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Out-patient Clinics Block
During this two-week clinical block,
students will learn about outpatient care of the pregnant and non-pregnant
female patient. Students will
be assigned to five to six (5-6) ? days in the clinics, one ? day of structured
educational activities on Wednesday mornings, and two to three ? days of study time
each week of this block. Each
student will be assigned to a faculty Clinic Advisor and will do the
majority of their outpatient clinics with that advisor.
To get to the expected 5-6 ? days in clinic, each student will, in
addition to their clinic advisor?s clinics, be scheduled in other
?filler? clinics to round out their outpatient experiences.
Every attempt will be made to make sure all students have some
exposure to both outpatient gynecology and obstetric patients.
Clinic advisors have been given a list of the clinical block
objectives, knowledge and skills expectations, and recommended directed
studying assignments and will help guide students into fulfilling these
goals.
Students on the outpatient clinics block will be expected to
attend daily GYN teaching rounds at 7 a.m. at
UNMC. Exceptions to this include Tuesday mornings for Methodist
students who meet with Dr. Basset.
Learning Objectives:
Students should become familiar with the
following topics: Obstetrics:
Prenatal
Care in the low risk patient
i.
New OB visit, schedule of testing and clinic visits
ii.
Weight gain recommendations
iii.
Prenatal Diagnosis
iv.
Counseling Vaginal Birth after Cesarean
section (VBAC)
Gynecology:
Contraception
and Sterilization
Spontaneous
and Induced Abortions
Medical and Surgical
Alternatives to Hysterectomy
Care of the Aging Female
Patient
Hormone Replacement Therapy
Annual
exam recommendations by different age groups
Sexually
Transmitted Disease counseling, testing,
and treatment
Triage
of abnormal Pap smears
Abnormal
Uterine Bleeding
Vulvar
Diseases
Minor
clinic procedures: IUD
placement,
pessary fitting and cleaning, biopsies
of vulva,
cervix,
uterus
Counseling
on genetic testing
Knowledge and Skills Expectations:
By the end of this clinical block, students
will be expected to competently
1)
Conduct a normal annual gyn examination:
obtain and present history, under supervision do an appropriate physical exam, and counsel patient
appropriately on screening recommended by age group
2)
Conduct a new and return obstetric patient clinic visit (exam with
supervision of faculty or resident)
3)
Discuss appropriate triage of abnormal Pap smears
4)
Discuss indications for vulvar biopsy and endometrial biopsy
5)
Appropriately counsel patients on choices of contraception/
sterilization
6)
Discuss issues related to risks and benefits of hormone replacement
therapy
Directed Studying Recommendations:
1) Web- base learning: Association of Professors of Gynecology & Obstetrics -
uWISE:
http://www.apgo.org/elearn/uwise/index.cfm?doc=uWISE Units
username: unmc
password: uwise
Clinical Case Studies:
http://www.asccp.org/edu/case_studies/archives/case_archives.shtml
Triage of abnormal pap smears at ASCCP (American Society of Colposcopy and Cervical Pathology) at:
www.asccp.org
Virtual Hospital- patient education on OB/Gyn topics:
http://www.vh.org
2) Reviewing Office
practice-related sample questions/ answers to prepare for NBME shelf examination.
(Binder of sample questions
available through Clerkship Coordinator)
3)
Reading the assignments for that week?s Wednesday faculty teaching
sessions- available through Clerkship Coordinator.
Updated Last: August 23, 2007
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