2018-2019 M3/M4 Course Syllabi
Obstetrics & Gynecology
COURSE NUMBER:
11 01 44
TITLE:
GYNECOLOGIC ONCOLOGY -ICE
An inpatient and outpatient experience involving medical and surgical care of women with gynecologic cancers. Responsibilities will include direct patient care, OR participation, and specialty clinics. Educational opportunities will also include chemotherapy education and relevant clinical trials.
PREREQUISITES:

1.   Successful completion of 3rd year clerkship in either OB/GYN or Surgery.

2.   Student membership in ACOG -- may apply online and should be completed 4 weeks before rotation starts to ensure access to online publications.  Membership is FREE.

3.   UC Health required EPIC training completed and working log-in by first day of rotation.

4.   Cell phone.

expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
YES
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
ICE
COURSE TYPE:
Clinical
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
DIRECTOR:
Amanda Jackson, MD
jacks2a6@ucmail.uc.edu

ADMINISTRATIVE SUPPORT PERSON:
Deana Brown
deana.brown@uchealth.com
513-585-9456
MSB, 4408
INSTRUCTOR:
Amanda Jackson, MD
SITE(S):
UC Health Medical Center
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 07/02/2018 - 07/27/2018 1
2 07/30/2018 - 08/24/2018 1
3 08/27/2018 - 09/21/2018 1
4 09/24/2018 - 10/19/2018 1
5 10/22/2018 - 11/16/2018 1
6 11/26/2018 - 12/21/2018 1
7 01/02/2019 - 01/25/2019 1
8 01/28/2019 - 02/22/2019 1
9 02/25/2019 - 03/22/2019 1
10 03/25/2019 - 04/19/2019 1
11 04/22/2019 - 05/17/2019 1
12 05/20/2019 - 06/30/2019 1

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
6 am - 5 pm
REPORT 1ST DAY:
TBD TBD TBD Student to contact Chief Resident on Service prior

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Weekend rounds 4 of 8 weekend days, depending on patient census, student preference
  • Patient Presentation--Faculty
  • Patient Presentation--Learner
  • Research
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
ORIENTATION:
Amanda Jackson, MD, Co-Director
TEACHING:
50% Attending Physician
50% Senior Resident
FEEDBACK:
Amanda Jackson, MD, Co-Director
ASSESSMENT:
FINAL GRADE:
70% Clinical work performance evaluations
20% Attitude, e.g., professionalism, motivation etc
10% Topic presentation
GRADE ASSIGNED BY: Elective director

OBJECTIVES

Attitudes :
  • Provide patient care that is compassionate, appropriate, and culturally sensitive. 
  • Be a reliable team member who can take directions and complete assigned tasks in a reasonable time period.
  • Demonstrate effective communication skills to all team members (attending and nursing staff) and patients/families.
Curricular Resources :

Obstetrics and Gynecology 7th ed, Beckman et al   (6th ed available in HSL eBooks)

Clinical Gyncologic Oncology 7th ed, DiSaia and Creasman (available in HSL eBooks)

Gynecologic Oncology 5th ed Eds. Berek and Hacker (HSL is investigating purchasing as eBook)

Handbook for Principles and Practice of Gynecologic Oncology, Levine et al


ACOG Practice Bulletins

“Elective and Risk-reducing Salpingo-oophorectomy” #89, January 2008, reaffirmed 2014

“Management of adnexal masses”  #83  July 2007, reaffirmed 2015

“Endometrial cancer” #149, April 2015

“Lynch syndrome” #147, November 2014

“Hereditary Breast and Ovarian Cancer syndrome” #103, April 2009, reaffirmed 2015

"Antibiotic Prophylaxis for Gynecologic Procedures" #104, May 2009, reaffirmed 2014


ACOG Committee Opinions

“Salpingectomy for ovarian cancer prevention” #620, June 2015

“Hereditary cancer syndromes and risk assessment” #634, June 2015


Additional journal readings as assigned.

Knowledge/Skills:

Gestational Trophoblastic Neoplasia (GTN)

1.   List the symptoms and physical examination findings of a patient with GTN

2.   Describe the diagnostic methods, treatment options and follow-up for GTN

3.   Recognize the difference between molar pregnancy and malignant GTN

Vulvar Neoplasma

1.   Identify the risk factors for vulvar neoplasms

2.   List the indications for vulvar biopsy

Cervical Disease and Neoplasia

1.   Describe the pathogenesis of cervical cancer

2.   Identify the risk factors for cervical neoplasia and cancer

3.   State the guidelines for cervical cancer screening

4.   Describe the initial management of a patient with an abnormal Pap smear

5.   Describe the symptoms and physical findings of a patient with cervical cancer

Endometrial Hyperplasia and Carcinoma

1.   Identify the risk factors for endometrial hyperplasia/cancer

2.   Describe the symptoms and physical findings of a patient with endometrial hyperplasia/cancer

3.   Outline the causes, diagnosis and management of postmenopausal bleeding

Ovarian Neoplasms

1.   Outline the approach to a patient with an adnexal mass

2.   Compare the characteristics of functional cysts, benign ovarian neoplasms and ovarian cancers

3.   Describe the symptoms and physical findings associated with ovarian cancer

4.   List the risk factors for ovarian cancer

5.   Describe the three histological categories of ovarian neoplasms

Main Course Topics :

Gynecologic Cancer

Chemotherapy

Surgery

Cancer staging and de-bulking

Ovarian Cancer

Endometrial Cancer

Cervical Cancer

Objectives:

Other Resources - Audiovisuals:
N/A
Other Resources - Computer resources:
Atlas of Pelvic Surgery - http://www.atlasofpelvicsurgery.com/ 
Other Resources - Other :
Suture kit for practice can be checked-out from Deana Brown, MSB-4408.
Procedures:

1.   Perform Speculum and pelvic exams

2.   Basic supervised operative procedures

      a.   closing operative port sites

      b.   placement and use of uterine manipulator for robotic procedures

3.   Present a 10 - 15 minute formal talk to residents on a topic relevant to a patient you cared for on the rotation. The talk should outline the clinical/management dilemma that occurred and provide a review of literature to answer the question and resolve the dilemma. (CRITICAL REVIEW OF LITERATURE, COMPUTER BASED LITERATURE SEARCH)

SAMPLE WEEK

Monday:
8:00AM 5:00PM Office
Tuesday:
8:00AM 5:00PM OR
Wednesday:
8:00AM 9:00AM Didactics
9:00AM 5:00PM Office
Thursday:
8:00AM 5:00PM OR
Friday:
8:00AM 1:00PM Didactics
1:00PM 5:00PM Teaching rounds, patient care
SCHEDULE NOTE:
All mornings begin with rounds at 6am.

ATTENDANCE AND ABSENCE POLICY

 

Session Attendance for M4 Students

  • Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
  • Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
  • AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
  • Excused Absences - The following will be considered excused absences:
    • Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
    • Personal illness, accident or a major catastrophic event
    • Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
  • Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
  • The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
  • The following items are explained in detail in the Medical Student Handbook:
    • Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.




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