Clerkship No. M406-025
Gynecologic Oncology
Location:
St. Francis Hospital & Medical Center
Committee Members:
Drs. Allan Mayer, Beth Nelson, Anne Shapter, Chairs
Co-Directors of Gynecologic Oncology
St. Francis Hospital and Medical Center
1000 Asylum Ave., Suite 2110
Hartford CT 06105
(860) 714-7945
Duration:
One Month
Months offered:
All
No. of students:
Maximum of one for one-month period
Prerequisite:
Third year Ob/Gyn Rotation
Report to:
Suite 2110, Gengras Medical Office Building
Dept. of Gynecologic Oncology
St. Francis Hospital & Medical Center
Description of Program:
This elective course will provide the student with an understanding of the basic
physiology, pathophysiology, diagnosis and management of gynecologic cancer patients.
The sub-intern will be a member of the team caring for women with gynecologic cancer.
The student will work closely with the Gynecologic Oncology residents, and the
attending Gyn Oncology physicians. Students will act as sub-interns with responsibility
for evaluating and following both outpatients and inpatients and developing a plan of
care. The sub-intern will actively participate in all surgical cases.
The student will research and orally present a 30 minute review of a topic of his/her
choice. Rounds are conducted daily on all hospitalized patients. A weekly reading
schedule with discussion will be assigned.
In addition to other regularly scheduled clinics and conferences, the Division offers a
weekly multidisciplinary Gyn Tumor Board Conference, daily Oncology Clinics, weekly
teaching rounds, monthly pre-invasive Tumor Board, and departmental conferences. A
grant supported Clinical Medicine Librarian is a fulltime member of the department and
is constantly available as an educational resource person. Students in this clerkship are
welcome to participate in these activities.
Gynecologic Oncology
Goals:
Learn the basics of gyn malignancy
Learn Perioperative management
Objectives:
 Cancer screening
 Cancer staging
 When to refer
 Good surgical technique

Knowing anatomy

functioning in the retroperitoneal space

restoring pelvic anatomy
 Perioperative care - who is sick who is not; what to do
 Managing illness in the seriously ill patient
Functions on rotation:
 Knowing the patients
See new pts in Gyn Onc off/OPD

development of treatment plan

implementation of plan after consultation with attendings

daily plan for each patient
 Intraoperative Care
Act as Primary Surgeon(to the extent possible)

(eg,hyst for EM Cancer; debulking in Ovarian Ca; Vulvectomy;

nodes: take down bladder flap; exposing ureter, vessels – extracting
nodes to limits of skill)
Specific duties:
 am & pm rounds
 ? wknd “coverage
 Op notes; Att dictate(unless negotiated with Att)
 D/S – resident dictates
 Phone Calls – Attending is 1st responder
Current Issues:
 Limited knowledge of anatomy
 Lack of pre-op reading
 “Pulling” for Other things
 Continuity Clinic - ? ½ day old pts;? ½ day new pts
 Pm rounds after sign-out
12/09