Objectives for Gynecology Clinical Concentration (Combined Course and Clinical Rotations)
1.
Demonstrate TCM concepts in the diagnosis, syndrome differentiation, treatment and prevention of symptoms related to gynecology. (MK-Conceptual)
2.
a.
Identify and classify signs and symptoms from chart review, interview of patient and performance of basic physical assessments (vitals, tongue, pulse, abdominal and meridian palpation). b.
Separate pertinent sign and symptoms from ones that do not relate to the diagnosis and treatment of symptoms of PMS, menopause, dysmenorrhea, irregular cycles and infertility c.
Apply TCM concepts to explain etiology and pathology of symptoms of PMS, menopause, dysmenorrhea, irregular cycles and infertility.
Apply TCM differential diagnosis and create treatment plan for patients with symptoms related to gynecology. (PC-Application-Synthesis)
3.
Skillfully treat patients with symptoms related to gynecology according to the treatment plan.
(Skills: ComplexOvertResponse) a.
Perform acupuncture and related treatment techniques safely and effectively. b.
Adapt or modify treatments as appropriate for each patient.
4.
a.
Using TCM concepts, diagnose syndrome differentiations for patients with symptoms of
PMS, menopause, dysmenorrhea, irregular cycles and infertility. b.
Explain clinical reasoning. c.
Identify unique patient circumstances as they affect TCM treatments (culture, age, living circumstances, sexual preference, etc.). d.
Review patient response to prior treatment(s) and inform new treatment plan. e.
Construct acupuncture treatment plan and explain acu-points, combinations and techniques chosen for patients with symptoms of PMS, menopause, dysmenorrhea, irregular cycles and infertility. f.
Construct herbal treatment plan and explain herbal formulation(s) and modifications chosen for patients with symptoms of PMS, menopause, dysmenorrhea, irregular cycles and infertility.
Conduct culturally appropriate patient interviews and physical exams to be able to diagnose and treat symptoms related to gynecology. (ISC/Prof – Apply/Value/Organize) a.
Identify cultural issues as they pertain to the assessment and treatment of women with symptoms of PMS, menopause, dysmenorrhea, irregular cycles and infertility. b.
Conduct patient interview and physical assessments with women with symptoms of
PMS, menopause, dysmenorrhea, irregular cycles and infertility (PE includes vitals, tongue, and palpating pulse, abdomen and meridians as needed). c.
Interact with patient with compassion and respect. d.
Respond to patient’s unique circumstances and reactions with calm self-regulation. a.
Modify and adapt clinical setting and patient positioning to accommodate variety of patient circumstances.

5.
Provide appropriate patient education and lifestyle recommendations for patients with symptoms related to gynecology. (PBLI-Apply/Value) a.
Identify and list patient education needs and lifestyle recommendations for women with symptoms of PMS, menopause, dysmenorrhea, irregular cycles and infertility. b.
Discuss with patients educational and lifestyle pamphlets designed specifically for women with symptoms of PMS, menopause, dysmenorrhea, irregular cycles and infertility. c.
Prepare and present short educational community presentation for women with symptoms of PMS, menopause, dysmenorrhea, irregular cycles and infertility.
6.
Develop a community of practice with non-TCM healthcare providers within gynecology and coordinate care within the overall health care system for patients with symptoms related to gynecology. (SBP-Organize)
7.
a.
Collaborate with patient and team members in design of care of patients with symptoms of PMS, menopause, dysmenorrhea, irregular cycles and infertility. b.
Write referral instructions for patients with symptoms of PMS, menopause, dysmenorrhea, irregular cycles and infertility to see other healthcare professionals. c.
Write follow-up letters to healthcare professionals who have referred patients with symptoms of PMS, menopause, dysmenorrhea, irregular cycles and infertility. d.
Make follow-up calls or emails with patients as appropriate. e.
Mentor junior interns in the care of patients with symptoms of PMS, menopause, dysmenorrhea, irregular cycles and infertility. f.
Write letters and perform presentations directed to non-TCM healthcare providers to develop a community of practice.
Routinely conduct literature research for current best evidence of potential herb-drug interactions and effective treatment methods for patients with symptoms related to gynecology. (PBLI-Apply-Analyze/Value-Organize) a.
Review medication and supplement list with patient, use PDR/NDR for functions and known interactions, and find most-current herbal-supplement pharmaceutical information to determine potential herb-drug-supplement interactions. b.
Conduct literature research for most effective TCM treatment protocols for case studies c.
and current patients.
Adapt treatment plans using evidence found as needed.