PGY 1 Yearly Goals and Objectives 2013-2014 General goals for residency training: The Department of Obstetrics and Gynecology Residency Program will provide excellent education, training and clinical experience to prepare each resident physician to appropriately provide outpatient, inpatient, peri-operative, operative, and labor and delivery, care for Ob-Gyn patients. They will acquire technical skills in the operating room, on labor and delivery, and in the outpatient clinics. They will be prepared to become independent practitioners and board certified consultants in obstetrics and gynecology. They will have the requisite academic and clinical skills to enter subspecialty fellowship training programs if desired. Emergency Medicine RotationGOALS OBJECTIVES Knowledge: To acquire a well-rounded and thorough knowledge of the essential basic and applied medical sciences that pertains to Emergency Room medicine and be able to apply this knowledge when making a treatment plan. To understand: Special physical, developmental, and psychological considerations for Emergency Room patients To understand special considerations for Emergency Room patients Patient Care: To achieve the level of independent consultant in the domains of gathering diagnostic information making triage and plans, providing Emergency services and procedures in the management of common and unique surgical procedures. To become adept at the preparation and the prevention of complications for emergency room patients requiring emergency services. Practice based Learning: To analyze one’s own practice systematically and to be able to retrieve, understand and apply scientific evidence related to the practice of Emergency Room issues. To be participate in the learning of fellow Ob/Gyn residents and To acquire skills in : Management of Emergency and trauma conditions including special techniques such as: o Stroke Codes o Trauma resuscitation o Management of Cardiac pathology o Management of pediatric emergencies o Management of bleeding in early pregnancy o Management of gynecologic emergencies o Laceration repair o Line placement To be able to define and analyze: Individual areas of their own practice that need improvement or can serve as examples for others. PGY1 G&Obj 13-14 Critique their own practice in light of current scientific and biomedical knowledge related to the practice of Ob/Gyn INSTRUCTIONAL ACTIVITIY EVALUATION Faculty interaction Independent reading Interaction with Senior ED residents and Consult services Sign-out teaching sessions Monthly evaluations Case logs Lecture presentation evaluations Faculty interaction Interaction with Senior ED residents and Consult services Sign-out teaching sessions Monthly evaluations Case logs Portfolio evaluations (including self, patient and coworker evaluations) Faculty interaction Interaction with Senior ED residents and Consult services. Sign-out teaching sessions Monthly evaluations by elective course director End of year program evaluation other health care professions. Professionalism: To understand and apply basic principles of bio medical ethics. To introduce areas of academic Ob/Gyn practice including teaching, research, and participation in professional organizations. To understand the importance of personal responsibility in completion of paperwork, case-logging, maintenance of certification and creation of a respectful work place. Effective Communication: To understand and demonstrate cultural differences in age, gender, and authority roles. To work as an effective and efficient member of the Emergency Dept. Systems based learning: To understand how the practice of Emergency Med. is part of a larger content of health care organization and delivery. To understand the relevance of emergency medicine and related medical specialist training that enhances the knowledge of Ob/Gyn practice PGY1 G&Obj 13-14 To offer residents opportunities in : instruction in biomedical ethics analysis of their own practice in terms of professionalism and ethical issues Teaching medical students Mentoring in research activities Learning the basics of study design and critique scientific literature Introduction to writing scientific literature To be able to discuss issues of informed consent with patients in the Emergency Dept. To communicate effectively with emergency medicine and other specialty colleagues To communicate and work cooperatively with other health care professionals in the Emergency Dept team including nurses, surgical and technical assistants, and administrative personnel. To introduce residents to : Types of Ob/Gyn delivery systems Methods of cost analysis and cost containment Quality assurance and continuous quality improvement techniques in the practice of Ob/Gyn Faculty interaction Interaction with Senior ED residents and Consult services. Faculty interaction Interaction with Senior ED residents and Consult services. Sign-out teaching sessions 360 degree evaluations by faculty, fellows, peers, patients and their families. Faculty interaction Sign-out Teaching sessions Monthly resident evaluations by Res. Director Monthly and end of year residency program evaluation Portfolio evaluations Portfolios including patient and co worker evaluations Faculty evaluations Gynecology Clinics 1 and 2 RotationsGOALS OBJECTIVES Knowledge: To acquire a well-rounded and thorough knowledge of the essential basic and applied medical sciences that pertains to basic gynecology and be able to apply this knowledge when making a treatment plan. Patient Care: To achieve the level of independent consultant in the domains of gathering diagnostic information making treatment plans, providing Gynecologic services and procedures in the management of common and unique surgical procedures. To become adept at the preparation and the prevention of complications for female patients requiring gynecologic services. To understand: Special physical, developmental, and psychological considerations for Gynecological patients Participation in resident lecture series Faculty interaction Independent reading Simulation Center activities M&M conferences Journal Club Monthly evaluations Case logs Lecture presentation evaluations To acquire skills in : Management of both routine and pathologic conditions including special techniques such as: o Pelvic examination o Sonohystogram o Ultrasound o Cystoscopy o Hysteroscopy o IUD placement / removal o Implanon placement / removal o Dilation and curettage o Contraception counseling / Family planning o Pediatric/Adolescent Gynecology Participation in resident lecture series Simulation center activities Faculty Modeling Direct patient care Monthly evaluations Case logs Portfolio evaluations (including self, patient and coworker evaluations) Practice based Learning: To analyze one’s own practice systematically and to be able to retrieve, understand and apply scientific evidence related to the practice of Gynecologic issues. To be participate in the learning of fellow Ob/Gyn residents and other health care professions. Professionalism: To understand and apply basic principles of bio medical ethics. To introduce areas of academic Ob/Gyn practice including teaching, research, and participation in professional To be able to define and analyze: Individual areas of their own practice that need improvement or can serve as examples for others. Critique their own practice in light of current scientific and biomedical knowledge related to the practice of Gynecology Participation in resident lecture series M and M conferences Journal Club Simulation Center Activities Faculty Interaction Monthly evaluations by elective course director End of year program evaluation To offer residents opportunities in : instruction in biomedical ethics analysis of their own practice in terms of professionalism and ethical issues Teaching medical students Mentoring in research activities Faculty modeling Participation in resident lecture series Working with faculty on research projects Journal club PGY1 G&Obj 13-14 INSTRUCTIONAL ACTIVITY EVALUATION Portfolios including patient and co worker evaluations Faculty evaluations organizations. To understand the importance of personal responsibility in completion of paperwork, case-logging, maintenance of certification and creation of a respectful work place. Effective Communication: To understand and demonstrate cultural differences in age, gender, and authority roles. To work as an effective and efficient member of the surgical team To utilize effective communication tools in clinical practice Systems based learning: To understand how the practice of Gynecology is part of a larger content of health care organization and delivery. relevant to related medical specialist training that enhances the knowledge of Gynecology practice PGY1 G&Obj 13-14 Learning the basics of study design and critique scientific literature Introduction to writing scientific literature To be able to discuss issues of informed consent and operative gynecologic risks and benefits to patients and/or parents To coordinate the Gynecologic care with other specialties such as radiology, medical oncology, interventional radiology, surgery and other specialties. To communicate and work cooperatively with other health care professionals on the wards, clinics and in the operating/surgical area. The operating room team includes, nurses, surgical and technical assistants, anesthesiology and administrative personnel. To introduce residents to : Types of Gynecology delivery systems Methods of cost analysis and cost containment Quality assurance and continuous quality improvement techniques in the practice of gynecology Faculty Modeling Work with interpreters 360 degree evaluations by faculty, fellows, peers, patients and their families. Faculty modeling Grand Rounds lectures Monthly resident evaluations by Res. Director Monthly and end of year residency program evaluation Portfolio evaluations OB Day & Night Float RotationGOALS OBJECTIVES Knowledge: To acquire a well-rounded and thorough knowledge of the essential basic and applied medical sciences that pertains to Obstetrics and be able to apply this knowledge when making a treatment plan. To understand: Special physical, developmental, and psychological considerations for Obstetric patients To understand special considerations for Obstetrical clinics, antepartum admission and Labor & Delivery To effectively manage and triage patients on a Labor and Delivery floor Patient Care: To achieve the level of independent consultant in the domains of gathering diagnostic information making Obstetrical and Labor & Delivery plans, providing Obstetrical and Labor & Delivery services and procedures in the management of common and unique surgical procedures. To become adept at the preparation and the prevention of complications for Obstetrical and Labor & Delivery patients requiring Obstetrical and Labor & Delivery services. To acquire skills in : Management of both routine and pathologic conditions including special techniques such as: o Vaginal deliveries o Cesarean Sections o Cervical examinations o Evaluation for rupture of membranes o Evaluation for medical complications or pregnancy, including hypertensive disorders and endocrine disorders such as diabetes o Evaluation of decreased fetal movement o External Cephalic Version o Management of Obstetric Emergencies o Management of postpartum hemorrhage. To be able to define and analyze: Individual areas of their own practice that need improvement or can serve as examples for others. Critique their own practice in light of current scientific and biomedical knowledge related to the practice of Ob/Gyn Practice based Learning: To analyze one’s own practice systematically and to be able to retrieve, understand and apply scientific evidence related to the practice of Obstetric issues. To be participate in the learning of fellow Ob/Gyn residents and other health care professions. Professionalism: To understand and apply basic principles of bio medical ethics. To introduce areas of academic Ob/Gyn practice including teaching, research, and participation in professional organizations. To understand the importance of personal PGY1 G&Obj 13-14 To offer residents opportunities in : instruction in biomedical ethics analysis of their own practice in terms of professionalism and ethical issues Teaching medical students Learning the basics of study design and critique scientific literature INSTRUCTIONAL ACTIVITIY EVALUATION OR cases Faculty interaction Independent reading OB mini M&M M&M conferences Journal Club Strip Rounds OB simulation OR cases Faculty interaction OB mini M&M M&M conferences Journal Club Strip Rounds OB simulation Multidisciplinary rounds Faculty interaction OB mini M&M M&M conferences Journal Club Strip Rounds OB simulation Multidisciplinary rounds Faculty interaction Multidisciplinary rounds Monthly evaluations Case logs Lecture presentation evaluations Nursing staff on L&D Monthly evaluations Case logs Portfolio evaluations (including self, patient and coworker evaluations) Nursing staff on L&D Monthly evaluations by elective course director End of year program evaluation Portfolios including patient and co worker evaluations Faculty evaluations Nursing staff on L&D responsibility in completion of paperwork, case-logging, maintenance of certification and creation of a respectful work place. Effective Communication: To understand and demonstrate cultural differences in age, gender, and authority roles. To work as an effective and efficient member of the surgical team To utilize effective communication tools in clinical practice Systems based learning: To understand how the practice of Ob/Gyn is part of a larger content of health care organization and delivery. relevant to related medical specialist training that enhances the knowledge of Ob/Gyn practice PGY1 G&Obj 13-14 Introduction to writing scientific literature To be able to discuss issues of informed consent and operative obstetrical risks and benefits to patients and/or parents To coordinate the obstetrical care with other specialties such as radiology, medical oncology, interventional radiology, surgery and other specialties. To communicate and work cooperatively with other health care professionals on the wards, clinics and in the operating/surgical area. The operating room team includes, nurses, surgical and technical assistants, anesthesiology and administrative personnel. To introduce residents to : Types of Ob/Gyn delivery systems Methods of cost analysis and cost containment Quality assurance and continuous quality improvement techniques in the practice of Ob/Gyn Faculty interaction Multidisciplinary rounds Faculty interaction Multidisciplinary rounds M&M conferences 360 degree evaluations by faculty, fellows, peers, patients and their families. Nursing staff on L&D Monthly resident evaluations by Res. Director Monthly and end of year residency program evaluation Portfolio evaluations Nursing staff on L&D Gynecologic Oncology RotationGOALS OBJECTIVES Knowledge: To acquire a well-rounded and thorough knowledge of the essential basic and applied medical sciences that pertains to Gynecology Oncology and be able to apply this knowledge when making a treatment plan. To understand: Special physical, developmental, and psychological considerations for Oncology patients To understand special considerations for Gynecologic Oncology patients OR cases Clinic cases Faculty interaction Chairman’s rounds Tumor Board Independent reading M&M conferences Journal Club Monthly evaluations Case logs Lecture presentation evaluations Patient Care: To achieve the level of independent consultant in the domains of gathering diagnostic information making gynecologic oncology plans, providing gynecologic oncology services and procedures in the management of common and unique surgical procedures. To become adept at the preparation and the prevention of complications for Gynecologic Oncology patients requiring Gyn-Onc services. Practice based Learning: To analyze one’s own practice systematically and to be able to retrieve, understand and apply scientific evidence related to the practice of Gynecologic Oncology issues. To be participate in the learning of fellow Ob/Gyn residents and other health care professions. Professionalism: To understand and apply basic principles of bio medical ethics. To introduce areas of academic Ob/Gyn practice including teaching, research, and participation in professional To acquire skills in : Management of both routine and pathologic conditions including special techniques such as: o Colposcopy +/- biopsies o Endometrial Biopsy o LEEP and Cone biopsy procedures o Pap smears and pelvic examination o General floor patient care o Evaluation chemotherapy patients o Management of surgical emergencies OR cases Clinic cases Faculty interaction M&M conferences Tumor Board Simulation Center Training Monthly evaluations Case logs Portfolio evaluations (including self, patient and coworker evaluations) To be able to define and analyze: Individual areas of their own practice that need improvement or can serve as examples for others. Critique their own practice in light of current scientific and biomedical knowledge related to the practice of Ob/Gyn Chairman’s rounds M&M conferences Journal Club Tumor Board Faculty Interaction Monthly evaluations by elective course director End of year program evaluation To offer residents opportunities in : instruction in biomedical ethics analysis of their own practice in terms of professionalism and ethical issues Teaching other trainees Mentoring in research activities Chairman’s rounds M&M conferences Journal Club Tumor Board Faculty Interaction Working with faculty on research projects PGY1 G&Obj 13-14 INTSTRUCTIONAL ACTIVITIY EVALUATION Portfolios including patient and co worker evaluations Faculty evaluations organizations. To understand the importance of personal responsibility in completion of paperwork, case-logging, maintenance of certification and creation of a respectful work place. Effective Communication: To understand and demonstrate cultural differences in age, gender, and authority roles. To work as an effective and efficient member of the surgical team To utilize effective communication tools in clinical practice Systems based learning: To understand how the practice of Ob/Gyn is part of a larger content of health care organization and delivery. relevant to related medical specialist training that enhances the knowledge of Ob/Gyn practice PGY1 G&Obj 13-14 Learning the basics of study design and critique scientific literature Introduction to writing scientific literature To be able to discuss issues of informed consent and operative Ob/Gyn risks and benefits to patients and/or parents To coordinate the Gyn-Oncology care with other specialties such as radiology, medical oncology, interventional radiology, surgery and other specialties. To communicate and work cooperatively with other health care professionals on the wards, clinics and in the operating/surgical area. The operating room team includes, nurses, surgical and technical assistants, anesthesiology and administrative personnel. To introduce residents to : Types of Ob/Gyn delivery systems Methods of cost analysis and cost containment Quality assurance and continuous quality improvement techniques in the practice of Ob/Gyn Modeling by faculty Work with interpreters OR cases Clinic Cases 360 degree evaluations by faculty, fellows, peers, patients and their families. Chairman’s rounds M&M conferences Journal Club Tumor Board Faculty Interaction Monthly resident evaluations by Res. Director Monthly and end of year residency program evaluation Portfolio evaluations Ultrasound/REI RotationGOALS OBJECTIVES Knowledge: To acquire a well-rounded and thorough knowledge of the essential basic and applied medical sciences that pertains to ultrasound use Obstetrics and Reproductive Endocrinology and Infertility and be able to apply this knowledge when making a treatment plan. Patient Care: To achieve the level of independent consultant in the domains of gathering diagnostic information making obstetrical and REI plans, providing obstetrical and REI services and procedures in the management of common and unique surgical procedures. To become adept at the preparation and the prevention of complications for obstetrical and REI patients requiring obstetrical and REI services. To understand: The physics of medical ultrasound Special physical, developmental, and psychological considerations for ultrasound use in obstetrical and REI patients Special considerations for appropriate use of ultrasound for obstetrical and REI patients To acquire skills in : Management of both routine and pathologic conditions including special techniques such as: o Vaginal and trans-abdominal US o Pelvic examination o Intrauterine insemination o Oocyte retrieval o Fertility counseling o Management of PCOS o Routine obstetrical ultrasound including Biometry, anatomic evaluation, biophysical profile and umbilical artery Doppler evaluation Practice based Learning: To analyze one’s own practice systematically and to be able to retrieve, understand and apply scientific evidence related to the practice of Abdominal and Vaginal Ultrasound. To be participate in the learning of fellow Ob/Gyn residents and other health care professions. Professionalism: To understand and apply basic principles of bio medical ethics. To introduce areas of academic Ob/Gyn PGY1 G&Obj 13-14 INSTRUCTIONAL ACTIVITIY EVALUATION Clinic Cases with abdominal and vaginal ultrasound Strip Rounds Faculty interaction Formal Lectures Independent reading OB Journal Club Monthly evaluations Case logs Lecture presentation evaluations Clinic Cases with abdominal and vaginal ultrasound Strip Rounds Faculty interaction Formal Lectures Simulation center activities OB Journal Club Monthly evaluations Case logs Portfolio evaluations (including self, patient and coworker evaluations) To be able to define and analyze: Individual areas of their own practice that need improvement or can serve as examples for others. Critique their own practice in light of current scientific and biomedical knowledge related to the practice of Ob/Gyn Formal Lectures OB Journal Club Strip rounds Faculty Interaction Monthly evaluations by elective course director End of year program evaluation To offer residents opportunities in : instruction in biomedical ethics analysis of their own practice in terms of professionalism and ethical issues Teaching other trainees Formal Lectures Working with faculty on research projects OB Journal club Portfolios including patient and co worker evaluations Faculty evaluations practice including teaching, research, and participation in professional organizations. To understand the importance of personal responsibility in completion of paperwork, case-logging, maintenance of certification and creation of a respectful work place. Effective Communication: To understand and demonstrate cultural differences in age, gender, and authority roles. To work as an effective and efficient member of the surgical team To utilize effective communication tools in clinical practice Systems based learning: To understand how the practice of Ob/Gyn is part of a larger content of health care organization and delivery. relevant to related medical specialist training that enhances the knowledge of Ob/Gyn practice PGY1 G&Obj 13-14 Mentoring in research activities Learning the basics of study design and critique scientific literature Introduction to writing scientific literature To be able to discuss issues of informed consent and operative REI procedures risks and benefits to patients and/or parents To communicate and work cooperatively with other health care professionals on the wards, clinics and in the operating/surgical area. The operating room team includes, nurses, surgical and technical assistants, anesthesiology and administrative personnel. To be able to communicate risks benefits and alternatives to pre-natal screening procedures and incorporation of obstetrical ultrasound in these procedures. To introduce residents to : Types of Ob/Gyn delivery systems Methods of cost analysis and cost containment Quality assurance and continuous quality improvement techniques in the practice of Ob/Gyn Modeling by faculty Work with interpreters 360 degree evaluations by faculty, fellows, peers, patients and their families. Journal Club Formal lectures Monthly resident evaluations by Res. Director Monthly and end of year residency program evaluation Portfolio evaluations