EM-1 Year Block Rotation Educational Objectives

Obstetrics and Gynecology (Labor & Delivery)

Educational objectives:

  • Recognize normal term pregnancy development and progression to labor
  • Recognize and manage high risk pregnant patients with medical conditions such as diabetes, hypertension, and asthma
  • Develop expertise in the diagnosis and management of emergent complications of pregnancy.
  • Demonstrate ability to perform uncomplicated full-term deliveries –observe, perform unassisted (minimum 10 deliveries)
  • Describe the management of complicated deliveries – observe, assist (5-10)
  • Understand indications, complications of cesarean section – observe, assist (5)
  • Provide routine post-delivery care to patients
  • Develop expertise in the management of the pregnant trauma patient including indications for peri-mortem caesarean section
  • Become familiar with the following common obstetric conditions, symptoms, and disease presentations: abortion, ectopic pregnancy, HELLP syndrome, antepartum hemorrhage including abruption placentae and placenta previa, hyperemesis gravidarum, preeclampsia, eclampsia, Rh isoimmunization,
  • Become familiar with the following complications of labor: fetal distress, premature labor, premature rupture of membranes, uterine rupture
  • Become familiar with the following complications of delivery: fetal malposition, nuchal cord, cord prolapse
  • Develop expertise in the management of postpartum complications including retained products, endometritis, hemorrhage, mastitis
  • Become familiar with the following common gynecologic conditions, symptoms, and disease presentations: cervicitis, pelvic inflammatory disease, ovarian cyst, ovarian torsion, ovarian tumors, dysfunctional uterine bleeding, endometriosis, uterine prolapse, uterine tumors, bartholin’s abscess, vaginal foreign body, vaginitis

Clinical Experiences:

A four week rotation under the supervision of the Department of Obstetrics and Gynecology faculty and senior residents during which the resident will fully participate as an active member of the Obstetrics service in the clinical management of pregnant patients both in the outpatient clinic and in the Labor and Delivery suite. They will be the principle participant in uncomplicated deliveries and observe and assist during complicated and high-risk deliveries. The resident will be expected to read selected references as outlined in the resident core curriculum regarding the management of normal and abnormal pregnancy. They will keep a log of all procedures performed during the rotation.

Didactic Experiences:

OB “sign-out” rounds every morning at 7am during which all patients on the ward are reviewed and teaching points delivered by senior residents and staff; OB didactics Mondays 7:30am, Wednesdays 7:00am. Residents are excused and expected to attend weekly EM didactic series when it does not interfere with clinical duties on this rotation.

Evaluation process:

Residents will be given ongoing feedback during the rotation in the clinical setting by supervising senior residents and staff and will receive a written evaluation upon completion of the rotation by the Obstetrics and Gynecology faculty. All evaluations are reviewed by the program director and placed in the residents’ files.

Feedback mechanisms:

Surveys regarding each clinical rotation are administered anonymously at the end of each resident year and all rotations are evaluated separately. Feedback is given directly to the EM program director.