Department of Obstetrics & Gynecology

Resident Education Schedule 2009-2010

Wednesday Education Schedule 2009-2010

Conference Descriptions

Benign Gynecology: Resident education on the Benign Gynecology service will be scheduled on a regular basis to include three structured events.  The HOIV on gynecology will be responsible for contacting the attending physician a week in advance to plan the time based on the operating schedule.  The GynRounder on Monday and Thursday will serve as the faculty leader.  This communication may be direct, by phone or email.  The HOIV on gynecology will assure that all members of the team have information about the times, needed information for pre-op conference and the topic for discussion on Thursday.

?         Monday Pre-Op Conference ? typically 0700 or 1600.  Cases scheduled for the upcoming week will be discussed focusing on preoperative planning and decisions regarding appropriate surgical management.

?         Thursday Topic-Based Conference ? typically 0700 or 1600.  This conference will be based on a chapter, article or topic chosen by the HOIV.  It will be resident level discussion regarding patient care issues.

?         Friday at 0700 - Diagnostics Conference ? see discussion below.

Gynecologic Oncology: Resident education on the Gynecologic Oncology service will be scheduled on a regular basis to include a series of events.  The HOIV on the service will be responsible for communicating with the attending physicians, residents and students regarding the time.

?       Daily bedside/rounding teaching will occur in the morning and late afternoon.  This will focus on hospitalized patient care.  Caffeine required.

?       Tumor conference ? see discussion below.

?       Friday Conference ? Friday afternoons are dedicated to education on this service.  Discussions regarding chemotherapy, preoperative planning, presentations by students and residents and review of key chapters will be undertaken at these times.   Popcorn, peanut M&M?s and Twizzlers are often necessary.          

Obstetrics: Resident education on the Obstetrics service will be scheduled on a regular basis.  Morning check out will be a portion of the time utilized for resident education.  Student presentations will be succinct, covering the major issues of the in house patients and limited to two patients per day.  Complicated patients will be presented by the residents.

?      Daily meeting in the MD Interaction Room on Labor and Delivery at 0700 Monday through Thursday.

?      Presentation of in house patients 0700 to 0730. 

?      Topic discussion 0730 to 0800 with topics on the white board the week before.

?      Topics will include but not be limited to chapters, articles, current patient care issues and fetal heart rate tracings.  The attending or chief resident may request a topic change during any given week for maximal resident benefit.

?         Friday at 0700 - Diagnostics Conference ? see discussion below.

Weekly Educational Events

CANCER CONFERENCE

7:00 a.m., Tuesday

Howard Hunt Conference Room, UMA 1500

Faculty Leader ? Steven W. Remmenga, MD

Attended by - Faculty Gyn-Oncology, Medical Oncology, Radiation Oncology, Radiology, Pathology, Ob/Gyn residents, Oncology nurse, Oncology fellow, Medical students

Description - The focus of this multi disciplinary conference is on the management of patients with gynecologic malignancies.  A case conference format will be used.  Cases for presentation will be chosen several days in advance.  A synoptic (one page) narrative of the patient's history, physical, diagnostic work-up and surgical findings will be prepared by the Chief Resident. Pathology materials and selected radiographs will be reviewed.  The Chief Resident will present appropriate treatment options including a summary of pertinent literature to support their recommendations.  A generalized discussion of the patient management will then be led by a gynecologic oncology faculty member during which comments and questions from those in attendance are requested. 

Objectives:

1.       The resident will be able to classify the stage and prognosis of patients with gynecologic cancers.

2.       The resident will be able to formulate treatment plans and demonstrate knowledge of the medical literature to support their plan.

3.       The resident will be able to identify the potential complications of cancer treatment.

4.       The resident will actively participate in the planning and ultimately the management of patients with gynecologic cancers.

HIGH RISK OB PLANNING

7:30 a.m., Tuesday

UMA 45119, Luikart Library

Faculty Leader ? Maternal-Fetal Medicine Faculty

Attended by - MFM Faculty, Ob/Gyn residents, Nursing support for High Risk clinic, DEM nurse/physician

Description - This weekly working conference is intended to discuss the case management of current complicated pregnancies to be seen in Thursday afternoon high-risk clinic or in other resident clinics as needed.  Discussion is led by the chief resident and based on the patients presenting to clinic in the next week.  It is a multi-discipline interaction including the faculty, nurses, social workers and nutritionists.

Objectives:

1.       The resident will identify pregnancy risk factors and be able to discuss the etiology and pathophysiology of maternal diseases.

2.       The resident will be able to formulate treatment plans and demonstrate knowledge of the medical literature to support their plan.

OB/GYN GRAND ROUNDS 

8:00 a.m., Wednesday

Durham Research Center Rm 1004

Faculty Leader ? Carl V. Smith, M.D.

Attended by - Ob/Gyn faculty and residents, all students on the service, and open to any medical provider

Description ? This weekly formal lecture series deals with topics of current interest in obstetrics and gynecology.  Each session is assigned to a faculty member, resident physician, or speaker from outside of the department well in advance.  The fourth Wednesday of each month is reserved for resident Grand Rounds presentations.  Each resident is expected to present a complete 50 minute discussion of a topic, allowing 10 minutes for questions.  It is required that residents identify and utilize a faculty advisor for their Grand Rounds.  The faculty advisor should be present at the time of the presentation to allow for faculty and resident interaction.  The residents will sign up for their Grand Rounds dates prior to July 1.  The resident responsible for a Grand Rounds session will be reminded approximately one month in advance of the approaching date.  At that time a title and objectives for the Grand Rounds will need to be turned in to Dr. Smith?s secretary (In July, Grand Rounds is replaced with other educational events)

Objectives:

1.       Develop skills needed to assemble information in a concise and organized manner to allow for sharing of knowledge.

2.       Improve communication skills.

CASE CONFERENCE

9:00 a.m., Wednesday

Durham Research Center Rm 1004

Faculty Leader ? Carl V. Smith, MD

Attended by - All OB/GYN faculty and residents, Family Practice/Emergency Medicine residents assigned to service and fourth year medical students as invited. 

Description - This case conference is designed for a discussion of the patients cared for the department services from the past week.  The service chief will submit the patient case list for this time prior to the meeting.  The four services to present on a weekly basis are: Gynecology, Gynecologic Oncology, Obstetrics and Reproductive Endocrinology.  Participants will maintain a code of conduct consistent with respect for the speakers.  All extraneous conversations will be moved out of the room.  Discussions will be based on the theoretic evaluation and management of patients.

Objectives:

1.       The senior resident will demonstrate the ability to discuss the evaluation of patients in a concise step-wise fashion.

2.       The senior resident will be able to critically evaluate management plans with evidence-based medicine as available.

3.       All residents will demonstrate knowledge of the evaluation, mechanism of disease and management of patients with surgical and medical conditions in gynecology and obstetrics.

DIAGNOSTICS IN OBSTETRICS AND GYNECOLOGY

7:00 a. m., Friday

Olson Center Classroom

Faculty Leader ? Teresa G. Berg, MD

Attended by ? Ob/Gyn Faculty, Genetics, Neonatal Services, Radiology/ Ultrasound students, and Residents on Obstetrics and Gynecology rotations at Nebraska Medical Center

Description - This is a weekly teaching conference focusing on diagnostic imaging and genetic tests utilized in obstetrics and gynecology.  Available imaging and diagnostic techniques for pelvic disease, fetal anatomy, genetic screening and diagnosis in pregnancy, and gynecologic malignancies will be discussed following a 1 to 2 year curriculum to assure that topics relevant to resident education are covered.  A multi-disciplinary approach is utilized when appropriate with participation from pediatric surgery, neonatology, genetics, and radiology, for the comprehensive care of the fetus and newborn. 

Objectives:

1.       Perform and identify appropriate imaging in obstetrics and gynecology.

2.       Identify common fetal findings on ultrasound.

3.       Recognize and use a multidisciplinary approach to managing fetal anomlies.

4.       Identify anatomic and pathologic structures in the gynecologic patient utilizing imaging technologies.

5.       Recognize other diagnostic methods such as genetic testing.

CORE LECTURE SERIES

10:00 to noon, Wednesdays

Luikart Library, UMA 45119

Faculty Leader ? Teresa G. Berg, MD

Attended by - All Ob-Gyn Residents

Description- This core lecture series is designed to cover 100 major topics encompassing the three major sub-specialty areas in obstetrics and gynecology.  Division directors from Gynecology, Gynecologic Oncology, Maternal-Fetal Medicine and Reproductive Endocrinology/ Infertility participate or assign faculty facilitators for these two hour conferences.  Basic science, clinical problems and psychosocial issues will continue to be emphasized.  Learning objectives are specific to the topic presented that week.

Monthly Educational Events

JOURNAL CLUB

10:00 - noon, 1st Wednesday of  each month

Location: Luikart Library

Faculty Leader ? N. Jean Amoura, MD

Attended by - All faculty and residents

Description ? Journal Club is designed to improve the resident?s ability to read the medical literature.  Discussions will focus on study methodology, statistics and translation into practice.  One resident will be assigned to each scheduled Journal Club. The assigned resident will be responsible for choosing the articles with Dr. Amoura and leading the discussion.  Other faculty members in attendance serve as participants/facilitators and participate in the discussion of the article.  All residents will be responsible for reading the articles ahead of time and being prepared to discuss each article in regards to methodology and statistical analysis. 

Assignment of articles ? Each resident (HOIII?s, HOII?s and HOI?s) will be responsible for one journal club per year.  This requires that the resident identify 2 to 3 articles for discussion and have the articles disseminated for the faculty and residents to read before Journal Club. Distribution of the articles will be done by the program coordinator. Articles will be turned into the program coordinators office three weeks prior to Journal club for copying and distribution.  The articles can be selected based on scientific merit, recommendations of faculty or perceived importance to the field of obstetrics and gynecology. 

Objectives:

1.       The resident will develop the ability to critically read and evaluate the literature in the specialty of obstetrics and gynecology.

2.       The resident will improve their understanding of experimental design.

3.       The resident will develop the ability to discriminate between types of statistical measures.

MORBIDITY AND MORTALITY CONFERENCE

10:00 a.m., 3rd Wednesday of each month

Luikart Library, UMA 45119

Faculty Leader- Sonja Kinney, MD

Attended by- All faculty and residents

Description- M&M conference is the forum in which patient care and outcomes are objectively and critically reviewed by the department.  Cases to be reviewed are generated from the ACOG Clinical Indicators or by referral from case conference.  An individual faculty member not involved with the reviewed patient?s care will present each case for review and discussion.

Objectives:

1.       To improve patient care through review of cases.

2.       To expose the residents to the principles of quality assessment and improvement.

3.       To foster and maintain a professional environment for the advancement of quality improvement.

Last Updated:  July 21, 2009