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OB/GYN

The six-week Obstetrics and Gynecology rotation exposes students to all that is "women's health." This comprehensive rotation covers labor and delivery and ambulatory care throughout a woman's life. Skills and knowledge obtained through the clerkship can be applied to any specialty. Students participate in weekly academic half days and complete weekly quizzes throughout the clerkship.

Clerkship Duration: 6 Weeks

Site Clerkship Director:  Lina Millan, MD (lmillan@uga.edu)

Required Text: "Hacker and Moore's Essentials of Obstetrics and Gynecology" ISBN: 9781416059400

Grading:

  • Shelf Exam: 30 % 
  • Core Activities: 20 % [SPEL and Procedure logs, Gyn H&P, OB H&P, Breast Exam, Pelvic Exam, midterm feedback, Weekly Quizzes]
  • Evaluations: 50 %
    • Professionalism: 5% (Based on attendance for clinical duties, attendance at lectures and conferences, timeliness, and shelf exam conduct. Points WILL be deducted for missed lectures and conferences when not post-call or “OFF”.)
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  • Sites

    Athens Healthcare for Women
    1270 Prince Ave., Ste. 308
    Athens, GA 30606
    Phone:706-552-1600
    Contact: Lissa Kanouff
    Preceptor: Dr. Joshua Sepesi

    ARMC Midwifery
    1199 Prince Ave.
    Athens, GA 30606
    Phone: 706-475-5700
    Contact: Tammy Craft
    Preceptor: Drs. Ruby Cheves, Cassie Campbell and Larisa Pearlman

    Athens OB/GYN

    740 Prince Ave., Bldg. 3
    Athens, GA 30606
    Phone: 706-548-4272
    Contact: Susan Houser
    Preceptors: Drs. Ruth Cline, Andrew Herrin, Walter Jarrett, Rachel Murthy and Gary Person

    The Ashford Center
    1750 Lumpkin St. 
    Athens, GA 30606
    Phone: 706-353-2550
    Preceptors: Drs. Clinton and Rebecca Ashford

    Women's Center of Athens
    1520 B. Jennings Mill Road
    Bogart, GA 30622
    Phone: 706-227-8999
    Contact: Mary Howell
    Preceptors: Drs. Melissa Anderson, Melissa Halbach, Camille McPherson

    Longstreet Clinic
    725 Jesse Jewell Parkway
    Suite 200
    Gainesville, GA 30501
    770-297-2200
    Preceptor: Dr. Thomas Jenkins and Dr. Andrew Green

  • Competency Based Objectives

    Medical Knowledge

    Medical students are expected to master a foundation of clinical knowledge with integration of basic sciences and the translation of that knowledge to the clinical setting.

    1.1 Demonstrate knowledge of normal and abnormal structure and function of the human body on the macroscopic, microscopic, and molecular levels.

    • Identify the maternal physiologic and anatomic changes of pregnancy.

    1.2 Identify the pathology and pathophysiology of various diseases and correlate them with clinical signs and symptoms.

    • Recognize symptoms, physical findings, evaluation, and management of common benign gynecologic conditions, including vulvovaginal disorders, sexually transmitted infections, urinary incontinence and pelvic organ prolapse, endometriosis, uterine fibroids, and sexual dysfunction.
    • Recognize symptoms and physical findings of benign and malignant breast conditions, and discuss the evaluation of common breast complaints.
    • Recognize risk factors, signs and symptoms, and initial evaluation of gynecologic malignancies, including gestational trophoblastic, vulvar, cervical, endometrial, and ovarian neoplasia.

    1.3 Demonstrate knowledge of both common or significant, acute and chronic clinical problems.

    • Identify common medical and surgical conditions in pregnancy and their potential impact on the patient and fetus, as well as the potential impact of pregnancy on preexisting medical problems.
    • Understand infertility, the causes of male and female infertility, and the evaluation and initial management of the infertile couple.

    1.4 Differentiate between normal and abnormal development and age-related changes across the life span.

    • Understand menstrual cycle physiology and menstrual disorders, puberty and menopause, and amenorrhea and normal and abnormal bleeding.

    1.5 Demonstrate comprehension of clinical interventions and agents including pharmaceutical, surgical, genetic, complementary and alternative medicines, and other therapies.

    • Recognize the stages, mechanisms, and management of normal labor and delivery, the steps of a normal vaginal delivery, and indications for operative delivery.
    • Recognize maternal physiologic changes in the postpartum period, routine postpartum care including lactation counseling, and management of complications including postpartum hemorrhage and postpartum depression.
    • Recognize the mechanism of action, effectiveness, benefits, and risks of the various methods of contraception and sterilization.

    1.6 Demonstrate knowledge and ability to interpret epidemiological and public health contributions to understanding health and disease.

    • Recognize age and risk-appropriate screening recommendations and procedures for identification and prevention of disease, sexual assault, and domestic violence.

    1.7 Demonstrate knowledge of preventive medicine and current guidelines for health promotion and disease screening.

    Patient Care

    Medical students, as members of the healthcare team, are expected to provide patient and family centered care that is compassionate and effective for the promotion of health and the management of illness.

    2.1 Treat patients using a patient and family centered care approach.

    • Treat patients using a patient and family centered care approach.

    2.2 Obtain a complete and accurate medical history that covers essential aspects, also addressing issues related to age, gender, culture, use of complementary medicine, family dynamics and socioeconomic status.

    • Demonstrate the ability to perform a comprehensive female-specific history, including menstrual, obstetric, gynecologic, contraceptive, and sexual histories.

    2.3 Perform both complete and symptom-focused physical examinations, including mental health status examination.

    • Demonstrate the ability to perform a complete breast and pelvic examination in a sensitive manner.
    • Demonstrate the ability to collect and interpret gynecologic specimens for cervical cytology and diagnosis of vaginal and sexually transmitted infections.

    2.4 Perform or participate in routine technical procedures. [Procedures determined by core clerkships]

    • Perform at least two vaginal deliveries.
    • Recognize the components of the preoperative evaluation, intraoperative prevention of complications, and postoperative care, and participate in common gynecologic procedures.

    2.5 Construct a differential diagnosis for common clinical presentations.

    • 2.5.1 Demonstrate effective identification and analysis of problems and effective inductive thinking when raising plausible hypotheses to explain these problems.
    • 2.5.2 Demonstrate sound judgment in making inferences about findings and synthesizing problems, and in deductive thinking when solving these problems
    • Construct an appropriate differential diagnosis of a GYN problem in women of reproductive age based on clinical findings.

    2.6 Identify and interpret the most useful clinical, laboratory, roentgenologic, and pathologic testing for common clinical presentations.

    • Identify and interpret gestational-age appropriate diagnostic studies during pregnancy.

    2.7 Construct appropriate and efficient therapeutic management and prevention strategies for patients with common conditions, both acute and chronic, including medical, psychiatric, and surgical conditions, and those requiring short- and long-term rehabilitation.

    Practice-Based Learning

    Medical students are expected to investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and improve their practice of medicine.

    3.1 Demonstrate genuine intellectual curiosity and desire to learn, focused inquisitiveness in asking questions, and enduring persistence in the pursuit of learning.

    3.2 Develop strategies for continuous individual improvement through monitoring performance, reflection, engaging in new learning, applying new learning, and monitoring impact of learning.

    • 3.2.1 Demonstrate critical awareness and reflective thinking when evaluating individual or team performance.
    • Assess his/her own strengths and weaknesses with regard to interaction and communication skills.

    3.3 Accept constructive criticism and modify behavior based on feedback.

    • Use feedback to identify areas for improvement and modify behaviors based on feedback.

    3.4 Develop clinical questions related to patients’ problems and demonstrate skills to find evidence that is relevant and valid information to answer clinical questions using medical information technology.

    • Develop clinical questions related to patient problems, use information technology to access medical information, and critically assess current literature.

    Communication

    Medical students are expected to demonstrate skills that result in effective communication and collaboration with patients, families, and professional associates

    4.1 Demonstrate the ability to establish a positive patient-doctor relationship based on mutual trust and respect for patients’ privacy, dignity, individual integrity and culture.

    • Establish rapport with patients, demonstrating interpersonal and communication skills that build trust, gain patients’ confidence and cooperation, and assure their comfort and dignity.

    4.2 Communicate with others in a respectful, professional and non-judgmental manner and demonstrate effective listening skills (e.g. maintaining eye contact, body posture, verbal and non-verbal facilitation skills).

    • Work cooperatively and compassionately with patients, their social supports, and other members of the health care team.

    4.3 Demonstrate the ability to give a clear, concise, and organized oral presentation and written documentation of a history and physical exam with basic elements of assessment and a plan that addresses the psycho-social and biomedical needs of the patient for a focused or complete patient encounter.

    • Work cooperatively and compassionately with patients, their social supports, and other members of the health care team.

    4.4 Conduct an interview with a limited English-speaking patient through appropriate use of an interpreter.

    4.5 Recognize barriers to effective communication and implement strategies to overcome these barriers (e.g. health literacy, vision/hearing impairment, disabled, pediatric, geriatric).

    4.6 Educate patients assuring their understanding on:

    • 4.6.1 Preventive strategies and promoting healthy behavior change, and
      • Recognize the importance of counseling patients regarding cancer prevention guidelines, as well as other health maintenance concerns such as contraception, domestic abuse/violence, prevention of sexually transmitted infections, immunizations, diet/nutrition, exercise, seat belt use, stress management, sun exposure, depression, and tobacco/alcohol/substance abuse
    • 4.6.2 Medical risk and benefits in medical decision-making (e.g. informed consent).
       

    Demonstrate a basic understanding of medical risk and benefits in medical decision-making (e.g. informed consent).

    Professionalism

    Medical students are expected to demonstrate professional behavior, commitment to ethical principles, and sensitivity to diverse patient populations.

    5.1 Demonstrate honesty, integrity, and ethical behavior in all interactions with patients and other health care professionals, including:

    • Demonstrate personal integrity, ethical behavior and altruism.
    • 5.1.1 Describing the importance of protecting patient privacy and identifying personal health information, including when and when not to share information, and
      • Required institutional HIPAA training and assessment.
    • 5.1.2 Identifying the ethical hazard and respond appropriately in situations such as:
      • Acceptance of Gifts
      • Collaboration with industry when courted to prescribe/use their products or being asked to practice beyond legal limits or personal comfort (e.g. when asked to provide medical care to friends or relatives; use of "doctor" title).

    5.2 Fulfill professional commitments in a timely and responsible manner.

    • Exhibit dependability and responsibility in patient care activities.

    5.3 Demonstrate respect for one’s self, including maintaining appropriate professional appearance, personal composure, and personal health.

    5.4 Recognize and address personal limitations, attributes or behaviors that might limit one’s effectiveness as a physician and seek help when needed. This would include:

    • 5.4.1 Describe personal responses to stress and employ appropriate stress reduction interventions as needed.
      • Acknowledge and accept personal limitations in knowledge and clinical skills and seek assistance when appropriate.

    5.5 Demonstrates sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, race, religion, disabilities and sexual orientation and investigate impact of those on clinical care and medical decisions.

    • Demonstrate the ability to develop effective therapeutic relationships with patients, showing compassion and respect for privacy, dignity, and beliefs.

    Systems-Based Practice

    Medical students are expected to develop an awareness of available health care system resources and demonstrate an ability to use them appropriately to provide optimal quality patient care.

    6.1 Demonstrate the ability to work within a multidisciplinary patient care team, with an understanding of the physicians’ role as team leader and the importance of ancillary staff.

    • Demonstrate the ability to work effectively with other health care professionals, in inpatient and outpatient settings as well as in the operating room and labor and delivery suite, to provide patient-focused care.

    6.2 Examine medical errors and quality problems using a health systems approach and describe available methods to minimize them.

    • Demonstrate an ability to respond appropriately to medical errors if they arise.