Gynecologic Surgery
COURSE TITLE, DEPT. & COURSE NO; OBG 813, Gynecologic Surgery
Advanced Gynecologic Surgery Elective, OBG, Course No. TBD
COURSE DESCRIPTION: CREDIT or If Year IV Elective, Number of Weeks (2-4)
2 or 4 week year IV elective.
Course Location: CHH, St. Mary’s Hospital, Laparoscopic Skills Laboratory, MU Medical Center
COURSE DIRECTOR AND COURSE CONTACT NAME PHONE NUMBERS, E-MAIL ADDRESSES:
Course Director:
Contact Name:
Stephen Feaster, MD
Fran Mooney
304 691-1460
304 691-1456
jude@marshall.edu
mooney@marshall.edu
COURSE OBJECTIVES/COURSE OUTLINE/PROPOSED SCHEDULE:
Course Objectives:
1) To demonstrate knowledge of the surgical anatomy of the female pelvis
2) To understand the rationale for surgical and non-surgical management of common gynecologic
problems including
a. Abnormal Uterine Bleeding
b. Pelvic Floor Dysfunction
c. Benign Neoplasm of the Female Reproductive Tract
3) To begin to develop laparoscopic surgical skills
Course Outline:
1) Student will be responsible for the pre and post operative management of patients undergoing
surgical procedures for benign gynecologic diseases.
2) Student will learn the evaluation, ambulatory management, and surgical options to treat female
pelvic floor dysfunction.
3) Students will be required to demonstrate knowledge of the anatomy of the female pelvis.
4) Students will be required to demonstrate basic laparoscopic skills.
Proposed Schedule*:
Monday am/pm-Gynecologic surgery; CHH or St. Mary’s Hospital
Tuesday am/pm-Gynecologic surgery; CHH or St. Mary’s Hospital
Wednesday 7am-Ob/Gyn Grand Rounds
8 am-Robotic Surgery
2pm-5 pm Laparoscopic skills lab
Thursday am Gynecologic surgery; CHH or St. Mary’s Hospital
Pm Gynecologic surgery; CHH or St. Mary’s Hospital OR
Laparoscopic skills lab
Friday am
Urogynecology clinic-MU Medical Center, 4th floor OR
Gynecologic Surgery-CHH or St. Mary’s Hospital
Pm
Laparoscopic Skills Lab
*As the number and types of procedures is highly variable, the course directory desires to maintain
flexibility in making assignments to maximize learning opportunites.
INSTITUTIONAL GOALS AND OBJECTIVES MET OR ADDRESSED
At the end of this course, the student will met the following clinical and basic science objectives:
Patient Care: Student will receive instruction on and manage patients with benign gynecologic problems
including
1)
Surgical and Non-Surgical treatment options
2)
Pre- and Post-operative management of patients undergoing procedures for benign
gynecologic diseases
3)
Management of unexpected complications of gynecologic surgeries
D:\308868395.doc
Medical Knowledge: Student will receive instruction on and demonstrate knowledge of:
1)
Surgical anatomy of the female pelvis
2)
Surgical and Non-surgical treatment options for benign gynecologic problems
3)
Expected outcomes and risks associated with common gynecologic procedures
4)
Identify and know common use of instruments commonly in the performance of gynecologic
procedures
Practice Based Learning and Improvement: Students will
1) Pre-read about procedure the night before procedure performed
2) Self-review surgical anatomy of the female pelvis
3) Self-directed practice of laparoscopic skill
4) Student will use online resources for reading assignments
(Students are strongly encouraged to become student members in the American College of
Obstetricians and Gynecologists. Membership is complimentary and will give student online access
to selected publications, many of which are assigned reading for elective. Please see website:
http://www.acog.org/departments/membership/medstudentapp.cfm
Interpersonal and Communication skills: Student will demonstrate
1) Ability to discuss proposed procedure with patient and family
2) Discuss pre- and post-operative care with faculty and residents
Professionalism
1) Student will demonstrate ability to give informed consent
Systems Based Practice: Student will receive instruction regarding
1) Pre operative surgical requirements including medical clearance and precertification of procedures
2) Understand the costs of various treatment options for women with benign gynecologic diseases
3) Understand the principles of cost containment for various benign gynecologic procedures
4) Understand how to assist patients and families in procuring medical equipment for home use after
gynecologic procedures, if needed
TEACHING METHODS AND ASSESSMENT:
Course will be taught by the full time and volunteer faculty of the Department of Obstetrics and
Gynecology. Instruction will include 1-2 hours formal instruction on laparoscopic skills. There is no
designated lecture time. Student is expected to spend 2-4 hours per week in laparoscopic skills lab. The
remainder of the elective will be spent in the care of patients, under supervision, at both CHH and St.
Mary’s Hospital. Elective is weekdays only. There is no night call, but student is expected to demonstrate
practice based learning and improvement skills when not otherwise assigned. Expected hours per week =
60
Subjective evaluation and grading will be provided by the faculty upon completion of elective. Student will
be required to take and pass (see grading policy) a written mcq examination with emphasis on surgical
anatomy of the female pelvis and surgical and non-surgical management of gynecologic problems
including possible complications of the procedure, pre- and post- operative management strategies, and
patient safety. MCQ Exam will be based on required reading assignments (see below) Laparoscopic skills
will be evaluated by demonstration of mastery of required skills in the laparoscopic simulation laboratory.
Subjective evaluation by the faculty will be completed utilizing elective evaluation form (see attached).
Student will receive feedback after each surgical procedure and for 4 week elective from the course
director at midpoint.
GRADING POLICY: Letter Grade OR PASS/FAIL:
Letter grade will be assigned as follows:
50% of grade subjective evaluation by the faculty
Faculty will be asked to assign numerical grade
50% determined by MCQ administered last day of elective
Grading Scale <70%=F
70-79=C
80-89=B
>90=A
Demonstration of basic competence in laparoscopic skills as determined by skill examination on last
day of elective. See attached.
D:\308868395.doc
Student will be apprised of performance upon the completion of each procedure. Formal mid-point
feedback will be given for 4 week electives. Students receiving a grade of <70% on MCQ will be
given the opportunity to retake a similar examination. Average of 2 MCQ examinations will be used
to determine final grade.
ATTENDANCE POLICY: INCLEMENT WEATHER POLICY:
Students will be required to attend daily as scheduled. Absences and Inclement Weather as per
SOM rules.
TEXT:
Reading Requirements:
ACOG Practice Bulletins:
104 Antibiotic Prophylaxis for Gynecologic Procedures
99 Management of Abnormal Cervical Cytology and Histology
96 Alternatives to Hysterectomy in the Management of Uterine Leiomyoma
89 Elective and Risk-reducing Salpingoophorectomy
85 Pelvic Organ Prolapse
84 Prevention of Deep Vein Thrombosis and Pulmonary Embolism
63 Urinary Incontinence in Women
51 Chronic Pelvic Pain
14 Management of Anovulatory Bleeding
11 Medical Management of Endometriosis
ACOG Committee Opinions:
440 The Role of Transvaginal Ultrasonography in the Evaluation of Postmenopausal Bleeding
421 Antibiotic Prophylaxis for Infective Endocarditis
395 Surgery and Patient Choice
371 Sterilization of Women, Including those with Mental Disabilities
327 Do Not Use Abbreviations
310 Endometriosis in Adolescents
Berek and Novaks Gynecology, 14th Ed, Pages 75-127
POLICY STATEMENT ON MAJOR PROJECTS, EXAMINATIONS AND OTHER ASSIGNMENTS (DUE DATES,
MAKE-UPS) INCLUDING POLICY STATEMENT ON HOLDING GRADES UNTIL COURSE EVALUATIONS ARE
COMPLETED:
Date of MCQ and Laparoscopic skills evaluation will be afternoon of last day of elective. Student
may request MCQ to be administered at any time during elective. Grades will be help pending
evaluation of elective. Make up dates will be determined by course director.
PLAGERISM POLICY/ACADEMIC INTEGRITY POLICY STATEMENT:
As per MUSOM rules.
ADDITIONAL INFORMATION OR COMMENTS:
Approved by Year IV Subcommittee – April 27, 2005
Approved by Curriculum Committee - May 19, 2005
Approved by Dean McKown – May 24, 2005
rainesQ:\MS4WRKGP\sAMPLEFORMATSYLLABUS.doc
D:\308868395.doc