2024-2025 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. UC Health required EPIC training completed and working log-in by first day of rotation.
3. Cell phone number.
4. 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:
Hayley Barnes
barneshc@ucmail.uc.edu

ADMINISTRATIVE SUPPORT PERSON:
Natalie Cassady
cassadnc@ucmail.uc.edu
558-7653
MSB, 4461
SITE(S):
UC Health Women‘s Center - Midtown
West Chester Medical Center
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 05/06/2024 - 05/31/2024 1
2 06/03/2024 - 06/28/2024 1
3 07/01/2024 - 07/26/2024 1
4 07/29/2024 - 08/23/2024 1
5 08/26/2024 - 09/20/2024 1
6 09/23/2024 - 10/18/2024 1
7 10/21/2024 - 11/15/2024 1
8 11/18/2024 - 12/13/2024 0
9 12/16/2024 - 01/10/2025 0
10 01/13/2025 - 02/07/2025 1
11 02/10/2025 - 03/07/2025 1
12 03/10/2025 - 04/04/2025 1
13 04/07/2025 - 05/02/2025 0

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. The course director will send as well based on her schedule.

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)
  • Patient Presentation--Learner
  • Research
  • Self-Directed Learning (Learners take initiative for their own learning; diagnosing needs; formulating goals; identifying resources; implementing appropriate activities; and evaluating outcomes.)
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:
80% Attending Physician
10% Senior Resident
10% Junior Resident
FEEDBACK:
ASSESSMENT:
 Exam, Institutionally Developed, Oral




ASSESSMENT METHODS:
Exam, Institutionally Developed, Oral
Oral Patient Presentation
Participation
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :

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
Instructional Methods:
  • Clinical experience - ambulatory and inpatient
  • Discussion
  • Conference (Wednesday AM dept sessions)
  • Patient presentations - faculty and leaner
  • Self-directed learning
Knowledge/Skills:
  1. Describe female pelvic anatomy and pelvic support/innervations
  2. Differentiate the types of urinary incontinence
  3. Describe the evaluation and diagnosis of incontinence
  4. Describe the anatomic changes associated with urinary incontinence & pelvic organ prolapse
  5. Describe medical and surgical management for urinary incontinence & pelvic organ prolapsed
  6. Know normal and possible abnormal findings during cystoscopy
  7. Know the various types of urodynamic testing
  8. Know indications for pelvic floor therapy
  9. Know common post-operative complications following pelvic reconstructive surgeries and their management/prevention strategies
  10. 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:
  1. Collect a history on a patient with signs and symptoms of urinary incontinence
  2. Perform a POP-Q exam and document findings
  3. Become familiar with cystoscopy, necessary equipment, its indications.
  4. Prepare and interpret a urodynamic testing report
  5. Participate in pre-operative planning for patients undergoing pelvic reconstructive surgery – including history, physical exam, and informed consent. 
  6. Provide post-op care to patients following pelvic reconstructive surgery procedures
Remediation Plan:
Self-Directed Assignments

SAMPLE WEEK

Monday:
7:30AM 5:00PM West Chester Urology Clinic/ Midtown FPMRS Clinic/ OR
Tuesday:
8:00AM 5:00PM OR or West Chester Pelvic Health Center
Wednesday:
9:30AM 5:00PM Midtown FPMRS Clinc
Thursday:
7:30AM 5:00PM West Chester Pelvic Health Center
Friday:
7:30AM 1:00PM West Chester Pelvic Health Center
1:00PM 5:00PM Admin time
SCHEDULE NOTE:
The schedule is due to change. Program Manager will send an email with details close to the start of the corse. 

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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