GoalsObjec10-11R1OB - Ob/Gyn Residents` Resources

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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
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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
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Faculty interaction
OB mini M&M
M&M conferences
Journal Club
Strip Rounds
OB simulation
Multidisciplinary rounds
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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
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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
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Faculty interaction
Multidisciplinary rounds
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Faculty interaction
Multidisciplinary rounds
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Faculty interaction
Multidisciplinary rounds
M&M conferences
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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
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