College of Medicine MD Curriculum

Maternal-Fetal Medicine Acting Internship - TTH

Title of Clerkship: Maternal-Fetal Medicine Acting Internship - TTH

Elective Type: Fourth Year Acting Internship

Department: Obstetrics & Gynecology

Clerkship Site: The Toledo Hospital

Course Number: OBGY717

Blocks available: All

Number of students per block: 1

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

Elective Description/Requirements:
Student will be integrated in to the MFM service as an active intern, participating in all aspects of the practice of Maternal Fetal Medicine both inpatient and outpatient. The student will be exposed to the care of high risk pregnant females and their fetus in the prenatal, intrapartum and postpartum period. This experience will be obtained at the Toledo Hospital. 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 e.g., cerclage placement (vii) Follow up and discharge planning. (viii) Present patients at daily rounds. The student is required to carry out a literature review of a relevant MFM topic and make 30 minute presentation to the MFM team.  

Length of Clerkship: 4 weeks

Educational Course 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 complete differential diagnosis. (EPOs: PC6, PC7)
  6. Construct a concise and succinct patient handoff. (EPOs: IPC1, IPC2)
  7. Develop a complete prioritized 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 patients. (EPOs: SBP1, SBP2, SBP3, SBP5, IPC1)
  9. Incorporate feedback, self-reflection and improvement into daily practice. (EPOs: PBL 1, PBL3)

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 – 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. Presentation of the maternal of fetal topic as approved by MFM Attending.
  3. Clinical evaluation on the inpatient and ambulatory services.
  4. Completion of hours log.
  5. Completion of 2 new patient (or consult) history and physical exams (minimum).

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

Special Requirements: One 24-hour call duty.  Dates to be determined with Clerkship Coordinator (see syllabus).
Clerkship Director: Catherine Van Hook, MD

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

ECC Approved
April 2023

Last Updated: 6/1/23