Obstetrics and Gynecology

Obstetrics and Gynecology (6 weeks)

Description

The Obstetrics and Gynecology clerkship is a six week primarily inpatient experience, performed at either the University of Chicago or NorthShore University HealthSystem. Students at both hospitals spend three weeks each on the Obstetrics service and a gynecologic surgery service. Students at NorthShore will have a primarily low-risk OB and general gynecology experience, whereas students at the U of C see primarily high-risk obstetrics and rotate on either the benign gynecology or gyn-oncology surgical service. Students who rotate at NorthShore will remain at NorthShore for their entire clerkship, excepting orientation day and exam day, the final day of the clerkship.

The inpatient portion of the Obstetric service (OBS) comprises caring for pregnant patients who are hospitalized for complications of pregnancy, and for postpartum patients. Labor and Delivery is where the student will follow patients in labor and participate in their delivery. It is a fast-paced experience and consists of 12-hour shifts. All students will also take at least one 12 hour weekend call during the rotation, with option for more call experience based on interest.

During their inpatient gynecology rotation, students will scrub on surgical cases, care for post-operative patients, see ER consultations with their team and attend morning attending rounds. Students at the U of C will be assigned to either the benign gynecology service or the gyn-oncology service; NorthShore students may be assigned to benign or oncology cases depending on case load.

Each student at both sites will also be assigned an individual faculty preceptor. This preceptor will provide individual evaluation of clinical skills, and will mentor the student in the outpatient setting. Students will attend at least one half-day of outpatient clinic per week with their preceptor. In addition, students on the OB service at the U of C will spend 1-2 half-days per week in the high risk obstetrics clinic. Other opportunities for outpatient exposure will vary by site.

Didactic sessions will be held throughout the week at the individual sites. Some of these lectures will be videoconferenced; others may be available on-line for individual viewing. Other required didactic activities will include on-line case studies, presentations to the chair and required reading from the text listed below.

Clinical Evaluation

Clinical performance is evaluated by the residents and faculty who work with the students on each rotation, as well as the student’s faculty preceptor.  Students provide evaluation cards to the residents and faculty with whom they have worked most; these evaluation cards provide both quantitative and qualitative feedback to the clerkship director, who determines a composite clinical grade. This grade, in conjunction with the preceptor’s clinical skills assessment, accounts for 60% of the overall grade for the clerkship. Performance on the shelf  and oral exam, completion of online clinical cases and the experience passport account for the remainder of the final clerkship grade.

Objectives

At the end of the OB/GYN rotation, students should:

  • Understand the basic concepts surrounding reproduction, the physiologic changes of pregnancy, common obstetric complications, the process of labor and delivery and the immediate post-partum period
  • Demonstrate physical exam skills necessary to perform a pelvic exam, an exam of a pregnant woman in prenatal care and in labor, and have participated in at least one vaginal and one cesarean delivery
  • Understand the fundamentals of common gynecologic issues, including generation of a gynecologic differential diagnosis and understanding of basic treatment options both surgical and non-surgical
  • Understand the epidemiology, anatomy, screening and diagnosis of common gynecologic cancers

Obstetrics and Gynecology Grade

  • Clinical Performance - 50%
  • Written Exam - 25%
  • OSCE - 15%
  • Case Presentation - 5%
  • Case Log Completion - 5%

Required Textbook

  • Beckmann et al, Obstetrics and Gynecology; available in the campus bookstore