ROTATION DETAILS PGY-2 

Emergency Medicine Emergency Medical Service PICU Community ED Rotation Trauma

 

EMERGENCY MEDICINE

 

EDUCATION OBJECTIVES

1.      To learn the Obstetric data base and to evaluate both high and low risk obstetrical patients presenting for routine deliveries as well as with obstetrical complications (Medical knowledge, practice-based learning and improvement, patient care).

2.      Understand the physiologic changes of pregnancy, the approach to evaluating the pregnant patient, the pharmacotherapy of various obstetrics complications, and to perform vaginal deliveries will all be goals in the resident’s learning experience (Practice-based learning and improvement, medical knowledge and patient care). Specific obstetric conditions with which the resident should be familiar include trauma in pregnancy; physiologic changes in pregnancy; fetal monitoring; emergent cesarean section; premature labor; placental abruption; placenta previa; pre-eclampsia/eclampsia; contraception; ectopic pregnancy; hyperemesis gravidarum; abortion; Rh incompatibility; labor (complicated and uncomplicated); hydatidform mole; premature rupture of membranes; fetal distress; uterine rupture; episiotomy closure; dystocia; prolapsed cord; retained placenta; uterine inversion; multiple births; endometritis; and mastitis (Medical knowledge, practice-based learning and improvement and patient care).

3.      To become skilled at the vaginal examination and to continue to become familiar with obstetric ultrasound (practice-based learning and improvement and patient care).

4.      To understand the environment, potential tests, and vocabulary of the practice of Obstetrics and Gynecology (System-based practice and Communication Skills).

5.      To understand the indication for hospitalization, OR and Testing. To understand the unique needs of the woman who is pregnant or experiencing a gynecologic problem (Practice-based learning, System-based Practice and Patient Care).

 

DESCRIPTION OF CLINICAL EXPERIENCES

·         Each resident will spend one month and perform as a PGY-1 Ob-Gyn intern on the Obstetrical service. They will take call on an every third-fourth night schedule under the auspices of upper-level OB-GYN residents and a faculty member. They will be the primary resident in charge of caring for the patient. Each resident will also spend time seeing patients in the outpatient Obstetrics clinic.

 

DESCRIPTION OF DIDACTIC EXPERIENCES

·         Each morning there is morning report with an Ob-Gyn Faculty member wherein the previous night’s cases are discussed.

 

EVALUATION PROCESS

·         Written evaluation by the Obstetrics residents and faculty working with EM resident

 

FEEDBACK MECHANISM

·         Direct feedback at the bedside, morning report feedback, and written formatted rotation evaluations.

 

 

This rotation has been agreed to and approved by the Chairman of the Department of Obstetrics and Gynecology. Residents are given copies of all rotation summaries at the beginning of their PGY-1 year. Residents should use rotation summaries, formatted written rotation evaluations, and their performance on the In-service Examination to assess the rotation’s effectiveness.