College of Medicine MD Curriculum

Acting Internship in Ambulatory Obstetrics and Gynecology - TTH

Title of Elective: Acting Internship in Ambulatory Obstetrics and Gynecology - TTH

Elective Type: Fourth Year Elective

Department: Obstetrics & Gynecology

Clerkship Site: The Center for Health Services, ProMedica Outpatient Offices

Course Number: OBGY 702

Blocks available: All

Number of students per block: 1

Faculty: Sonyoung Seo-Patel, MD David Harper, MD; Jessica Lafyatis, DO; ; Megan Lutz, MD; Lauren Regueyra, MD; Anita Tamirisa, DO; Cathy Van Hook, MD, David Harper, MD

Elective Description/Requirements:
Student will be integrated into the ambulatory obstetrics and gynecology service at the ProMedica Center for Health Services.  This site provides care to a wide demographic range of patients, often with significant medical co-morbidities and numerous social determinants of health issues. The student will participate in the care of prenatal care patients, general office gynecology as well as preoperative visits. The student is required to carry out a literature review of a relevant obstetric or gynecologic topic and make a 30-minute presentation to the attendings, residents, and clerkship students OR create an educational tool for student education.

Length of Elective: 4 weeks

Course Learning Objectives and Links to EPOs: 

1. Obtain focused and comprehensive obstetric and gynecologic patient histories.  (EPOs: PC1, PC3, MK1, PB1, PB3)
2. Perform focused and comprehensive physical examinations for obstetric and gynecologic patients. (EPOs: PC1, MK1, PB1, PB3)
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, office note, procedure note, orders. (EPOs: PC4, IPC1, IPC2)
5. Integrate diagnostic and clinical information to formulate a primary and complete and complete differential diagnosis. (EPOs: PC6, PC7, MK1, MK4)
6. Develop a prioritized and complete management plan for a prenatal patient or gynecologic patient and describe a rationale for the clinical plan, incorporating consideration of fetal and/or maternal diagnoses for obstetric patients and co morbidities for gynecologic patients. (EPOs: PC2, PC6, PC7, PC89, MK1, MK4, MK6, PC10, PC11, SBP5)
7. Provide contraceptive counseling individualized to the patient’s context. (EPOs: MK2, MK3, MK4, MK6, MK7, PC1, PC2, PC7, IPC2, IPC 3, PBL7)
8. Describe the screening tests appropriate for an annual exam based on age and risk factors. (EPOs: MK3, MK4, MK6, MK3-7, PC13, SBP3)
9. Apply the principles of health systems science in addressing clinical care issues for your patients. (EPOs: SBP1, SBP2, SBP3, SBP-5, PB16)
10. Incorporate feedback, self-reflection, and improvement into daily practice. (EPOs: PBL 1, PBL-3 )

Professionalism:  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 – providing care to obstetric and gynecologic patients at the CHS.
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. 30-minute presentation of pertinent researched topic as approved by one of the above listed Attendings OR create an educational tool for student education.
3. Completion of hours log
4. Completion of 2 new patient History and physical exams or consults
5. Two 24 hour calls in Labor and Delivery or with gynecology coverage resident—assigned dates to be discussed with clerkship coordinator.

Prerequisites: Successful completion of all third year required clerkships.

Clerkship Director: Catherine Van Hook, MD
 
Clerkship Coordinator: Tammy Brittian
Phone Number: 419-291-3122
Email: Tammy.Brittian@utoledo.edu
 
Special Requirements: Two 24-hour call duties.  Dates to be determined with Clerkship Coordinator.

ECC Approved
April 2023