GOALS AND
OBJECTIVES
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
OB/GYN RESIDENCY
PROGRAM
THOMAS JEFFERSON
UNIVERSITY HOSPITAL
OVERALL EDUCATIONAL GOALS
PGY 3
Medical
Knowledge
All residents must demonstrate evidence of preparation and retention of information, regular
attendance and participation in scheduled educational conferences, and acceptable CREOG
examination performance. A resident scoring 2 standard deviations below the mean on the exam
must undergo remediation and directed reading. The resident must be familiar with basic
textbook level knowledge and begin to use journal articles
The resident must demonstrate an advanced understanding of basic science principles and of
routine clinical management issues. The resident must also demonstrate a thorough knowledge
of surgical anatomy, and details of basic to moderately complex operative techniques and
procedures. The resident must demonstrate a progressive familiarity with the literature for each
area in which they rotate and begin to function as a consultant. The resident must demonstrate
progress through continuity clinic and independent office practice management.
Patient Care
In addition to mastery of those skills learned as a junior resident, the resident must demonstrate
the ability to independently evaluate patients in acute and emergency situations and to develop
an appropriate care plan for patients with complex ob/gyn problems or multiple co-morbid
conditions. The resident must be able to care for patients in the post-operative setting, and to
appropriately manage critically ill patients. The resident must be able to communicate a
management plan and justify management decisions with appropriate reference to the accepted
standard of care and citations from the literature.
Surgical Skills
In addition to mastery of those skills learned as a junior resident, the resident must demonstrate
the development of surgical judgment as well as advanced surgical skills and techniques
including advanced suturing skills, proficiency with endoscopic and laparoscopic techniques,
knowledge and demonstration of appropriate surgical exposure for various procedures. Although
residents are not expected to be fully independent in the operating room at this stage, they
should be developing and exhibiting increasing skill and confidence. They should complete the
PGY 3 level log book.
Professionalism
The resident must continuously demonstrate the attributes of reliability, integrity, honesty,
altruism, respect, and compassion. The resident must demonstrate an appropriate attitude
regarding commitment to excellence and learning, and to patient care. The resident must be
open to constructive criticism and improvement. The resident must complete statistics, duty
hours logging and medical records on time.
Communication
The resident must demonstrate appropriate interpersonal relations with patients and their
families, peers and attendings, and nurses and ancillary staff. The resident must be able to work
as an effective part of the healthcare team in order to achieve desired patient care and
educational outcomes. In addition to teaching medical students, the resident must demonstrate
the interest and ability to oversee and teach the junior residents serving under them.
Systems Based
Practice
The resident must demonstrate awareness of costs of medical intervention and tests. The
residents should be familiar with the role of case managers and other non-medical members of
the team and the effects of insurance status. The resident must complete their medical record
responsibilities and statistics in an accurate and timely fashion. Any medical record fines
accrued during the year must be paid off in full or an acceptable payment plan must be arranged
with the administrator of the Department of Ob/Gyn. In addition, the resident should be able to
coordinate the care of complex patients and be familiar with coding of visits and surgery.
Practice-Based
Learning
The resident must present and participate in M&M as required by case assignments. They must
develop ability to coordinate patients through clinic, hospital and discharge. In addition, the
residents research project must be well under way.
Goals and Objectives for PGY-3
1. Family Planning /Ambulatory Care Continuity Clinics
The Family Planning and Ambulatory Clinics take place in the Jefferson Obstetrics and
Gynecology Associates clinic. All residents will see patients with contraceptive needs,
routine annual evaluations, uncomplicated obstetric and postpartum patients and patients
with gynecologic complaints, appropriate to their level of training. PGY-1 residents have
clinic with an emphasis on Family Planning during the ICN, Anesthesia, Emergency
Medicine, Ultrasound, Family Medicine West Jersey OB and Gyn rotations as well as
during a dedicated 2 week block. All others will have one half day per week during
specified rotations for a total of 30 months of continuity clinic.
The aims of the rotation are to prepare residents to provide outpatient patient care and
counseling that is compassionate, appropriate and effective for the treatment of outpatient
reproductive and basic primary care problems. The rotation will provide opportunities for
residents to master clinical skills including antepartum care, contraceptive counseling,
pregnancy options counseling, manual vacuum aspiration, transvaginal ultrasound, and
permanent and long-acting reversible contraceptive methods (LARC). In addition,
residents will learn the scope of outpatient gynecologic care in a graduated fashion.
Lastly, they will provide primary and preventive care screening for their patients of all
ages, including those related to general health maintenance.
Goals:
1. Residents will develop the knowledge, skills and attitudes to manage common
ambulatory problems related to the female reproductive system including
abnormal bleeding, pelvic floor disorders, and pelvic pain.(MK, PC, P, C)
2. Residents will develop the ability to provide comprehensive, non-directive
contraceptive counseling and provision to women at all stages of their
reproductive careers, including the knowledge of contraceptive devices and the
ability to serve as a consultant for management of complex cases. This includes
knowledge of method effectiveness and user effectiveness, national and local
policies that affect control of reproduction, how religious, ethical and cultural
differences affect providers and users of contraception, the impact of
contraception on population growth in the United States and other nations, factors
that influence the individual patients choice of contraception, and the advantages,
disadvantages, failure rates and complications associated with all methods of
contraception, including post-coital methods.(MK,PC,P,C,SBP)
3. Residents will recognize and manage the symptoms of menopause, understand
the health implications of menopause and its treatment, and counsel patients
effectively on these issues.(MK, PC, C)
4. Residents will be familiar with evidence based screening recommendations for
female patients at all stages of the life cycle. They will be familiar with
techniques to effectively counsel on and encourage healthy lifestyles in their
patients.(MK,PC, C, SBP)
5. Residents will develop the ability to manage the outpatient aspects of
uncomplicated pregnancies and the post- partum state. They will understand the
ambulatory management of pregnancy-related issues, including standard
diagnostic tests, common complaints and complications. (MK,PC)
6. Residents will understand the impact of patients’ insurance status and the local
health care system on the care of their patients, and will develop the knowledge to
adequately code and bill visits, obtain consultant services for their patients,
prescribe medications and contraceptives, and arrange diagnostic testing for their
outpatients in the clinic. They will learn about community-based resources which
may be available to augment various aspects of patient care, and how to help
patients access such facilities (PC, SBK)
Objectives: Upon completion of these rotations, the resident will be able to:
1. Perform a complete and comfortable breast and pelvic examination (PC,C)
2. Demonstrate the ability to communicate successfully with the patient so as to obtain
both a problem-specific and annual history (C, PC)
3. Perform routine ambulatory procedures, including Pap smears, wet preps, manual
vacuum aspiration, endometrial and vulvar biopsy and insertion of intrauterine
devices and implantable contraceptives (PC)
4. Counsel a patient on medical and surgical options for elective termination of
pregnancy, describe the state-specific regulations concerning abortion, the risks
benefits and alternatives of the procedure and arrange for performance of the
procedure at our institution or with local providers, regardless of personal beliefs.
(MK, PC,P,C, SBP)
5. Describe the available forms of hormonal and non-hormonal contraception, including
long-acting reversible contraception, male and female sterilization, and barrier
methods; counsel a patient on the advantages, disadvantages and contraindications of
each method; and perform insertion of IUD, implantable rods, and diaphragm fitting
in the office. (MK, PC, C)
6. Prescribe medical and behavioral therapies for the management of menopausal
symptoms, including the advantages and contraindications of each. (MK, PC)
7. Perform an evaluation of a patient with urinary incontinence and prolapse, including a
history of related symptoms, a cough stress test, and a POP-Q examination (MK)
8. Complete five annual examinations every 6 months that pass the criteria for age –
specific annual examination, as documented by checklist. (MK,SBP)
9. Perform an initial obstetrical visit, with complete documentation as reviewed by
staffing attending physician, including a comprehensive history and physical
examination, ordering routine laboratory tests and those required because of risk
factors during pregnancy, counseling patients about lifestyle modifications that
improve pregnancy outcome, counseling patients about warning signs of adverse
pregnancy events, appropriate immunizations, and the benefits of breast feeding.
(PC)
10. Generate a complete and accurate medical record, electronic or paper, that can be
accurately interpreted by others (SBK,C). Demonstrate the ability to use the
electronic medical record for the retrieval of patient information, adding diagnostic
and therapeutic data, and prescribing, with reference to insurance status. (SBP, PBL).
11. Demonstrate the ability to use electronic media at the point of care for consultation
of the medical literature. (SBK)
12. Demonstrate the ability to diagnose, treat and counsel patients with a sexually
transmitted infection, vaginal or vulvar infection. This includes describing the
principal infections that affect the vulva and vagina such as candidiasis, bacterial
vaginosis, and trichomoniasis, chlamydia, gonorrhea, syphilis, hepatitis B and
hepatitis, human immunodeficiency virus (HIV), herpes simplex and human
papillomavirus; performing a focused physical examination; performing and
interpreting tests such as vaginal pH,saline microscopy, potassium hydroxide
microscopy, bacterial and viral tests; and familiarity with the CDC recommended
regimens for treatment of STI. The resident should describe the follow up that is
necessary for a patient with a vulvar or vaginal infection, including assessing and
treating sexual partner(s), reporting requirements, and counseling the patient about
prevention of re-infection. Finally, the resident should describe the long-term
concerns for patients with a STI, including infertility, ectopic pregnancy, chronic
pelvic pain, and pelvic inflammatory disease (PID). (MK, PC,C)
13. Evaluate and screen post-partum patients for common problems, and obtain
consultation and referral services for patients with pelvic floor problems, wound
complications, breastfeeding problems, and severe post-partum depression (MK, PC,
C, SBE)
14. Demonstrate the ability to work effectively as a member of a team which includes
both physicians and other professionals such as social workers, nutritionists and
family planning counselors (P,SBK,C)
15. Demonstrate awareness of patients’ cultural, sexual orientation, age-related and
gender-based issues, and their impact on providing optimal care (C, PC, P)
16. Demonstrate self-evaluation and improvement of various aspects of their performance
in an ambulatory setting (PBL,P)
Evaluation Methods
Global rotation evaluation after PGY-1 rotation, electronic
Evaluation and chart review with immediate feedback after presentation of each patient
Elements of Primary Care Checklist, 5 every 6 months
Patient evaluations of residents, 1 per week while in clinic
CREOG Examination results in primary care sections
Completion and logging of IUD and endometrial biopsy procedures for independent
performance on electronic system
2. Gynecologic Oncology Virtua West Jersey
The rotation shall consist of the bulk of time operating and caring for patients with the
gyn oncologists at Virtua Hospital, Dr. Randolph Deger and Dr. Kim. They will perform
inpatient and outpatient surgeries and attend office hours.
Goals: Build upon the previous Gyn Oncology rotation in the following areas:
1. Learn the basic pathophysiology of gynecologic malignancies.
2. Learn pelvic anatomy as it pertains to surgery for gynecologic malignancy.
3. Provide compassionate and appropriate patient care for patients being treated for
gynecologic cancer
4. Learn the appropriate staging and treatment regimens for gynecologic cancer.
5. Competently assist in major gynecologic surgical cases and provide appropriate postoperative care, including in the ICU setting.
6. Residents must develop interpersonal and communication skills appropriate to the
community hospital setting. They must deepen a sense of responsibility as the primary
resident caretaker for this service.
Objectives: Upon completion of this rotation, residents must be able to:
1. Manage and triage vulvar and vaginal malignancies such as Melanoma, Squamous
cell carcinoma, Basal cell carcinoma, and Paget’s disease, Bartholin’s gland carcinoma;
vulvar intraepithelial neoplasis (VIN) and vaginal intraepithelial (VAIN), including the
differential diagnosis of pigmented and non-pigmented vulvar lesions ;perform and
interpret the results of diagnostic procedures for VIN and VAIN (MK,PC)
2. Provide psychosocial support and long-term follow up for patients with vulvovaginal
cancer. Describe the impact of treatment of vulvovaginal cancer on sexual function and
manage/refer patients appropriately (PC,C)
3. Obtain a targeted history in patients who have abnormal uterine bleeding, including
assessment of risk factors; describe and perform appropriate imaging such as transvaginal
ultrasound and diagnostic tests such as endometrial biopsy and uterine curettage
(MK,PC)
4. Describe the epidemiology of ovarian and fallopian tube cancer, including inherited
syndromes; clinical manifestations of ovarian cancer; the histology, staging and
prognosis for: epithelial, germ cell, stromal, metastatic and low malignant potential
tumors. The resident must interpret tests such as ultrasonography and serum tumor
markers, and in consultation with a gynecologic oncologist, counsel the patient about the
evaluation and treatment (indications, complications) of ovarian cancer (MK,PC,C)
5. Describe the epidemiology and genetics of gestational trophoblastic disease (GTD);
diagnose GTD using tests such as ultrasonography, b-hCG titer, chest x-ray and thyroid
function tests. The resident should be able to perform surgical treatment and provide
appropriate follow up for a patient who has had suction evacuation of a molar pregnancy
as well as counsel the patient regarding recurrence risk for GTD (MK,PC,C)
Evaluation methods:
Global rotation evaluation by Dr. Deger
Surgical checklist cards
Performance on in-service CREOG examination
Reading assignments:
Clinical Expert Series on Endometrial, Ovarian, Cervical, Vaginal and Vulvar Cancers;
Bereck and Hacker’s Gynecologic Oncology 5th Edition
Assigned articles
3. Night Float- Virtua Hospital
This rotation will consist of night coverage of primarily gynecologic patients with
assistance on labor and delivery as needed by the PGY-2 primarily caring for obstetrical
patients.
Goals:
1. Develop competency in managing and coordinating routine and high risk labor patients
including emergencies (PC,SBP, P. C)
2. Develop effective relationships with ancillary staff in the emergency room and
operating rooms for effective care of emergency gyn problems and admissions (PC,SBE,
P, C)
3. Develop leadership skills in supervising junior residents and medical students (P, C)
4. Develop the ability to triage all types of ob and gyn patients presenting to the
emergency department and labor floor (PC, SBE).
Objectives: Upon completion of the rotation, the resident must be able to:
1. Effectively manage the triage of emergency room consultations of gynecologic patients
(PC, SBP,C)
2. Interact in an effective and professional manner with nursing and anesthesia
department colleagues (P, SBP)
3. Coordinate and perform emergent gyn surgery (P, C, PC)
4. Independently assess and triage postoperative problems of gyn patients with
supervision by attending staff (PC)
Evaluations:
Global end of block evaluations
4. OB Night Float TJUH
This rotation shall consist of 6 – 7 weeks at night primarily on Labor & Delivery at
TJUH. The rotation shall consist of coverage of primarily Ob patients but can include
Gyn and emergency room patients as needed at the discretion of the chief resident.
Goals:
1. To refine skills in delivering emergency care during pregnancy
2. To increase proficiency in performance of operative deliveries, including forceps and
vacuum deliveries
3. To increase competency in managing a busy labor and delivery unit
4. To teach MS-3 students and PGY -1 residents basic obstetrics
Objectives: by the end of the rotation, the resident must:
1. Demonstrate diagnostic skill in pregnant patients with a medical or surgical
emergency, including the ordering and interpretation of diagnostic tests, such as CT or
MRI scan, initiation of therapy, and timing of delivery. (MK,PC)
2. Diagnose patients with threatened or occurrence of second-trimester pregnancy loss,
including ultrasonography; implement appropriate medical and surgical management
(including cervical cerclage) and manage complications such as chorioamnionitis,
retained placenta, uterine hemorrhage; and counsel patients who have experienced
second-trimester pregnancy loss about recurrence risk.(MK,PC, C)
3. Understand the causes of preterm labor and manage suspected preterm labor,
including history, examination to determine uterine size, fetal presentation and fetal heart
rate, cervical effacement and dilation; perform and interpret biophysical, biochemical and
microbiologic testes to assess patients with suspected preterm labor, and utilize
interventions such as antibiotics, tocolytics, corticosteroids, amniocentesis, cerclage, and
bed rest; and appropriately counsel patients about complications, including management
options for the extremely premature fetus and available support systems. (MK,PC,C,
SBP)
4.Describe the factors that predispose to placenta previa and abruption placentae; perform
a focused physical examination in patients with bleeding in late pregnancy; interpret
diagnostic tests such as hematocrit, platelet count, coagulation profiles, Kleihauer-Betke
test, and perform ultrasonography; determine the appropriate timing and method of
delivery; and manage complications such as hypovolemic shock and coagulopathy (MK,
PC)
5. Manage hypertension in pregnancy, including differentiating chronic hypertension
from preeclampsia and gestational hypertension; assessing fetal well-being ;treatment of
hypertensive disorders of pregnancy; and recognition of maternal complications of
hypertension in pregnancy such as cerebrovascular accident, seizure, renal failure,
pulmonary edema, and HELLP (hemolysis, elevated liver enzymes and low platelet
count) syndrome. (MK,PC)
Evaluation methods:
Global evaluation
Minicex
Surgical checklist
Professionalism cards
Reading:
Obgyn textbooks and current literature
5. Gynecology-Virtua Hospital
The rotation shall consist of 13 weeks (two blocks) on the General Gynecology service
managing pre-operative, intraoperative, and post-operative care as well as seeing
consultations and emergency room patients at Virtua Hospital. Residents will see patients
in the clinic on a weekly basis under the supervision of the Virtua clinic director as well
as return for their continuity clinic at Jefferson. They will teach medical students from
JMC. Residents are expected to incorporate the PGY 2 goals and objectives as well as the
following:
Goals:
1. Refine surgical skills in performance of advanced surgical procedures (PC)
2. Develop strategies for supervising and teaching clinical care and surgical skills to
junior residents (C)
3. Develop ability to serve as a consultant to other specialties, including the ability to
utilize evidence- based medicine in making recommendations (P,C)
4. Efficient and effective triage of gynecologic problems seen in the emergency room
setting (PC)
5. Identifying clinic patients in need of surgery under the supervision of the director.
(PC)
6. Develop skills in office procedures such as colposcopy, IUD insertion, and office
ablations and sterilizations (PC).
7. Work effectively in various health care delivery settings and incorporate awareness of
cost and insurance issues in different hospital systems (SBP)
Objectives: By the end of the rotation, the resident must be able to:
1. Conduct pre-operative assessment for patients in the clinic and navigate the hospital
system for scheduling and evaluation, including indications for and perform appropriate
preoperative evaluation and referral, including laboratory tests, radiographic imaging and
EKG(PC, SBP)
2. Summarize indications and compose appropriate preoperative preparation plans for
patients undergoing gynecologic surgery, including antibiotic use and thromboembolism
prophylaxis (PC)
3. Choose appropriate pain control bases on the surgical procedure, degree of patient
discomfort and patient characteristics, manage and counsel patients about normal
postoperative recovery (PC).
4. Elicit appropriate history, perform a physical examination, perform and/or interpret
appropriate tests and manage common postoperative complications (PC)
5. Demonstrate the ability to perform minor procedures with minimal guidance, including
laparoscopic tubal ligation, d&c and hysteroscopy, and be able to discuss different
approaches to hysterectomy and adnexal surgery (PC,PBL).
6. Demonstrate an ability to function independently and seek out supervision as needed in
managing common problems and patient evaluations (P, SBP).
7. Work with and communicate effectively with a variety of ancillary staff and attending
physicians in a professional manner (P, C).
8. Participate in formal patient presentations at Grand Rounds (PBL, SBP).
Evaluation methods:
Global evaluations
Surgical checklist cards
Reading assignments:
Gynecology textbooks and journal articles pertaining to patients
6. Elective Rotation
This rotation shall consist of 6-7 weeks of outside rotation, to be arranged by the resident
and pre-approved by the program director, or else be spent at TJUH working on research
project under faculty supervision. There is no call but residents are encouraged to attend
didactics if they are on site.
7. Ambulatory Practice
The rotation shall consist of 6 -7 weeks at outpatient offices of subspecialists in office
practice such as Dr. Sultana, Dr. Lorell, Dr. Kaufman, Dr. Schwartz, Planned Parenthood
and the outpatient radiology department, as well as JOGA clinic.
Goals:
1. To acquire the knowledge and skills to counsel women in the menopausal period
about common symptoms and conditions including effects on sexuality, including breast
cancer survivors (MK,PC, C).
2. To gain experience in less common gynecologic complaints seen in the office setting
(MK,PC).
3. To competently evaluate and manage patients with breast complaints, and initiate
workup of women presenting with breast masses (MK,PC).
4. To be able to screen women for age-specific conditions according to evidence based
guidelines (MK,PC).
5. To gain additional experience in transvaginal ultrasound examination. (MK,PC).
6. To gain experience in the management of pediatric gynecologic patients. (MK,PC).
7. To gain additional experience in performing pregnancy termination in the outpatient
setting. (MK,PC, SBP).
8. To be able to triage and perform the initial examination in patients complaining of
pelvic floor problems such as urinary incontinence and prolapse. (MK,PC).
Objectives: By the end of the rotation, the resident shall be able to:
1. Refine the ability to perform initial assessment; gain the patient’s confidence and
cooperation in obtaining the history and performing the physical examination,
appreciating the effects of age; racial, ethnic and cultural backgrounds; sexual
orientation; personality; mental status; and the patient’s level of comfort and modesty
(PC).
2. State the recommended ACOG and USPHS guidelines for routine screening tailored to
risk factors and the patient’s age, including domestic violence (SBP,PBL, PC).
3. Screen older patients for cognitive problems presenting for routine checkups with a
basic assessment of functional status including: activities of daily living, mini-mental
status examination, and capacity for independent decision making (MK, PC, C).
4. Counsel patients on a healthy diet and exercise, health problems associated with
substance abuse, smoking cessation, weight management, and other psychosocial issues
and identify resources to help patients with these issues (MK, PC, C, SBP).
5. Perform uncomplicated first trimester terminations under local anesthesia, including
counseling pregnant patients on all the alternatives available to them. (Residents, who
decide not to provide this service because of a moral objection should be able to counsel
patients, make appropriate referrals and manage postabortal complications, and will be
assigned other duties) (MK, PC, C).
6. Describe the principal disorders of sexual function, including hypoactive desire,
difficulty with arousal, anorgasmia, vaginismus, dyspareunia and offer initial therapies
and appropriate referrals, including problems of lesbian, bisexual and transgendered
patients (MK, PC)
7. Manage perimenopausal and menopausal condition, including osteoporosis, using
interventions such as hormone therapy (estrogen, progestins, selective estrogen receptor
modulators); calcium and vitamin supplementation; behavioral and lifestyle
modifications; dietary alterations; medications that preserve/build bone mass (MK, PC,
C)
8. Describe the indications for and be able to perform and/or interpret the results of the
following procedures for breast disorder: aspiration of a cyst or abscess, collection of
nipple discharge for cytologic examination, fine needle aspiration of a mass, needle
localization biopsy, excisional biopsy, mammography, ultrasonography, and manage the
adverse effects of antiestrogen medications, such as tamoxifen and aromatase inhibitors
(MK, PC)
9. Demonstrate the ability to evaluate pediatric patients for problems such as
vulvovaginitis, vaginal bleeding, trauma, foreign body in the vagina including a focused
physical examination appropriate for the patient’s age; perform vaginoscopy and vaginal
lavage; and counsel the patient and parents. (PC, C)
10. Take a history from a patient with incontinence or prolapse and perform a directed
physical examination including POP-Q and neurologic examination, and triage the
patient with conservative management or referral to a subspecialist. (PC, SBP)
Evaluations:
Global rotation evaluations
Mini-Cex
Assigned readings:
Set of articles from Dr. Sultana
Office Gynecology textbook
Urogynecology textbook
8. Gynecology- TJUH
The rotation shall consist of 6-7 on the General Gynecology service managing preoperative, intraoperative, and post-operative care as well as seeing consultations and
emergency room patients at TJUH under the supervision of the PGY-4 and attendings.
They will participate in Pre-op clinic on Thursday afternoons. They will teach medical
students from JMC. Residents are expected to incorporate the PGY 2 goals and objectives
as well as the following:
Goals:
1. Refine surgical skills in performance of advanced surgical procedures (PC)
2. Develop strategies for supervising and teaching clinical care and surgical skills to
junior residents (C)
3. Develop ability to serve as a consultant to other specialties, including the ability to
utilize evidence- based medicine in making recommendations (P,C)
4. Efficient and effective triage of gynecologic problems seen in the emergency room
setting (PC)
5. Identifying clinic patients in need of surgery under the supervision of the director.
(PC)
6. Develop skills in office procedures such as colposcopy, IUD insertion, and office
ablations and sterilizations (PC).
7. Work effectively in various health care delivery settings and incorporate awareness of
cost and insurance issues in different hospital systems (SBP)
Objectives: By the end of the rotation, the resident must be able to:
1. Conduct pre-operative assessment for patients in the clinic and navigate the hospital
system for scheduling and evaluation, including indications for and perform appropriate
preoperative evaluation and referral, including laboratory tests, radiographic imaging and
EKG(PC, SBP)
2. Summarize indications and compose appropriate preoperative preparation plans for
patients undergoing gynecologic surgery, including antibiotic use and thromboembolism
prophylaxis (PC)
3. Choose appropriate pain control bases on the surgical procedure, degree of patient
discomfort and patient characteristics, manage and counsel patients about normal
postoperative recovery (PC).
4. Elicit appropriate history, perform a physical examination, perform and/or interpret
appropriate tests and manage common postoperative complications (PC)
5. Demonstrate the ability to perform minor procedures with minimal guidance, including
laparoscopic tubal ligation, d&c and hysteroscopy, and be able to discuss different
approaches to hysterectomy and adnexal surgery (PC,PBL).
6. Demonstrate an ability to function independently and seek out supervision as needed in
managing common problems and patient evaluations (P, SBP).
7. Work with and communicate effectively with a variety of ancillary staff and attending
physicians in a professional manner (P, C).
8. Participate in formal patient presentations at Grand Rounds (PBL, SBP).
9. Maintain the Beta Book and track patients with abnormal first trimester bleeding as
well as be responsible for their follow-up and communication. (SBP,P,C)
Evaluation methods:
Global evaluations
Surgical checklist cards
Reading assignments:
Gynecology textbooks and journal articles pertaining to patients