Objectives Rotation: Obstetrics Objective PGY: 1 Competencies Teaching Method(s) Obtain complete history and physical PC, MK, SBP, P Clinical teaching 1 minute preceptor Perform pelvic exam in labor PC Clinical teaching Simulation Interpretation of fetal monitor strip MK, PC, PBLI Didactic lecture Clinical teaching Simulation Efficient management of triage PC, MK, SBP, C Clinical teaching 1 minute preceptor Manage normal labor and delivery MK, PC, SBP, P Assigned reading / Presentations Didactics Perform spontaneous vaginal delivery PC, SBP, MK, P Clinical teaching Simulation Perform episiotomy and repair PC, MK Perform 3rd and 4th degree laceration repairs PC, MK Clinical teaching Simulation Clinical teaching Simulation Evaluation Method Global assessment Chart review by faculty FAC Global assessment Direct supervision by faculty FAC Global assessment Direct supervision by faculty CREOG Exam Certification Global assessment 360 evaluation Hospital QI tracking Global assessment In service exam (CREOG) Global assessment 360 evaluation S-FAC Global assessment S-FAC Global assessment S-FAC Page 1 of 6 PC: Patient Care; MK: Medical Knowledge; PBLI: Practice Based Learning and Improvement; SBP: Systems Based Practice; C: Interpersonal and Communications Skills; P: Professionalism Rev 6/2012 Objectives Rotation: Obstetrics Objective PGY: 1 Competencies Teaching Method(s) Perform primary cesarean section PC, MK, P, C Clinical teaching Perform low-risk post-partum care PC, MK, P Clinical teaching Didactics Perform low-risk prenatal care PC, MK, SBP, C, PBLI, P MK, PBLI, P, C Clinical teaching Didactics Understand the use of risk assessment in prenatal care Understand the indications for delivery remote from term Clinical teaching 1 minute preceptor Clinical teaching P, PBLI, C Self-reflection Clinical teaching MK, PC, SBP 1 minute preceptor P, C, SBP, Clinical teaching PC, MK MK, PC, Clinical teaching SBP, C 1 minute preceptor Understand procedures in Appendix A MK, PC, C Clinical teaching Didactic lecture Perform procedures in Appendix B MK, PC, SBP Clinical teaching 1 minute preceptor Instruct medical students Know limits and when to ask for help Know normal laboratory values in pregnancy Evaluation Method Global assessment S-FAC Global assessment Direct supervision by faculty Global assessment Direct supervision of faculty FAC, C-FAC Global assessment 360 assessment Global assessment 360 assessment Global assessment CREOG exam Global assessment CREOG exam Global assessment CREOG exam Global assessment CREOG exam Global assessment S-FAC, FAC 360 assessment Page 2 of 6 PC: Patient Care; MK: Medical Knowledge; PBLI: Practice Based Learning and Improvement; SBP: Systems Based Practice; C: Interpersonal and Communications Skills; P: Professionalism Rev 6/2012 Objectives Rotation: Obstetrics PGY: 1 Page 3 of 6 PC: Patient Care; MK: Medical Knowledge; PBLI: Practice Based Learning and Improvement; SBP: Systems Based Practice; C: Interpersonal and Communications Skills; P: Professionalism Rev 6/2012 Objectives Rotation: Obstetrics PGY: 1 Appendix A Amniocentesis - Genetic diagnosis Amniocentesis - Maturity assessment Anesthetics/analgesics - Epidural Anesthetics/analgesics - General Anesthetics/analgesics –Spinal Cardiopulmonary resuscitation - Bag and mask ventilation Chorionic Villus Sampling Cordocentesis Ultrasound examination – Abdominal – Targeted Version of breech, external Page 4 of 6 PC: Patient Care; MK: Medical Knowledge; PBLI: Practice Based Learning and Improvement; SBP: Systems Based Practice; C: Interpersonal and Communications Skills; P: Professionalism Rev 6/2012 Objectives Rotation: Obstetrics PGY: 1 Appendix B Amnioinfusion Amniotomy Anesthetics/analgesics - Adm. of narcotic antagonists Amniotomy Anesthetics/analgesics - Adm. of parenteral analgesics/sedatives Cardiopulmonary resuscitation - Airway maintenance Cardiopulmonary resuscitation - Chest compressions Cervical ripening prior to induction Circumcision, neonatal (with anesthesia) Episiotomy and repair - Episioproctotomy Episiotomy and repair - Mediolateral Episiotomy and repair - Midline Fetal assessment, antepartum - Biophysical profile Fetal assessment, antepartum - Contraction stress test Fetal assessment, antepartum - Nonstress test Fetal assessment, antepartum - Vibroacoustic stimulation Fetal assessment, intrapartum - Fetal heart rate monitoring (internal/external) Fetal assessment, intrapartum - Fetal scalp stimulation test Induction of labor with prostaglandins or oxytocin Manua1 removal of the placenta Neonatal resuscitation, immediate Placement of internal monitors Repair of genital tract lacerations - Cervical Repair of genital tract lacerations - Perineal Repair of genital tract lacerations - Vaginal Sterilization Suction evacuation for first-trimester fetal death Page 5 of 6 PC: Patient Care; MK: Medical Knowledge; PBLI: Practice Based Learning and Improvement; SBP: Systems Based Practice; C: Interpersonal and Communications Skills; P: Professionalism Rev 6/2012 Objectives Rotation: Obstetrics PGY: 1 Ultrasound examinations - Abdominal - screening Ultrasound examinations - Endovaginal Vaginal delivery, spontaneous Wound care - Incision and drainage of abscess or hematoma Page 6 of 6 PC: Patient Care; MK: Medical Knowledge; PBLI: Practice Based Learning and Improvement; SBP: Systems Based Practice; C: Interpersonal and Communications Skills; P: Professionalism Rev 6/2012
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