Obstetrics & Gynecology

Obstetrics & Gynecology

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Acting Internship – Gynecologic Oncology (OB4 905C-4)

Attendance: Students may not take off on the rotation start date. To get full credit, students may not miss more than 2 days during the rotation. See the attendance policy for other details.

Location: Carilion Clinic GynOnc 1 Riverside

Available: June 2014 - July 2015

Duration: 4 weeks, starting any Monday and ending Friday with some Saturday rounds

Number of students per rotation: 1

Prerequisites: None

Overview: This is a sub-internship elective designed for a student interested in obstetrics and gynecology or a surgical subspecialty. The student will gain experience in the outpatient evaluation of patients with potential gyn malignancies. Students will observe and assist with surgical cases including robotic cases. The student will gain an understanding of postoperative management of complicated surgical patients and will round on these patients with the gyn oncology team as an acting sub-intern. The student will be expected to present a topic of their choosing to the team at the end of the rotation or participate in an oral exam given by one of the gyn oncologists. The student will participate in the same didactic curriculum with the residents. There is no call responsibility but the student will be expected to participate in inpatient rounds during 2 of the 4 Saturdays.

The student will become progressively proficient and knowledgeable in the following:

  1. Listing the symptoms, physical findings and diagnostic methods for patients with gestational trophoblastic disease
  2. Describing the clinical manifestations and gain a basic understanding of treatment options for Vuvlar cancer
  3. Describing the clinical manifestations of vaginal cancer
  4. Listing and discussing the risk factors for endometrial cancer, cervical cancer and the appropriate indications for screening
  5. Formulating the management of patients with an abnormal pap test, postmenopausal bleeding, adnexal mass, postoperative pain
  6. Appraising the methods for diagnosing and managing endometrial cancer
  7. Describing the general mechanisms of action of different chemotherapeutic agents
  8. Summarizing appropriate preoperative evaluations for individual patients, including appropriate imaging, lab tests, antibiotics, DVT prophylaxis, and bowel preps
  9. Formulating appropriate postoperative management when it comes to diet, ambulation, urinary function, DVT prophylaxis, wound care
  10. Analyzing the evaluation process for postoperative complications, including fever, ileus, wound complications, electrolyte imbalances, thromboembolism and respiratory complications

Maternal Fetal Medicine (OB4 905D-4)

Attendance: Students may not take off on the rotation start date. To get full credit, students may not miss more than 2 days during the rotation. See the attendance policy for other details.

Location: CRCH MFM Clinic Suite 400

Available: June 2014 - July 2015

Duration: 4 weeks, starting any Monday and ending Friday with some Saturday rounds

Number of students per rotation: 1

Prerequisites: None

Overview: The student will be exposed to the breadth of high risk obstetrics and expected to evaluate and manage high risk obstetrical patients in the office and hospital setting. In the outpatient setting, the student will participate in the genetic counseling sessions, ultrasounds, maternal fetal medicine consults and prenatal visits. The student will interact with the Maternal Fetal Medicine attendings, ob residents, genetic counselors and ultrasound technicians.

The student will gain experience in managing acute and high-risk obstetrical conditions by rounding daily on the antepartum service with the residents and faculty, but will not participate in intrapartum management during this rotation (not performing vaginal deliveries or cesarean deliveries). The student will attend Friday morning didactics with the residents and will be expected to complete a brief presentation on an obstetrical subject of their own choosing. There is no call requirement.

Textbook: Beckmann’s, Obstetrics and Gynecology, 6th edition

The student will become progressively proficient and knowledgeable in the following:

  1. Describing medical and surgical conditions in pregnancy and potential consequences anemia, diabetes mellitus, urinary tract disorders, infectious diseases, cardiac disease, asthma, and surgical abdomen
  2. Discussing isoimmunization and how to prevent this during pregnancy
  3. Participating in the antepartum management of multifetal gestations
  4. Discussing the basic management of patients in preterm labor
  5. Defining fetal growth abnormalities and determining how the antenatal care may differ in these pregnancies
  6. Conducting prenatal diagnostics and deciding when screening or diagnostic tests may be appropriate
  7. Providing genetic/ perinatal counseling when fetal anomalies are identified

OBGyn Boot Camp (OB4 905E-2)

Attendance: Students may not take off on the rotation start date. To get full credit, students may not miss more than 2 days during the rotation. See the attendance policy for other details.

Location: CRMH

Available: March 30-April 10, 2015

Duration: 2 weeks, starting any Monday and ending Friday with some Saturday rounds

Number of students per rotation: 6

Prerequisites: Letter of Intent from IM Chair/Advisor validating your intent to pursue OB/Gyn residency

Overview: This elective is designed for the student applying for an OB/Gyn residency. Didactic and procedural skills sessions have been designed for office practice, OB, and Gyn to increase a student’s readiness for patient care during an OB/Gyn residency.

Urogynecology (OB4 905B-2)

Location: CRCH UroGyn Clinic Suite 400

Available: June 2014 - July 2015

Duration: 2 weeks, starting any Monday and ending Friday

Number of students per rotation: 1

Prerequisites: None

Attendance: Students may not take time off on the rotation start date. To get full credit, students may not miss more than 1 day during the rotation. See the attendance policy for other details.

Overview: This elective has broad applicability and is designed for a student interested in primary care, obstetrics and gynecology, surgery, or urology. Students will be exposed to the evaluation and management of patients with all types of pelvic floor disorders such as prolapse, urinary and bowel incontinence, fistulas, and bladder pain syndromes. The student will be involved in the outpatient management of patients with the above conditions, become familiar with medical and surgical management options, and have an opportunity to participate in fitting pessaries and observing Urodynamics and outpatient cystoscopy. The student will spend at least one day a week in the operating room and be responsible for following postoperative patients during their hospital stay. Students will also participate in Friday morning didactics with the residents.

The student will become progressively proficient and knowledgeable in the following:

  1. Explaining the normal anatomic support of the pelvic organs
  2. Characterizing the major types of urinary incontinence
  3. Analyzing Urodynamics and how these studies are used to guide treatment options
  4. Eliciting a history in a patient with suspected pelvic organ prolapse or urinary incontinence
  5. Performing a focused physical exam in a patient with pelvic organ prolapse
  6. Discussing medical and surgical treatment options for urogynecologic disorders