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Gynecology
Block
This clinical block will give students
experience with benign and malignant gynecological problems.
During this two-week rotation, students will join the Benign
Gynecology and the Gynecology Oncology teams and assist in caring for
emergency room consultations, in-patient consultations from other services,
and pre-operative, intra-operative, and postoperative care of Gynecologic
surgical cases.
On the Gynecology Oncology service students
will attend morning and afternoon rounds as scheduled daily, Tuesday morning
Tumor conference, Chapter Review session on Friday afternoon, and will round
on Gyn-Onc patients one of the weekend days while on service.
On the Benign Gynecology week, students
will round with Residents daily on weekdays, and on one weekend day with the
team. They will be expected to
attend and participate in Gyn faculty teaching sessions scheduled at 0700AM
weekdays. Students will be
expected to participate in surgical cases:
review the preoperative work-up prior to the case, introduce
themselves to patient, be available to observe the case, and assist in
documentation, orders, and postoperative checks.
Learning Objectives for Gynecology
Block:
Cognitive:
Students should become familiar with the following topics:
Normal menstrual
cycle, amenorrhea, and abnormal uterine bleeding
Normal and Abnormal
Puberty
Contraception and
Sterilization
First Trimester
Bleeding and Abortion
Uterine fibroids
Menopause
Infections- vaginitis, sexually transmitted diseases, PID
Infertility
Hirsuitism and
Polycystic Ovarian Syndrome
Vulvar disorders
Pelvic relaxation and urinary
incontinence
Pelvic Pain including
dysmenorrhea, endometriosis, ectopic
pregnancy
Neoplasms of Vulva, Cervix,
Uterus, Ovaries, Gestational
Trophoblastic
Disease
Sexual Assault
Gynecological
Procedures:
Tubal ligation and
laparoscopy, Hysteroscopy
and D&C,
Hysterectomy (vaginal,
abdominal, laparoscopic), Surgery
for Urinary incontinence and pelvic
relaxation, Surgery for
Gyn Cancers
Knowledge and Skills expectations:
By the end of the Gynecology block students
will be expected to competently
1)
Write a complete operative note and postoperative orders
2)
Discuss the normal hospital course after a routine Gyn surgical
procedure
3)
Discuss the appropriate work-up and differential for postoperative
low urine output, fever, and wound problems
4)
Discuss the relevant history, examination, and laboratory or
radiology work-up involved in ER assessments of 1) pelvic pain and 2) abnormal vaginal
bleeding
5)
Briefly describe the differences between types of hysterectomies (supracervical, simple, radical, vaginal,
laparoscopic)
Directed studying recommendations:
1) Web-based learning:
Association of Professors of Gynecology & Obstetrics -
uWISE:
http://www.apgo.org/elearn/uwise/index.cfm?doc=uWISE Units
username: unmc
password: uwise
GYN Case Studies:
http://www.asccp.org/edu/case_studies/archives/case_archives.shtml
Gynecology topics- Virtual Naval Hospital-
written for the General
Medical Officer
http://www.vnh.org/OBGYN/op-obgyn.html
Gynecological Cancer link
http://www.oncolink.com/
Gynecological ultrasound evaluations
at
http://www.aksonogram.com/examtypes/gynecological.htm
Virtual hospital- gynecology ultrasound atlas
http://www.vh.org/adult/provider/radiology/IROCH/PelvicUS/PelvicUS.html
Pelvic ultrasound and sonohysterogram at
http://www.fortcollinsradiology.com/nl_sp_02_2.html
Sexually Transmitted Diseases- updated information on diagnosis
and treatment regimens through the CDC web-site
http://www.cdc.gov/std/treatment/TOC2002TG.htm
American Cancer Society- this link brings you to page for medical
professionals - choose link to specific GYN related cancers
for information
http://www.cancer.org/docroot/HOME/pro/pro_0.asp?level=0
Virtual Hospital (patient education on Gyn
topics)
http://www.vh.org
2) Reviewing Gynecology-related
sample questions/ answers to prepare for NBME shelf examination. (Binder of sample questions
available through the Clerkship Coordinator)
3)
Reading the assignments for that week?s Wednesday faculty teaching sessions available through Clerkship Coordinator.
1/5/05
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