Resident Education Schedule 2008-2009

Wednesday Education Schedule 2008-2009

	1st	2nd	3rd	4th	5th
10:00	Statistics/Study Design	Lecture	M&M	Lecture	Lecture
11:00	Journal Club	Lecture	Obstetrics	Lecture	Lecture

Conference Descriptions

GYN CANCER CONFERENCE
7:00 a.m., Tuesday
Howard Hunt Conference Room, MSB 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 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
7:45 a.m., Tuesday
Luikart Library - MSB 45119
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 
DRC - Room 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
DRC - Room 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.  Pertinent clinical data should be available, i.e. monitor strip, x-rays, or even the chart on occasion.  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 the patient.

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.


JOURNAL CLUB
11:00 a.m., 1st Wednesday of each month
Location: Luikart Library - MSB 45119
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.  The resident responsible for Journal Club and the faculty advisor will be responsible for facilitating the discussion of the chosen articles.  Other faculty members in attendance may serve as 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 will be responsible for one journal club per year.  This requires that the resident identify a faculty advisor, pick 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 two 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. 

A monthly statistics article will precede Journal Club on the first Wednesday of each month.  The topics range from basic biostatistics to study design.  It is intended that this information will be utilized to assist the resident to improve their overall ability to read and interpret the medical literature.  Additionally, this meeting will be utilized for the residents to keep each other appraised of developments in their research projects once they have approval and enrollment is underway.

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, MSB 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.

CORE LECTURE SERIES
10:00 a.m. to noon, Wednesdays
Luikart Library, MSB 45119
Faculty Leader – Teresa 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.
 

DIAGNOSTICS IN OBSTETRICS AND GYNECOLOGY
7:00 a. m., Friday
Luikart Library, MSB 45119
Faculty Leader –Teresa G. Berg, M.D.

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 for the diagnosis of common gynecologic conditions and ultrasound and MRI imaging of the fetus 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 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.

FETAL HEART RATE TRACING
Twice monthly as part of Obstetric Teaching Rounds
Labor and Delivery Conference Room
Faculty Leader – MFM Attending

Attended by – All residents, medical students, physicians, nurses, & midwives

Description - The purpose of this fetal heart rate tracing round is to review all the interesting, controversial as well as complicate tracings through an open discussion led by faculty of the Maternal-Fetal Medicine Division.  The presenting resident can take advantage of this opportunity to stump the professors during or after the discussion session including the prediction of Apgar score and umbilical cord blood gas and acid-base value.

Objectives - 
1.  The medical students are introduced to the nomenclature outlined by the NIH for the interpretation of the fetal heart rate tracing.
2.  The resident will demonstrate the ability to interpret uncomplicated and complicated fetal heart rate tracings.
3.    The resident will formulate reasonable management plans based on the reviewed fetal heart rate tracings.  
 

Last Updated:  June 20, 2008