Department of Obstetrics, Gynecology & Reproductive Sciences Course Title: Course Code: Course Director: Elective Coordinator: Other Faculty: Hospital: Availability: Number of Units: Maximum Students/Unit: Prerequisites: Course Components: Scheduling Information: Bridgeport Hospital Externship in Obstetrics & Gynecology TBA Peter Marcus MD Jennifer Chiarantano gjchia@bpthosp.org 203 384-3990 Edward Luchansky, Lyree Mikhail, Carole Presnick, Harry Sauer Bridgeport Hospital All Year 4 week credit unit 1 student per 4 week rotation Third or fourth-year status Satisfactory completion of core Ob/Gyn Clerkship 85% Clinical, 10% lecture & conference, 5% library research Offered to Yale medical students & qualified students of approved LCME & COCA schools Student Responsibilities: 1) Student will meet with course director of start of elective to design an experience to meet student’s personal goals and expectations for the four weeks. 2) Students will need to arrange their own transportation and housing. 3) Student will need to comply with course goals and objectives as listed below. Competency Offered (Optional): Basic Clinical Skills; Social & Community Contexts of Health Care 4) Students will be expected to participate in night calls. 5) Students will be asked to do presentations at daily conferences, team rounds, etc. Description: This four week elective allows the medical student to continue their studies of obstetrical and gynecologic care. The student will actively participate with staff in managing patients presenting for prenatal care, labor & delivery, and the postpartum. Both routine and high risk patients will be seen. Gynecologic experience will consist of general clinic visits, family planning, evaluation of abnormal cytology, hands on time in the operating rooms, with options of evaluating patients with urogynecologic, substance abuse, endocrinologic complaints. Student needs emphasizing either obstetrics or gynecology may be considered on an individual basis. Objectives: Goal: The goal is to provide patient care for general OB/GYN problems at the level of an intern. This will be demonstrated by: 1) Showing the ability to complete, as necessary, a complete or problem focused history and physical exam on a patient. 2) Developing a patient care plan, demonstrating an understanding of the problem, physiology behind the problem, and researching the problem for evidence based care. 3) Using effective communication in written histories & physicals, as well as in progress and clinic notes. 4) Giving oral presentations 5) Communicating with patients and family members 6) Developing advanced technical skills so that they can provide prenatal care, accomplish a delivery, provide postpartum care, and provide basic gynecologic care at an intern level. Evaluation Methods: 1) Direct observation of the student in clinic, on labor & delivery, and the operating room. 2) Review of notes, histories and physical exams, differential diagnosis, interpretation of lab tests, and treatment plans with feedback. 3) Ability to evaluate and manage a patient with an abnormal pap smear. 4) Students will be evaluated by faculty members, including private attendings, fellows and residents with whom they work. 5) A final evaluation is compiled and graded by the course director. Competency Evaluation Options: For students desiring to demonstrate a superior attainment within the Competency of Basic Clinical Skills, they will need to demonstrate the following: 1) Knowledge of when a cesarean section is indicated as well as showing the technical skill to satisfactorily complete the procedure scrubbed with a faculty member. A check sheet for the faculty to fill out will be given to them by the student (adaptation of CREOG form). 2) The student should be able to complete a colposcopy in a satisfactory manner. For students desiring to demonstrate a superior attainment within the Competency of Social & Community Contexts of Health Care, they will need to 1) Identify a sociocultural, economic, legal, political or spiritual issue facing a woman in her quest for obstetrical or gynecologic care. 2) The student will keep a daily journal of patients they see faced with the selected issue. 3) A short paper, of no fewer than 6 pages, summarizing their experience and observations as well as review the problem with appropriate references to the literature must be completed. Updated 3/18/2013