laboring patients
admitted to Labor Floor
-Participate in operative vaginal deliveries
and complicated cesarean deliveries
-Participate in management of antepartum
patients admitted to Labor Floor
-Care for OBGYN patients in the
outpatient Dickens Center setting
-Understand normal and abnormal labor as
well as indications for operative and
cesarean delivery
-Know management of term and preterm
delivery with associated medical
complications
-Become familiar with principles of
Obstetric anesthesia
-Be familiar with obstetric emergencies and
team-based management i.e. shoulder
dystocia, stat c/s, breech
-Communicate with senior residents,
fellows and attendings with regards to
changes in patient status
-Communicate with patients and families in
an urgent care setting
-Optimize care provided by healthcare
team by communicating with nursing staff,
anesthesia, pediatrics
-Master a standardized effective signout
process for optimal transitions of care
-Demonstrate respect, compassion,
integrity, and responsiveness to needs of
patients with complicated pregnancies, in
labor and postpartum
-Work with nursing towards common
patient-centered care approach
-Participate in Team Admissions
-Participate in Risk Reduction initiatives
Practice-Based Learning and Improvement
Systems-Based Practice
-Participate in Quality Improvement and
Patient Safety initiatives
-Prepare to discuss management of patients
on service using evidence-based medicine
-Participate in work and teaching rounds on
Labor Floor and Postpartum Service
-Attend monthly M+M conferences to
improve patient safety, learn from errors,
become informed about complex medical
issues
-Attend Morning Conferences
-Adopt and encourage debriefing as critical
component of team-based care and
practice-based learning
-Use Baby Tracker system for data
monitoring
-Adopt Pitocin protocol, Second stage
protocol
III.
Gynecology- Benign
GOALS AND OBJECTIVES: Exposure to all aspects of gynecology including but
not limited to:
1. Outpatient preoperative evaluation
2. Medical and surgical treatments for common benign gynecologic conditions
3. Surgical procedures
4. Postoperative care of patients undergoing surgical procedures for benign
gynecologic conditions
5. Gynecologic consultation
6. Diagnosis and management of early pregnancy
CORE COMPETENCIES:
Patient Care
-Cover operating room cases, majors and
minors at HUP, Presbyterian Hospital
-Perform abdominal hysterectomy
-Assist vaginal hysterectomy
-Perform advanced laparoscopic surgery
-Assist with robotic procedures
-Participate in postoperative care for
Benign Gynecologic surgery patients as
well as inpatient admissions
Participate in postoperative care for
Urogynecology and REI surgical patients
as well as inpatient admissions
-Attend to emergency room and inpatient
Medical Knowledge
Interpersonal and Communication Skills
Professionalism
consults and become familiar with
gynecologic surgical emergencies and
admissions under supervision of senior
resident
- Care for OBGYN patients in the
outpatient Dickens Center setting
-Attend colposcopy clinic—1000
Courtyard
-Attend Dickens preop clinic
-Counsel patients regarding medical vs.
surgical management of benign
gynecologic conditions
-Understand and execute surgical
procedures including: operative
laparoscopy/ hysteroscopy,
abdominal/vaginal/laparoscopic
hysterectomy, myomectomy
-Know medical and surgical management
of ectopic pregnancy/ SAB
-Use ultrasound to diagnose ectopic
pregnancy/ SAB
-Understand the menstrual cycle and
alterations, treatment of disturbances
-Know ASCCP guidelines for management
of abnormal pap smears and risks
associated with preinvasive cervical disease
-Recognize the acute abdomen and know
gyn differential diagnosis
-Understand preop evaluation of the
gynecologic patient
-Postoperative management and treatment
of complications
-Work with other services to provide
emergency and/or consult care
appropriately
-Pre and post-surgical counseling
-Address advanced directives for
gynecologic admissions
-Provide informed consent for all
outpatient procedures
-Learn how to provide informed consent
for hysterectomy
-Perform Quant book follow up phone calls
and letter correspondence
-Prepare for cases by reviewing patient
chart and reviewing surgical procedure
Practice-Based Learning and Improvement
Systems-Based Practice
-Respond to consult requests in a timely
manner
-Participate in medical student education
-Participate in work and teaching rounds
-Attend Gyn preop conference and lead
article reviews
-Attend Colposcopy conference
-Attend monthly M+M conferences to
improve patient safety, learn from errors,
become informed about complex medical
issues
-Continue use of ACGME database for
case collection
IV.
Gynecologic Oncology
GOALS AND OBJECTIVES: General exposure to all aspects of inpatient
Gynecologic Oncology
CORE COMPETENCIES:
Patient Care
-Cover operating room cases, majors and
minors with Gyn Onc fellows and
attendings
-Participate in postoperative care for
surgery patients
-See known Gyn Onc patients presenting
through emergency room and determine
need for admission
- Care for OBGYN patients in the
outpatient Dickens Center setting
Medical Knowledge
-Continue complicated management of
post-operative patients with concurrent
medical illness
-Recognize criteria for inpatient admission
for women with gynecologic malignancies
-Learn principles of chemotherapy
-Principles of fundamental and radical
oncologic surgery and staging procedures
Interpersonal and Communication Skills
-Perform as an integral team member and
patient advocate
-Provide compassionate care to patients
who are critically ill, coping with cancer
diagnosis and associated treatments
-Coordinate inpatient and outpatient care
Professionalism
-Demonstrate respect, compassion,
integrity, and responsiveness to needs of
patients with complicated medical illness,
cancer diagnoses
-Prepare cases for Gyn Onc Conference
-Participate in work and teaching rounds
with fellows and attendings
-Attend monthly M+M conferences to
improve patient safety, learn from errors,
become informed about complex medical
issues
-Continue use of ACGME database for
Practice-Based Learning and Improvement
Systems-Based Practice
case collection
V.
Urogynecology
GOALS AND OBJECTIVES: Exposure to subspecialty of urogynecolopgy with indepth exposure to outpatient referral-based specialty and complex surgical procedures
for treatment of urinary incontinence and pelvic organ prolapse
CORE COMPETENCIES:
Patient Care
Medical Knowledge
Interpersonal and Communication Skills
-Care for OBGYN patients in the
outpatient Dickens Center setting
-Evaluate patients in outpatient setting for
urinary incontinence and pelvic organ
prolapse
-Fit pessaries
-Perform and interpret urodynamics
-Perform outpatient cystoscopy
-Participate in data collection to quantify
symptoms and QOL
-AUGS modules
-Pelvic anatomy including support
structures
-Understand urinary system and nerves,
musculature that play role in maintaining
continence
-Understand sexual function and factors
that lead to dysfunction
-Understand chronic pelvic pain, treatments
especially diagnosis and treatment of
interstitial cystitis/ painful bladder
syndrome
-Interpretation of urodynamic parameters
-Medical options for urinary incontinence
-Be familiar with various types of pessaries
and indications for use
-Be comfortable with assessment of pelvic
organ prolapse using POP-Q
-Be familiar with Baden-Walker
classification for pelvic organ prolapse
-Understand indications for and use of
biofeedback
-Know surgical options for correction of
urinary incontinence and pelvic organ
prolapse
-Counsel patients with urogynecologic
conditions regarding medical and surgical
options for intervention
Professionalism
Practice-Based Learning and Improvement
Systems-Based Practice
-Shadow fellows and attendings to learn
how to present recommendations
-Develop dynamic interaction with fellows
and attendings to maximize educational
experience
-Present case at fellows urogynecology
conference
-Work with benign gynecology team to
care for post-op inpatient service
-Demonstrate respect, compassion,
integrity, and responsiveness to needs of
patients
-Learn how to perform outpatient
consultation and provide summary of
recommendations to requesting physician
-Participate in and attend fellows
urogynecology conference
-Formulate plans of care with fellows and
attendings in clinic
-Compare different outpatient practice
settings (resident clinic, private offices,
ultrasound units, procedure units) and
identify factors which contribute to
effective quality care
-Provide thorough and accurate
documentation for various types of
encounters (routine, problem visits,
preoperative counseling, procedure notes)
VI.
Ambulatory-- Reproductive Endocrinology and Infertility
GOALS AND OBJECTIVES: Exposure to basic office infertility and endocrinology
with outpatient evaluation
CORE COMPETENCIES:
Patient Care
Medical Knowledge
Interpersonal and Communication Skills
Professionalism
Practice-Based Learning and Improvement
Systems-Based Practice
-Care for OBGYN patients in the
outpatient Dickens Center setting
-See patients in the REI faculty practice
office in order to become familiar with
basic office infertility and endocrinology
-Perform transvaginal ultrasounds and
hysterosalpingograms
-Assessment of the infertile couple
-Understanding normal physiology and
abnormalities of the menstrual cycle
-Assessment of ovulation and management
of ovulatory dysfunction
-Principles of ultrasound; scanning for
follicular development and early pregnancy
-Principles of oocyte retrieval
-Communicate effectively with patients in
language appropriate to age, educational,
cultural, socioeconomic background
-Convey information to colleagues in a
concise, effective manner
-Perform accurate and focused history and
physical exam, develop an appropriate
differential diagnosis and be able to discuss
treatment options
-Appropriately consult with other medical
specialties as needed
-Demonstrate a commitment to excellence
and interest in ongoing professional
development
-Exposure to ASRM
-Attend REI conferences
-Attend morning resident conferences
-Use Blackboard on-line curriculum to
broaden knowledge base and improve
patient care
-Recognize disparities with ART access
based on race, socioeconomic status,
insurance
I.
Ambulatory—Penn Family Planning and Pregnancy Loss
GOALS AND OBJECTIVES: Exposure to comprehensive family planning, options
counseling, and induced and spontaneous abortion. Experience in this rotation
includes but is not limited to:
1. Working with Divisions of Maternal Fetal Medicine and Genetics in the
management of pregnancies with diagnosed fetal anomalies, second-trimester
pregnancy complications, and serious maternal conditions
2. Providing a range of options for the management of pregnancy loss or
miscarriage
3. Providing education, access to contraception, and counseling to prevent
unplanned pregnancies.
CORE COMPETENCIES:
Patient Care
Medical Knowledge
-Care for OBGYN patients in the
outpatient Dickens Center setting
-Care for women referred from MFM and
Genetics with diagnosed fetal anomalies,
second-trimester pregnancy complications,
and serious maternal conditions
-Care for patients presenting with
pregnancy loss or miscarriage
-Care for patients in need of contraception,
especially those with serious medical
conditions
-Perform transvaginal ultrasound to assess
early pregnancy
-Perform office MVA
-Perform D+E in first and second trimester
-Perform medical management of
pregnancy loss or miscarriage
-Provide LARC- Mirena, Paragard,
Implanon
-Be familiar with history of contraception
-Understand mechanism of COCs,
progestin-only contraception, LARC
-Understand physiologic effects of
pregnancy and contraception
-Be familiar with fetal anomalies and
maternal and fetal conditions that
complicate pregnancy
-Understand HCG, TVS and diagnosis of
PUL vs. IUP vs. ectopic and management
-Understand medical management of early
pregnancy loss or miscarriage
Interpersonal and Communication Skills
-Communicate effectively with patients in
language appropriate to age, educational,
cultural, socioeconomic background
-Convey information to colleagues in a
concise, effective manner
-Perform accurate and focused history and
physical exam, develop an appropriate
assessment and be able to discuss treatment
options
-Appropriately consult with other medical
specialties as needed
-Exhibit appropriate sensitivity to patients
during a critical decision-making process
Professionalism
-Demonstrate a commitment to excellence
and interest in ongoing professional
development
-Discuss opt-out with supervising
attendings on as needed basis
-Practice with consideration of values
exercise and address on as needed basis
-Present monthly contraception talk at
Resident Didactics
-Attend morning resident conferences
-Present cases at M+M
-Use Blackboard on-line curriculum to
broaden knowledge base and improve
patient care
-Recognize disparities with contraceptive
access based on race, socioeconomic status,
insurance
Practice-Based Learning and Improvement
Systems-Based Practice