College of Medicine MD Curriculum

Labor and Delivery Nights

Title of Elective: Labor and Delivery Nights

Elective Type: Fourth Year Elective 

Department: Obstetrics & Gynecology

Clerkship Site: ProMedica Toledo Hospital Labor and Delivery Unit 

Course Number: OBGY 704

Blocks Available: All

Number of Students: 2 students maximum per block

Faculty: Cathy Van Hook, MD and Community Physicians of ProMedica Physicians Group (PPG)

Length of Elective: 2 Weeks with course requirements completed throughout the year.

Through clinical experience, a small group learning series, and a simulation session, fourth year medical students enrolled in this course will prepare for the transition to the Obstetrics portion of OB GYN residency. This elective will consist of a group learning series covering high yield topics. Students will form teams of 2-3 students to present to their peers, with a faculty facilitator present to guide and augment these sessions. Finally, there will be a simulation component of the elective for students to demonstrate their ability to manage a vaginal delivery.

In the clinical component of this elective, students will complete one week of night shifts, Sunday – Thursday, with resident team (recommended) or six 14-hour shifts on the Labor and Delivery (L&D) service at ProMedica Toledo Hospital.  Shifts will be determined in coordination with the clerkship director and coordinator.  During this elective, the student will reinforce the foundational concepts encountered during their third-year clerkship. Additionally, the student will learn and develop skills imperative to being a successful ObGyn Intern in L&D. The student will be part of the L&D team participating in the management of laboring patients, the evaluation of patients in the obstetrical ER, and rounding on postpartum patients. 

Educational Course Objectives and Links to EPOs:

1. Independently collect focused, comprehensive histories for antepartum and postpartum patients. (EPOs: PC-1, PC-3)

2. Independently describe and interpret fetal heart tracings as category I, II, or III and define the appropriate management options. (EPOs: MK-1, MK-4, PC-6, PC-7)

3. Define and recognize normal and abnormal labor progression. (EPOs: MK-1, MK-4, MK-6, PC-4, PC-8, PC-9)

4. Define the most common clinical presentations, etiologies, and management options for postpartum hemorrhage. (EPOs: MK-1, MK-4, MK-6, PC-6, PC-7, PC-8)

5. Describe pain management options for the intrapartum patient and the associated physiologic concepts. (EPOs: MK-1, MK-3, MK-4, MK-6, PC-2, PC-4, PC-6, PC-9, SBP-5)

6. Prepare and present organized, appropriately focused, and accurate patient presentations. (EPOs:  PC-6, PC-7, IPC-1, IPC-2)

7. Demonstrate the ability to write progress notes, discharge summaries, and place orders using the electronic health record. (EPOs: PC-1, PBL-2)

8. Integrate diagnostic and clinical information to formulate a primary and complete differential diagnosis.(EPOs: MK-4, MK-7, PC-6, PC-7)

9. Develop a management plan for a laboring or postpartum patient and describe the rationale for the clinical plan, incorporating maternal comorbidities and obstetric complications (EPOs: MK1, MK-2, MK-4, MK-7, PC-6, PC-7, PC-9, SBP-5)

10. Perform basic surgical skills including knot-tying, suturing, retracting, and surgical instrument handling. (EPOs: PC-5, SBP-5)

11. Demonstrate reflective learning and practice, incorporating feedback, self-reflection, and improvement into daily practice. (EPOs: PBL-1, PBL-3)

12.   Demonstrate the ability to work with an interprofessional health care team. (EPOs: PC-4, PC-9, PB-1, PB-2, PB-3, IPC-1, IPC-2, SBP-5)

UT/COM 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 patients in the Labor and Delivery, antepartum, and postpartum units at ProMedica Toledo Hospital
2. Independent learning through assigned reading and educational videos&nbsp
3. Reflection - Student will provide a weekly reflection log delineating application of feedback into clinical performance improvement

Evaluation Methods:

  1. Clinical Competency Evaluation by the Nights team (Chief, Intern) and at least one faculty member.
    1. Student must notify the coordinator at the end of the clinical assignments which preceptors they were assigned to.
  2. Labor and Delivery Experiences Checklist (see attached, 5 out of 10 technical skills, 2 of 5 documentation skills, all clinical and patient management skills required)
  3. Logging of clinical hours in RocketMed.

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

Special Requirements: Sunday through Thursday assignment with Nights Team (see course description).

Clerkship Director:
Catherine Van Hook, MD

Clerkship Coordinator:  
Tammy Brittian
 ECC Approved
June 2023

Last Updated: 6/15/23