2024-2025 M3/M4 Course Syllabi
Obstetrics & Gynecology
COURSE NUMBER:
11 01 50
TITLE:
Family Planning
Students learn family planning and contraceptive techniques at Cincinnati Planned Parenthood and Hoxworth Center for Women's Health. Students will also explore legal and ethical issues related to family planning decisions. This course is a hybrid of in-person observation, hands-on experiences and online virtual learning. As the Family Planning landscape changes in Ohio the elective day to day activities are subject to changing as well. Students will be exposed to the foundation of Family Planning topics through online virtual modules and one-on-one discussions with the course director.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP), 26946374 (OBSTETRICS/GYN CORE CLKSP), 26980373 (SURGERY CORE CLKSP)


  1. Students that have a strong interest in Ob/Gyn and Family Planning will be able to complete a 4-week elective after review and approval from the course director
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:
COURSE TYPE:
Clinical
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: NO
COURSE LENGTH:
2
DIRECTOR:
Meredith Pensak
pensakmj@ucmail.uc.edu
513-558-8116
MSB, 4452-B
ADMINISTRATIVE SUPPORT PERSON:
Natalie Cassady
cassadnc@ucmail.uc.edu
558-7653
MSB, 4461
SITE(S):
Hoxworth Women’s Center
Planned Parenthood
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 05/06/2024 - 05/17/2024 1
2 06/03/2024 - 06/14/2024 1
3 07/01/2024 - 07/12/2024 1
4 07/29/2024 - 08/09/2024 1
5 08/26/2024 - 09/06/2024 1
6 09/23/2024 - 10/04/2024 1
7 10/21/2024 - 11/01/2024 1
10 01/13/2025 - 01/24/2025 1
11 02/10/2025 - 02/21/2025 1
12 03/10/2025 - 03/21/2025 1
13 04/07/2025 - 04/18/2025 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:
8:00 am - 5:00 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
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Patient Presentation--Faculty
  • 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:
90% Attending Physician
10% Junior Resident
FEEDBACK:
ASSESSMENT:
 Clinical preformance, and participation.

ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Participation
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
Ryan Residency Online Training Curriculum ( www.ryanprogram.org): 6 required modules:
  1. Module I. Overview of Abortion Care
  2. Module II.First-Trimester Uterine Aspiration Abortion and Second-Trimester Dilation and Evacuation
  3. Module III. Medication Abortion and Labor Induction Termination
  4. Module IV. Early Pregnancy Loss Management
  5. Module V. Contraception
  6. Module VI. Policy

Online access to the text book “Management of Unintended and Abnormal Pregnancies”: https://uclid.uc.edu/search~S39?/X(management+of+unintended+pregnancy)&searchscope=39&SORT=D/X(management+of+unintended+pregnancy)&searchscope=39&SORT=D&SUBKEY=(management+of+unintended+pregnancy)/1%2C11%2C11%2CB/frameset&FF=X(management+of+unintended+pregnancy)&searchscope=39&SORT=D&1%2C1%2CSociety of Family Planning
Clinical Guidelines: https://www.societyfp.org/resources/clinical-guidelinesACOG

Practice Bulletins:

  1. Second Trimester Abortion No 135
  2. Medical Management of First-Trimester Abortion No 143
  3. Long-Acting Reversible Contraception: Implants and Intrauterine Devices No 186
  4. Management of Stillbirth No 102
  5. Early Pregnancy Loss No 200
  6. Benefits and Risks of Sterilization No 208
  7. Emergency Contraception No 152
Instructional Methods:
  1. Clinical Experience- outpatient
  2. Presentations- paper on a legal/ethical issue related to family planning of their choice.
  3. Self-Directed Learning
  4. Clinical Experience--Ambulatory
  5. Independent Learning
  6. Journal Club
  7. Self-Directed Learning
  8. Multisource Assessment
  9. Oral Patient Presentation
  10. Participation
Knowledge/Skills:
  1. Describe mechanism of action and effectiveness of barrier, hormonal and intrauterine contraceptive devices CLINICAL PHARMACOLOGY/PREVENTION;
  2. Understand barriers to effective contraceptive use PREVENTION;
  3. How to diagnose pregnancy and establish gestational age;
  4. Know the surgical and non-surgical methods for elective pregnancy termination;
  5. Understand the role that gestational age plays in termination method;
  6. Know the required legal consent process for elective termination ETHICS;
  7. Know potential short-term and long-term complications from these procedures;
  8. Understand the factors that contribute to a woman's decision to have an elective termination ETHICS;
  9. Know screening (NT, Quad, Maternal screen for fetal DNA) and diagnostic options (CVS, Amniocentesis) for T21, T18, and T13;  
  10. Understand the political and legal factors which influence a patients access to family planning and abortion services ETHICAL ISSUES.
Main Course Topics :
  1. Family Planning
  2. Abortion
  3. Contraception
Procedures:
  1. Provide contraceptive counseling to patients   RISKS/BENEFITS;
  2. Observe/participate in IUD and Nexplanon placements;
  3. Observe the patient counseling and informed consent process for elective termination   RISKS/BENEFITS;
  4. Observe surgical and medical termination procedures;
  5. Provide discharge teaching to patients who have undergone termination procedures;
  6. Perform bimanual exams;
  7. Perform speculum placements;
  8. Perform cervical block;
  9. Observe/participate in first trimester ultrasound
Remediation Plan:
 Self- Directed Assignment.

SAMPLE WEEK

Monday:
8:00AM 5:00PM Planned Parenthood Family Planning Clinic
Tuesday:
8:00AM 5:00PM Planned Parenthood Surgical Center
Wednesday:
7:30AM 10:00AM Grand Rounds/Department Didactics
10:00AM 12:30PM Independent Learning Time
12:30PM 5:00PM Hoxworth Complex Contraception Clinic
Thursday:
8:00AM 5:00PM Planned Parenthood Surgical Center
Friday:
8:00AM 5:00PM Planned Parenthood Surgical Center
SCHEDULE NOTE:

 The course porgam manager will send an email prior to your start. Please review the syllabus, and the requirements attached in the email that will be sent. You will be scheduled a time to have a brief phone conversation with Dr. Pensak to go over the elective and details about the schedule. 




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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