2005-2006 Competency based goals and objectives by rotation:
Rotation name: PGY I GYN/AMB
Preceptor: Mary Jacobson, MD
Location: SUH
contact number: beeper #14440
General Goals and Objectives: The general goals are to establish a working knowledge of
outpatient and surgical gynecology. The resident should become familiar with pelvic exams and
the beginnings of transvaginal ultrasound.
Patient care: The resident will be evaluated on their demonstration of caring and respectful
behaviors in patient care in clinic and with post-op patients. The resident should establish a
foundation of skills in interviewing, informed decision-making, and the development of surgical
treatment plans. Residents should be able to counsel and educate families, performance of
physical exams and procedures, and perform preventative healthcare.
Medical Knowledge: The resident will be evaluated on analytical thinking, knowledge and
application of basic sciences in the clinic and the OR. Special attention should be paid to the
preparation of cases for the GYN case conference.
Practice-Based learning and improvement: The resident should develop the ability to analyze
her/his own practice and need for improvement. Gynecology provides opportunities to practice
evidence-based medicine, application of research and statistical method, use of information
technology, and teaching.
Interpersonal communications: The resident will be evaluated on her/his ability to create
therapeutic relationships with patients and the development of listening skills.
Professionalism: The resident should strive to develop respectful, altruistic, ethically sound
practice which is sensitive to culture, age, gender, disability issues.
System based practice: The resident understand the interaction of ER follow-up, urgent patient
issues, and scheduled patients. The timely notification of referring physicians is emphasized.
The resident should strive to insure good patient flow while preserving high quality of care. The
resident should practice cost –effective care and advocate for patients within the system.
Specific duties:
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Read Novak’s Gynecology
Read TeLinde’s or Wheeless prior to covering cases
Cover service or private cases as assigned
Round on any patients you scrub on
Notify either the Private Gyn resident or your chief when you go on
and off service
Sign out your cases and post op checks daily
First C/S of the day—sign out to day OB team if C/S starts after
815am
Case logging goals: Out patient ambulatory, health care maintenance, transvaginal
ultrasound
1. Factual Knowledge
Pass USMLE step III
Pass CREOG
Perform a gyn history and physical,
including sexual history, screen for
incontinence, and assessment of
history of violence
Understand pathophysiology, diagnosis
and management of common benign
gyn conditions requiring inpatient
management, including endometriosis,
leiomyomas, pelvic inflammatory
disease, stress urinary incontinence,
and emergencies such as incomplete
abortion, ectopic gestation, pelvic
inflammatory disease; diagnose and
evaluate these conditions
Manage routine postoperative patients
and care for patients with common
operative complications
Manage postoperative patients with
operations for stress urinary
incontinence, including evaluation
of residual urinary volume
Diagnose and evaluate common
gynecologic conditions
Recognize and treat common vulvar
conditions
Manage sexual assault cases
medical evaluation, and treatment for
STD and pregnancy prevention
2. Procedures
Perform routine ward work, including
admitting orders, daily notes and orders,
completion of discharge summaries,
management of blood transfusion, Foley
catheter placement, nasogastric tube
placement and removal, and removal of drains and
removal of skin staples or sutures
Open, clean and pack an infected wound
Prepare and interpret a wet mount
Insert an intrauterine device or Norplant
Competent in exposure, retraction,
suturing and tying knots during operative
procedures
Perform endometrial and punch vulvar
biopsy, pelvic examination under
anesthesia, dilatation and curettage,
and suction curettage for incomplete
abortion
Insert osmotic dilators into the cervix,
perform suction curettage for first
trimester termination of pregnancy
(however, those residents who object are
not required to perform such operative
procedures)
Perform simple operative laparoscopy
(e.g., tubal sterilization) and straightforward abdominal procedures (e.g.,
adnexal surgery) under close supervision
Identify all major abdominal and pelvic
structures
Diagnostic hysteroscopy
Assist on major gyn procedures
*Abstracted from ACGME learning objectives (www.acgme.org) and CREOG learning objectives book which is
available from Jackie Signor