Department of Obstetrics and Gynecology
Residency Curriculum Goals and Education Objectives
Revised: June 2011
PGY-1
I.
Obstetrics- Labor Floor Day Team
GOALS AND OBJECTIVES: General exposure to all aspects of inpatient obstetrics
including intrapartum and postpartum management
CORE COMPETENCIES:
Patient Care
Medical Knowledge
-Manage patients on Postpartum Service
including all order writing, test ordering,
discharges
-Participate in management of patients on
Labor Floor including admission,
assessment of labor progress and fetal heart
tracings
-Perform vaginal deliveries, cesarean
deliveries
-Triage second and third trimester patients
presenting to the Perinatal Evaluation
Center
-Triage beeper calls from patients;
recognize common issues of pregnancy vs.
emergency issues requiring further
evaluation
-Evaluate patients in High-risk Postpartum
Clinic and provide contraceptive
counseling and management
-Insert IUDs and Implanon during
postpartum period
-Respond to emergencies arising on L+D,
Postpartum, Antepartum services
-Understand maternal physiology and
changes that occur in the antenatal, labor,
and postpartum periods
-Understand prenatal care and routine
screening
-Understand common antepartum
complications and appropriate evaluation
and management as outlined by PEC
guidelines
-Know indications for admission to Labor
and Delivery unit for observation vs.
Interpersonal and Communication Skills
Professionalism
Practice-Based Learning and Improvement
delivery
-Know stages of labor and be able to
recognize normal and abnormal labor
-Understand indications for operative and
cesarean delivery
-Understand intrapartum fetal heart tracing
guidelines and interpret
-Perform OB ultrasound for dating,
biophysical profiles
-Become adept at vaginal delivery and
operative skills needed for cesarean
delivery and laceration repair
-Understand possible postpartum
complications of normal vaginal delivery
and cesarean delivery
-Become familiar with post-operative care
as relates to cesarean delivery
-Understand physiology of breastfeeding
and be able to troubleshoot common
related issues
-Learn principles of midwifery
-Be able to counsel patients regarding
contraceptive options
-Work with Social Work team to optimize
conditions for mother and child upon
discharge
-Work with nurse practitioners to provide
streamlined care for Postpartum service
-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
-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
Systems-Based Practice
-Participate in work and teaching rounds on
Labor Floor and Postpartum Service
-Attend Morning and Noon Conferences
-Attend monthly M+M conferences to
improve patient safety, learn from errors,
become informed about complex medical
issues
-Use Baby Tracker system for data
monitoring
-Use Sunrise to generate concise and
relevant discharge documents
-Use EPIC to document phone triage calls
and PEC encounters to facilitate follow up
II.
Night Float- Obstetrics
GOALS AND OBJECTIVES: General exposure to all aspects of inpatient obstetrics
including intrapartum and postpartum management
Patient Care
-Manage patients on Postpartum Service
including all order writing, test ordering,
discharges
-Participate in management of patients on
Labor Floor including admission,
assessment of labor progress and fetal heart
tracings
-Perform vaginal deliveries, cesarean
deliveries
-Triage second and third trimester patients
presenting to the Perinatal Evaluation
Center
-Triage beeper calls from patients;
recognize common issues of pregnancy vs.
emergency issues requiring further
evaluation
-Evaluate patients in High-risk Postpartum
Clinic and provide contraceptive
counseling and management
-Insert IUDs and Implanon during
postpartum period
-Respond to emergencies arising on L+D,
Postpartum, Antepartum services
Medical Knowledge
-Understand maternal physiology and
changes that occur in the antenatal, labor,
and postpartum periods
-Understand prenatal care and routine
screening
-Understand common antepartum
complications and appropriate evaluation
and management as outlined by PEC
guidelines
-Know indications for admission to Labor
and Delivery unit for observation vs.
delivery
-Know stages of labor and be able to
recognize normal and abnormal labor
-Understand indications for operative and
cesarean delivery
-Understand intrapartum fetal heart tracing
Interpersonal and Communication Skills
Professionalism
Practice-Based Learning and Improvement
Systems-Based Practice
guidelines and interpret
-Perform OB ultrasound for dating,
biophysical profiles
-Become adept at vaginal delivery and
operative skills needed for cesarean
delivery and laceration repair
-Understand possible postpartum
complications of normal vaginal delivery
and cesarean delivery
-Become familiar with post-operative care
as relates to cesarean delivery
-Understand physiology of breastfeeding
and be able to troubleshoot common
related issues
-Learn principles of midwifery
-Be able to counsel patients regarding
contraceptive options
-Work with Social Work team to optimize
conditions for mother and child upon
discharge
-Work with nurse practitioners to provide
streamlined care for Postpartum service
-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
-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 Morning and Noon Conferences
-Attend monthly M+M conferences to
improve patient safety, learn from errors,
become informed about complex medical
issues
-Use Baby Tracker system for data
monitoring
-Use Sunrise to generate concise and
relevant discharge documents
-Use EPIC to document phone triage calls
and PEC encounters to facilitate follow up
III.
Obstetrics- Antepartum
GOALS AND OBJECTIVES: Exposure to inpatient and outpatient management of
complicated pregnancies
CORE COMPETENCIES:
Patient Care
Medical Knowledge
Interpersonal and Communication Skills
-Manage patients on Antepartum service
including all order writing, test ordering,
discharges, fetal monitoring interpretation
-Triage second and third trimester patients
presenting to the Perinatal Evaluation
Center
-Participate in outpatient prenatal care for
high-risk pregnancies
-Assist with consultation requested by
other services and emergency department
-Manage high-risk pregnancies in inpatient
and outpatient setting and understand
criteria for inpatient admission and
discharge
-Understand and perform fetal testing and
surveillance (NST, BPP)
-Perform OB ultrasound for dating
-Understand common antepartum
complications and appropriate evaluation
and management as outlined by PEC
guidelines
-Understand risks and management of
common medical complications in
pregnancy i.e. diabetes, hypertension
-Understand risks and management of
surgical complications in pregnancy
-Understand risks and management of
obstetric complications of pregnancy i.e.
PPROM, abruption, abnormal placentation,
IUGR
-Understand risks and management of
multiple gestations
-Understand fetal/ maternal indications for
preterm delivery
-Understand complications associated with
extreme prematurity/ preterm delivery
-Use consultants appropriately in inpatient
and outpatient settings
-Communicate with patients and families
Professionalism
Practice-Based Learning and Improvement
Systems-Based Practice
regarding plan of care on inpatient service
-Optimize care provided by healthcare
team by communicating with nursing staff,
anesthesia, pediatrics/ NICU, social work,
consultants
-Assist with meaningful consultation to
requesting services and coordination of
care
-Demonstrate respect, compassion,
integrity, and responsiveness to needs of
patients with complicated pregnancies
-Offer a team-based approach to patientcentered care with attending, fellow,
resident, nurse practitioner
-Participate in work and teaching rounds on
Labor Floor and Antepartum Service
-Attend weekly MFM Division meeting
-Attend weekly MFM Journal Club
-Review all triage cases from PEC with
senior resident/ attending and solicit
feedback
-Attend monthly M+M conferences to
improve patient safety, learn from errors,
become informed about complex medical
issues
-Use Baby Tracker system for data
monitoring
-Use Sunrise to generate concise/
comprehensive discharge documentation
-Use EPIC to facilitate outpatient follow-up
IV.
Gynecologic Oncology
GOALS AND OBJECTIVES: Exposure to all aspects of inpatient Gyn Oncology
CORE COMPETENCIES:
Patient Care
Medical Knowledge
Interpersonal and Communication Skills
Professionalism
-Manage patients on the Gyn Oncology
inpatient service
-Become adept at performing minor
outpatient procedures, Benign and
Oncologic including: laparoscopic BTL,
LEEP, cold knife cone, hysteroscopy, D+E
-Care for OBGYN patients in the
outpatient Dickens Center setting
-Wound care
-Become familiar with post-op
management of patients with concurrent
medical illness and particularly with cancer
diagnosis
-Understand parameters for hemodynamic
stability
-Understand wound healing
-Diagnose and treat common post-op
complications
-Recognize criteria for inpatient admission
for women with gynecologic malignancies
-Learn principles of chemotherapy
-Know risk factors, diagnosis, treatment,
and prognosis for gynecologic
malignancies
-Know staging for endometrial, ovarian,
cervical cancer
-Be familiar with common tumor markers
for various ovarian pathology
-Learn surgical technique and principles of
laparoscopy, hysteroscopy
-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
-Provide compassionate support to family
members of patients
-Master a standardized effective signout
process for optimal transitions of care
-Demonstrate respect, compassion,
integrity, and responsiveness to needs of
Practice-Based Learning and Improvement
Systems-Based Practice
patients with complicated medical illness,
cancer diagnoses
-Offer a team-based approach to patientcentered care with attending, fellow,
resident, nurse practitioner
-Model attending physicians
-Prepare cases for Gyn Oncology
Conference
-Attend monthly M+M conferences to
improve patient safety, learn from errors,
become informed about complex medical
issues
-Master the organizational skills necessary
to provide care for an inpatient service
-Introduction to hospice
-Introduction to end-of-life issues
-Learn use of ACGME database for case
collection
V.
Benign Gynecology
GOALS AND OBJECTIVES: Exposure to all aspects of gynecology
CORE COMPETENCIES:
Patient Care
Medical Knowledge
-Scrub on operating room cases, primarily
outpatient cases, hysteroscopy, basic
laparoscopy, D+E
-Perform office LEEP in Dickens
-Perform endometrial biopsy, IUD
placement
-Participate in postoperative care for
Benign Gynecologic surgery patients as
well as inpatient admissions
-Participate in postoperative care for
Urogynecology and REI patients as well as
inpatient admissions
-Attend to emergency room and inpatient
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
-Participate in preop clinic: counsel
patients regarding medical vs. surgical
management of benign gynecologic
conditions
-Become familiar with Quant Book and
review daily
-Become familiar with abdominal wall
opening and closure
-Be familiar with suture selection
-Know principles of electrosurgery
-Understand and execute surgical
procedures including: basic laparoscopy/
hysteroscopy, D+E, CKC
-Know management of PUL, medical and
surgical management of abnormal
intrauterine pregnancy, ectopic pregnancy
-Know diagnosis, medical and surgical
management of lower tract infections vs.
upper tract infections/ PID
-Understand the menstrual cycle and
differential diagnosis for alterations of
Interpersonal and Communication Skills
Professionalism
Practice-Based Learning and Improvement
Systems-Based Practice
-Know options for treatment of acute
vaginal bleeding
-Postoperative management and treatment
of complications
-Work with other services to provide
emergency and/or consult care
appropriately under supervision of senior
resident
-Preop counseling and informed consent
for hysteroscopy, laparoscopy, D+E, BTL
-Offer a team-based approach to patientcentered care with attending, fellow,
resident, nurse practitioner
-Address advanced directives for
gynecologic admissions
-Review procedures and patient history
prior to participation in surgical procedure
-Respond to consult requests in a timely
manner
-Participate in medical student education
-Participate in work and teaching rounds
-Attend bi-monthly gyn preop conference
-Attend monthly M+M conferences to
improve patient safety, learn from errors,
become informed about complex medical
issues
-Be familiar with criteria for inpatient
hospitalization and review daily to ensure
proper utilization of resources
-Continue use of ACGME database for
case collection
VI.
Internal Medicine- Inpatient Wards
GOALS AND OBJECTIVES: General exposure to inpatient medicine therapy and
patient management
CORE COMPETENCIES:
Patient Care
Medical Knowledge
Interpersonal and Communication Skills
Professionalism
Practice-Based Learning and Improvement
Systems-Based Practice
-Caring for male and female patients with
chronic illness in an inpatient setting
-Pathophysiology of common chronic
diseases: hypertension, diabetes, cardiac,
renal, gastrointestinal
-Medical treatments for the above and
pharmacology
-Geriatric medicine
-Taking a comprehensive history from
patients with illness
-Recording thorough H+Ps and progress
notes
-Appropriate utilization of ancillary
resources
-Attending daily rounds and conferences as
scheduled by Department of Internal
Medicine
-Attend M+M conferences to improve
patient safety, learn from errors, become
informed about complex medical issues
VII. Surgical Intensive Care Unit
GOALS AND OBJECTIVES: General exposure to all aspects of intensive care of
postoperative patients
CORE COMPETENCIES:
Patient Care
Medical Knowledge
Interpersonal and Communication Skills
Professionalism
Practice-Based Learning and Improvement
Systems-Based Practice
-Recognition of the critically ill patient that
needs intensive care
-Insertion of lines for invasive monitoring
-Understand principles of mechanical
ventilation, equipment, and settings
-Understand invasive monitoring,
hemodynamics
-Fluid management and principles of
transfusion
-ACLS
-Perform as an integral team member and
patient advocate
-Provide compassionate care to patients
who are critically ill and communicating
with families
-Acting as effective member of team
comprised of physicians of varying
specialties
-Participating in call schedule
-Attending daily rounds as conducted by
Unit Surgery or Anesthesia Chief/
Attending
-Charting as per SICU department
VIII. Emergency Medicine
GOALS AND OBJECTIVES: General exposure to all aspects of emergency and
acute care, including but not limited to:
1. Perform an appropriate focused history and physical exam
2. Demonstrate an appropriate differential diagnosis
3. Develop and carry out basic treatment plans through admission or discharge
CORE COMPETENCIES:
Patient Care
Medical Knowledge
Interpersonal and Communication Skills
Professionalism
-Learn evaluation and management of
patients presenting with common types of
illness and injury
-Careful and thorough assessment of
individual patients
-Generate an appropriate and complete
differential diagnosis for an
undifferentiated patient
-Develop and carry out a basic treatment
plan
-Suturing, lumbar puncture, splinting, I/D
abcess
-Keep medical record that is accurate,
complete, timely, and appropriate
-Generate an appropriate and complete
differential diagnosis for an
undifferentiated patient
-Acquire the skills necessary to identify
life-threatening conditions and
presentations
-Develop rational test-ordering strategies
-Appropriate interpretation of ECGs,
laboratory and radiologic testing
-Data gathering: perform an appropriate
focused history and physical exam
-Demonstrate effective information
exchange with patients, their families, and
the emergency health care team
-Develop vital interpersonal skills and
strategies to work in a team environment
-Being a reliable member of the Emergency
Department team
-Establishing good relationships in the ED
-Strive for efficiency: effectively manage
1.5 patients/ hour
-Introduce self to patient and/or family
-Be respectful of patient’s privacy and
confidentiality
-Demonstrate good grooming, keeping
rested and physically active to maintain
health
-Demonstrate respect, compassion, and
integrity in all aspects of care
Practice-Based Learning and Improvement
Systems-Based Practice
-Attending daily rounds as conducted by
ED attending
-Use appropriate information resources (ie
texts, online websites, etc.) for care of
patient
-Ordering appropriate tests keeping in mind
cost-effective care
-Understand basic resources available for
care of the emergency department patient
-Understanding the role of the ED within
the scope of inpatient admission/ continuity
of outpatient care, including arranging
appropriate ongoing care of patients once
consulted upon, admitted to an inpatient
service, or referred for further outpatient
care
IX.
Ambulatory Women’s Health
GOALS AND OBJECTIVES: General exposure to common women’s health issues in
the outpatient setting, including but not limited to:
1. Radnor gynecology
2. Radnor urogynecology
3. Breast clinic
4. MFM Ultrasound
5. Genetics
6. 3701 Market Street—Division of General OBGYN
7. Dickens
CORE COMPETENCIES:
Patient Care
Medical Knowledge
-Perform routine well-woman examinations
with familiarization of periodic health
assessment based on age
-Perform routine and high-risk OB care in
the outpatient setting with attention to
periodic screening
-Exposure to women’s health care in
comprehensive setting at Radnor
-Exposure to non OBGYN specialties
related to women’s health (Dermatology,
Gastroenterology, Breast)
-Exposure to specialized OBGYN
evaluation in urogynecology, OB
Ultrasound, Genetics
-Periodic health assessment, age-based
-Know screening tests and when
appropriate
-Common medical problems (diabetes,
hypertension, hypercholesterolemia) and
how they affect the reproductive system
-Routine OB screening tests and timing
-Become familiar with OB ultrasound—
First trimester screening and Level 2
-Know screening options for genetic
disorders in pregnancy
-Know FTS, SS, integrated screening
options in pregnancy
-Understand mammogram screening
guidelines and interpretation
-Become familiar with benign breast
disorders
Interpersonal and Communication Skills
Professionalism
Practice-Based Learning and Improvement
Systems-Based Practice
-Understand diagnosis and treatment of
breast cancer
-Eliciting accurate, focused, appropriate
history and performing thorough physical
exam
-Understanding the needs of the wellwoman presenting for an outpatient visit
and incorporating education, preventive
medicine into a meaningful encounter
-Maintaining a professional appearance
-Introducing self to patient and/or family
-Develop and maintain habits of
punctuality and efficiency
-Work with attending physicians to
shadow, model encounters
-Demonstrate responsiveness to instruction
and feedback
-Use knowledge from textbooks, websites,
and up-to-date studies to guide patient care
-Use of Blackboard curriculum
-Understand the basics of insurance,
documentation, and coding principles
-Understand patient referrals and
interaction between ambulatory centers/
subspecialty clinics