2020-2021 M3/M4 Course Syllabi
Obstetrics & Gynecology
COURSE NUMBER:
11 01 36
TITLE:
FEMALE PELVIC MED RECONST SURGERY -ICE
Participating students work in the outpatient and inpatient clinics for this sub-specialty of OB/GYN and Urology. The focus is on the surgical and non-surgical management of patients with pelvic floor disorders. These include Pelvic Organ Prolapse, Incontinence, and Pelvic Pain.
PREREQUISITES:
26931472 (ACTING INTERNSHP-INT MEDICINE), 26946374 (OBSTETRICS/GYN CORE CLKSP), 26980373 (SURGERY CORE CLKSP)

1. Successful completion of 3rd year clerkships.

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.

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

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

4. Christ Hospital EPIC access online training by first day of rotation.

5. Cell phone number.

6. Car for transport between clinical sites.
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
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:
4 weeks
DIRECTOR:
James Whiteside, MD
whitesje@ucmail.uc.edu
(513)558-8440
MSB, 4461
ADMINISTRATIVE SUPPORT PERSON:
Natalie Cassady
cassadnc@ucmail.uc.edu
558-7653
MSB, 4461
SITE(S):
Hoxworth Women’s Center
UC Health Medical Center
UC Midtown Campus
West Chester Medical Center
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 07/06/2020 - 07/31/2020 1
2 08/03/2020 - 08/28/2020 1
3 08/31/2020 - 09/25/2020 1
4 09/28/2020 - 10/23/2020 1
5 10/26/2020 - 11/20/2020 1
6 11/23/2020 - 12/18/2020 1
7 01/04/2021 - 01/29/2021 1
8 02/01/2021 - 02/26/2021 1
9 03/01/2021 - 03/26/2021 1
10 03/29/2021 - 04/23/2021 1
11 04/26/2021 - 05/21/2021 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:
6 am - 5 pm (Monday-Friday)
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
  • Clinical Experience - Inpatient (Nights)
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Clinical research project as designated by the elective director
  • 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.
TEACHING:
40% Attending Physician
40% Senior Resident
20% Junior Resident
FEEDBACK:
Faculty
ASSESSMENT:
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
Obstetrics and Gynecology 7th edition.  Beckman et al  (same text used for 3rd year clerkship)

        

         Chapter 28 “Pelvic support defects, urinary incontinence, and urinary tract infection”

         Chapter 30 “Dysmenorrhea and chronic pelvic pain”

TeLinde’s Operative Gynecology     (available in UC Harrison Medical Library eBooks)

Section VII “Surgery for Corrections of Defects in Pelvic Support and Pelvic Fistulas”

Chapter 8 “Preoperative Care”

Chapter 9 “Postanesthesia and Post-op care”

http://ovidsp.tx.ovid.com/sp-3.8.0b/ovidweb.cgi?QS2=434f4e1a73d37e8cd459dd3d39a28badba4d879cb343a601403536e36d7edba2396858a7f701c92b3f4e977001a82c5d2ab9c48a6d3ce5eb5c19be1eae1f54694eb154841015e1bb15902471691f4d87b951374aa5c17a6d2e355a6313e91fff73091a07e150

Atlas of Pelvic Anatomy and Gynecologic Surgery  Baggish and Karram (available for checkout from UC Harrison Medical library stacks)





ACOG Practice Bulletins



               “Antibiotic prophylaxis for gynecologic procedures”  #104  May 2009, reaffirmed 2014

 “Prevention of Deep Vein Thrombosis and Pulmonary embolism” #84  August 2007, 

  reaffirmed 2013

“Pelvic Organ Prolapse”  #85  Sept 2007, reaffirmed 2011 (undergoing revision)

“Urinary Incontinence in Women”  #155  November 2015

-              “Treatment of Urinary Tract Infections in Non-pregnant Women”  # 91, March 2008,

                 reaffirmed 2014
Knowledge/Skills:
Describe female pelvic anatomy and pelvic support/innervations

Differentiate the types of urinary incontinence

Describe the evaluation and diagnosis of incontinence

Describe the anatomic changes associated with urinary incontinence & pelvic organ prolapse

Describe medical and surgical management for urinary incontinence & pelvic organ prolapsed

Know normal and possible abnormal findings during cystoscopy

Know the various types of urodynamic testing

Know indications for pelvic floor therapy

Know common post-operative complications following pelvic reconstructive surgeries and their management/prevention strategies

Know evaluation and therapies for recurrent urinary tract infections
Main Course Topics :
Urinary incontinence

Urinary Tract Infections

Pelvic organ prolapsed

Chronic pain conditions

Pelvic examination

Female pelvic anatomy
Procedures:
Collect a history on a patient with signs and symptoms of urinary incontinence

Perform a POP-Q exam and document findings

Become familiar with cystoscopy, necessary equipment, its indications.

Prepare and interpret a urodynamic testing report

Participate in pre-operative planning for patients undergoing pelvic reconstructive surgery – including history, physical exam, and informed consent. 

Provide post-op care to patients following pelvic reconstructive surgery procedures

SAMPLE WEEK

Monday:
8:00AM 5:00PM West Chester Urology Clinic/ Midtown FPMRS Clinic/ OR
Tuesday:
8:00AM 5:00PM West Chester FPMRS Clinic
Wednesday:
8:00AM 5:00PM Dr. Mahdy Clinic / OR
Thursday:
8:00AM 1:00PM UC Hoxworth Urogyn
1:00PM 5:00PM Administrative time (work on presentation, literature write-up)
Friday:
8:00AM 5:00PM Dr. Mahdy Clinic / OR
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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