2020-2021 M3/M4 Course Syllabi
Obstetrics & Gynecology
COURSE NUMBER:
11 01 32
TITLE:
OB Laborist -ICE
4th year students spend two weeks working with the St. Elizabeth Hospital (Edgewood, Kentucky) Laborist Team. They assist with management of laboring patients, cesarean sections, workup of obstetric patients in triage & postpartum rounds as necessary. Student will have patient responsibilities that either start or end at 7 pm.
PREREQUISITES:
1.    Successful completion of 3rd year OB/GYN Core Clerkship.

2.   Badging and EPIC training requirements for St. Elizabeth Hospital System.

3.   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.

http://www.acog.org/About_ACOG/ACOG_Departments/Medical_Students/Membership_Application

4.   Cell phone.
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
4
CREDIT WEEKS:
2
DOMESTIC VISITING:
NO
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: NO
COURSE LENGTH:
2 weeks
DIRECTOR:
Andrea Hamel
hamelam@ucmail.uc.edu
513-558-6919
MSB, 4460
ADMINISTRATIVE SUPPORT PERSON:
Natalie Cassady
cassadnc@ucmail.uc.edu
558-7653
MSB, 4461
SITE(S):
St. Elizabeth Hospital-Edgewood
MAX ENROLL:
2 
ROTATIONS:
Rotation Dates Max
2 08/03/2020 - 08/14/2020 1
2 08/17/2020 - 08/28/2020 1
3 08/31/2020 - 09/11/2020 1
6 11/23/2020 - 12/04/2020 1
6 12/07/2020 - 12/18/2020 1
7 01/04/2021 - 01/15/2021 1
7 01/18/2021 - 01/29/2021 1
10 04/12/2021 - 04/23/2021 1
11 04/26/2021 - 05/07/2021 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:
7:00 AM - 7: 00 PM (Mon-Fri) or 7:00 PM - 7:00 AM (Sun-Thurs. days/nights)
REPORT 1ST DAY:
you will receive an email with detailed information prior to the elective

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Patient Presentation--Learner
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.
TEACHING:
70% Attending Physician
30% Other Allied Health Professional(s)
FEEDBACK:
Faculty
ASSESSMENT:
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
Manual of Obstetrics – 7th edition Dr. Arthur T Evans

(entire text is a good quick reference for any OB rotation)

Manual of Obstetrics – 7th edition Chapter 4 “The puerperium”  Thompson and Bukowski


Williams Obstetrics – 23rd edition – Section VI – Chapters 30-33 - “The puerperium”


         Available in HSL E-books collection

http://www.aap.org/en-us/about-the-aap/aap-press-room/Pages/Newborn-Male-Circumcision.aspx


ACOG Practice Bulletins

  1. 199 Use of Prophylactic Antibiotics in Labor and Delivery (August 22, 2018) (Replaces Practice Bulletin Number 120, June 2011)
  2. 198 Prevention and Management of Obstetric Lacerations at Vaginal Delivery (August 22, 2018) (Replaces Practice Bulletin Number 165, June 2011) (Interim Update)
  3. 196 Thromboembolism in Pregnancy (June 25, 2018) (Replaces Practice Bulletin Number 123, August 2011) (Correction)
  4. 190 Gestational Diabetes Mellitus (February 2018) (Replaces Practice Bulletin Number 180, July 2017) (Interim Update)
  5. 189 Nausea and Vomiting of Pregnancy (January 2018) (Replaces Practice Bulletin 153, September 2015)
  6. 188 Prelabor Rupture of Membranes (January 2018) (Replaces Practice Bulletin Number 172, October 2016) (Interim Update)
  7. 184 Vaginal Birth After Cesarean Delivery (November 2017) (Replaces Practice Bulletin Number 115, August 2010) 
  8. 183 Postpartum Hemorrhage (October 2017) (Replaces Practice Bulletin Number 76, October 2006) 
  9. 178 Shoulder Dystocia (May 2017) (Replaces Practice Bulletin Number 40, November 2002)
  10. 177 Obstetric Analgesia and Anesthesia (April 2017) (Replaces Practice Bulletin Number 36, July 2002; Committee Opinion Number 295, July 2004; Committee Opinion Number 339, June 2006; and Committee Opinion Number 376, August 2007)
  11. 175 Ultrasound in Pregnancy (December 2016, Reaffirmed 2018) (Replaces Practice Bulletin 101, February 2009, and Committee Opinion 297, August 2004) 
  12. 173 Fetal Macrosomia (November 2016, Reaffirmed 2018) (Replaces Practice Bulletin Number 22, November 2000) 
  13. 171 Management of Preterm Labor (October 2016, Reaffirmed 2018) (Replaces Practice Bulletin Number 159, January 2016) (Interim Update)
  14. 170 Critical Care in Pregnancy (October 2016, Reaffirmed 2017) (Replaces Practice Bulletin Number 158, January 2016) (Interim Update)
  15. 169 Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies (October 2016, Reaffirmed 2016) (Replaces Practice Bulletin Number 144, May 2014) (Interim Update)
  16. 161 External Cephalic Version (February 2016, Reaffirmed 2018) (Replaces Practice Bulletin Number 13, February 2000)
  17. 156 Obesity in Pregnancy (December 2015, Reaffirmed 2018) (Replaces Committee Opinion Number 549, January 2013)  (Correction)
  18. 116 Management of Intrapartum Fetal Heart Rate Tracings (November 2010, Reaffirmed 2017)
  19. 146 Management of Late-Term And Postterm Pregnancies (August 2014, Reaffirmed 2016)
  20. 145 Antepartum Fetal Surveillance (July 2014, Reaffirmed 2016) (Replaces Practice Bulletin Number 9, October 1999)
  21. 134 Fetal Growth Restriction (May 2013, Reaffirmed 2018) (Replaces Practice Bulletin Number 12, January 2000)
  22. 130 Prediction and Prevention of Preterm Birth (October 2012, Reaffirmed 2018) (Replaces Practice Bulletin Number 31, October 2001 and Committee Opinion No. 419, October 2008)
  23. 107 Induction of Labor (August 2009, Reaffirmed 2016) (Replaces Practice Bulletin Number 10, November 1999; Committee Opinion Number 228, November 1999; Committee Opinion Number 248, December 2000; Committee Opinion Number 283, May 2003)
  24. 106 Intrapartum Fetal Heart Rate Monitoring: Nomenclature, Interpretation, and General Management Principles (July 2009, Reaffirmed 2017) (Replaces Practice Bulletin Number 70, December 2005)
  25. 102 Management of Stillbirth (March 2009, Reaffirmed 2016) (Replaces Committee Opinion Number 383, October 2007)
  26. 86 Viral Hepatitis in Pregnancy (October 2007, Reaffirmed 2018) (Replaces Educational Bulletin Number 248, July 1998)
  27. 82 Management of Herpes in Pregnancy (June 2007, Reaffirmed 2018) (Replaces Practice Bulletin Number 8, October 1999)
  28. 72 Vaginitis (May 2006, Reaffirmed 2017)

ACOG Committee Opinions

1.     “Emergent therapy for acute onset of severe hypertension during pregnancy and the postpartum period” #623, February 2015

2.     “Non-medically indicated early term delivery” #561, April 2013, reaffirmed 2015ACOG Task Force Publications

Hypertension in Pregnancy, 2013

http://www.acog.org/Resources_And_Publications/Task_Force_and_Work_Group_Reports/Hypertension_in_Pregnancy



UC Maternal-Fetal Medicine Protocols

https://www.med.uc.edu/obgyn

Divisions

Maternal-Fetal Medicine

Practice Protocols

Click on link within the last paragraph of the Practice Guidelines

Enter UC 6+2 and network password


  1. Induction of labor protocol
  2. OB triage
  3. Ultrasound pregnancy dating
  4. Preterm labor
  5. PPROM
  6. Pre-eclampsia protocol
  7. Oxytocin Induction/augmentation protocol
Knowledge/Skills:
List the signs and symptoms of true and false labor;

Describe the 3 stages of labor and recognize common abnormalities;

Describe the causes and methods of evaluating abnormal labor patterns;

Know pain management approaches during labor;

Know indications and contraindications to Pitocin administration;

Know indications and methods for labor induction;

Know risks and benefits to a trial of labor after cesarean section;

Describe techniques of fetal monitoring;

Know indications for cesarean section and operative vaginal delivery;

Describe immediate care of the newborn.
Main Course Topics :
Normal and Abnormal Labor

Newborn care

Postpartum Care

Obstetrics

Triage
Procedures:
Perform an initial assessment of the laboring patient;

Interpret intrapartum electronic fetal monitoring;

Assist/Perform a vaginal delivery;

Assist in a cesarean section;

Perform basic suturing in OR ;

Assist in operative vaginal deliveries;

Assist/Perform basic repairs of vaginal lacerations;

Assist/Perform basic OB ultrasound for fetal number, lie, and placentation;

Assist/Perform circumcisions;

Perform initial newborn assessments and assign APGAR scores;

Provide inpatient postpartum care and provide patient counseling with supervision.

SAMPLE WEEK

Monday:
7:00AM 6:00PM Labor and Delivery (7am-7pm or 7pm Sun-7am Mon)
Tuesday:
7:00AM 6:00PM Labor and Delivery (7am-7pm or 7 pm-7 am)
Wednesday:
7:00AM 6:00PM Labor and Delivery (7am-7pm or 7pm-7am)
Thursday:
7:00AM 6:00PM Labor and Delivery (7am-7pm or 7pm-7am)
Friday:
7:00AM 6:00PM Labor and Delivery (7am-7pm)
SCHEDULE NOTE:

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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