STANFORD OBSTETRICS AND GYNECOLOGY GOALS AND OBJECTIVES 2010-2011 Goals and Objectives Statement for PGY 1 OB / Night Float Rotation 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. The following are those areas covered in the general anesthesia rotations and call responsibilities. GOALS OBJECTIVES INSTRUCTIONAL ACTIVITIY 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 ones 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. 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 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 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 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 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 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 Faculty interaction Multidisciplinary rounds M&M conferences Portfolios including patient and co worker evaluations Faculty evaluations Nursing staff on L&D 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 5/24/10