College of Medicine MD Curriculum

Maternal-Fetal Medicine Elective - TTH

Title of Clerkship: Maternal-Fetal Medicine Elective - TTH

Elective Type: Third Year Elective

Department: Obstetrics & Gynecology

Clerkship Site: The Toledo Hospital

Course Number: OBGY 764

Blocks available: All

Number of students per block: 1

Faculty: Pedro Roca, M.D., Nauman Khurshid, MD, James Van Hook, MD, Stephanie Mann, MD, and Hind Moussa, MD

Elective Description/Requirements:
Student will be integrated into the Maternal Fetal Medicine (MFM) service as a part of the team, participating in all aspects of the practice of MFM both inpatient and outpatient. The student will be exposed to the care of high-risk pregnant patients and their fetus in the prenatal, intrapartum and postpartum period. This experience will be obtained at the Toledo Hospital and MFM Unit. The student will be assigned inpatient MFM patients with primary responsibility for the care of these patients under the supervision of the MFM faculty. The responsibility will include carrying out: (i) Admission history and review of the prenatal record and physical examination. (ii) Diagnostic plan (iii) Differential diagnosis (iv) Order laboratory tests and imaging studies and review results (v) Treatment Plan to include writing the orders (vi) Participate in the procedures (vii) Follow up and discharge planning. (viii) Present patients at daily rounds. 

Length of Clerkship: 4 weeks

Course Learning Objectives and Links to EPOs:

  1. Collect independently both focused and comprehensive obstetrical patient histories. EPOs: PC1
  2. Perform independently both focused and comprehensive physical examinations for obstetrical patients. EPOs: PC1
  3. Prepare organized, appropriately focused, and accurate oral patient presentations. EPOs: IPC1, IPC2
  4. Document a clinical encounter in the electronic health record (e.g., History & Physical exam, daily progress note, orders and discharge summary). EPOs: PC1
  5. Integrate diagnostic and clinic information to formulate a primary and basic differential diagnosis. EPOs: PC6, PC7
  6. Construct a concise and succinct patient handoff. EPOs: IPC1, IPC2
  7. Develop a basic management plan with the health care team for a patient on the antepartum service and describe a rationale for the clinical plan. EPOs: PC7, PC6, PC9, SBP5
  8. Apply the principles of health systems science in addressing clinical care issues for obstetrical patients. EPOs: SBP1, SBP2, SBP3, SBP5; IPC1
  9. Incorporate feedback, self-reflection and improvement into daily practice. EPOs: PBL 1, PBL3

UT/COMLS students will meet or exceed the institutional standards for professionalism as stated in the current Educational Program Objectives and the current Educational Course Objectives for the Sponsoring Department.

Instructional Methods:

  1. Clinical experience – rounding on inpatients with MFM attending and presenting patients at Handoff.  Participating in ambulatory practice at the MFM Unit.
  2. Conferences – attend Grand Rounds, M&M, Journal Club, multidisciplinary patient care conferences and applicable resident didactic teaching sessions.
  3. Assigned reading.

Evaluation methods employed:

  1. Preceptor assessment.
  2. Clinical evaluation on the inpatient and ambulatory services.
  3. Completion of hours log.
  4. Completion of 2 new patient (or consult) history and physical exams (minimum).

Prerequisites: Successful completion of third year required clerkships in OB/GYN.

Special Requirements: None.

Clerkship Director: Catherine Van Hook, MD

Clerkship Coordinator: Tammy Brittian
Phone Number: 419-291-3122

ECC Approved April 2023

Last Updated: 5/17/23