COURSE TITLE, DEPT. & COURSE NO: Pediatric and Adolescent Obstetrics and Gynecology
OBG 814
Course Description: Year IV elective in the care of Pediatric and Adolescent patients who are pregnant or have gynecologic health visits.
2-4 week duration, dates must be approved by course director
Course Location: Marshall University Medical Center
Cabell Huntington Hospital
University Obstetrics and Gynecology HIMG office
Course Director: Jennie Yoost, MD Course Contact: Rebecca Blake
Course Objectives:
1. Understand the principles of primary and preventative health care in the female pediatric and adolescent population.
2. Learn the principles of antepartum care with specific attention to the adolescent age group.
3. Describe mental health disorders as they relate to adolescents.
4. Understand and provide counseling for adolescent females seeking contraceptive care.
5. Describe the evaluation and management of pediatric/adolescent females with abnormal development of secondary sexual characteristics.
6. Describe the evaluation and management of pediatric/adolescent females with pelvic pain.
7. Describe the evaluation and management of pediatric/adolescent females with abnormal uterine bleeding.
8. Understand how to educate adolescent females on sexuality.
Course Outline:
1. Student will provide primary and preventative health care to pediatric and adolescent females under the supervision.
2. Student will learn how to obtain a history and perform a targeted physical examination in pediatric and adolescent female patients with gynecologic health issues.
3. Student will provide obstetrical care to adolescent patients
4. Students will continue mastery of physiologic and anatomic changes of that accompany puberty
5. Student will participate in all surgical cases done by course faculty
6. Student will participate in care of inpatient admissions and consultations
Schedule: Varies, but generally
M-F Sign in conference 8:00 a.m.- 5:00 p.m.
W Grand rounds 7:00 a.m.
F Perinatal work rounds 12:00 p.m.
INSTITUTIONAL GOALS AND OBJECTIVES MET OR ADDRESSED
Patient Care:
1. Students will receive instruction on and manage pediatric and adolescent female patients with:
a. Need for contraception
b. Abnormal uterine bleeding
c. Pelvic pain
d. Vaginal and vulvar disorders
e. Pregnancy
Medical Knowledge:
The students will receive instruction on and demonstrate knowledge of:
1. Female Reproductive Anatomy
2. Normal and abnormal sexual development
3. Female Reproductive Physiology
4. Mental Health Disorders in Adolescents
5. Normal and abnormal uterine bleeding
6. Pelvic Pain
Practice Based Learning and Improvement:
Students will
1. Complete assigned reading from textbook provided
2. Identify knowledge gaps and seek out methods to correct
3. Review medical literature specific to assigned patients
Interpersonal and Communication Skills:
Students will demonstrate
1. Ability to obtain medical history from patient and caregiver
2. Discussion the variety of contraceptive options for adolescents
3. Ability to educate patients and families about medical conditions
4. Communicate patient information with other members of the health care team
5. Demonstrate use of the electronic health record for documentation of history and physical examinations, progress notes, and discharge summaries
Professionalism:
Students will
1. Demonstrate ability to obtain informed consent
2. Maintain patient confidentiality and understand the reasons when confidentiality must be compromised
3. Care for adolescents in a non-judgmental manner
System Based Practice:
Students will demonstrate
1. Ability to coordinate care with referring primary care physicians
2. Understand the economic costs of unplanned pregnancies on patients, families, and society
3. Understand the principles of cost containment as related to gynecologic care.
TEACHING METHODS AND ASSESSMENT:
Course will be taught by the faculty of the Department of Obstetrics and Gynecology. There is no designated lecture time. Elective will be spent in the care of patients, under supervision. Student is expected to demonstrate practice based learning and improvement skills when not otherwise assigned. Expected hours per week = 40-60
Weekend duty and after hours call is expected at the discretion of the course director.
Subjective evaluation and grading will be provided by the faculty upon completion of elective. Student will be required to take and pass (see grading policy) a written multiple choice question examination with emphasis on required reading assignments.
Subjective evaluation and grading will be provided by the faculty on an oral presentation by the student. The student will be required to select one patient encounter or topic of interest and prepare a short oral presentation (5-10 minutes). Students will be evaluated on clarity and comprehension of chosen topic.
Subjective evaluation by the faculty will be completed utilizing elective evaluation form (see attached). Student will receive feedback after each surgical procedure.
GRADING POLICY:
Letter Grade OR PASS/FAIL:
Letter grade will be assigned as follows:
50% of grade subjective evaluation by the faculty
Faculty will be asked to assign numerical grade
40% determined by MCQ administered throughout elective. The student will be given a MCQ during the first week of the elective. The student is expected to be able to answer questions by utilizing assigned readings. Completed examination must be submitted by noon of the final day of the elective.
10% determined by oral presentation.
Grading Scale:
93 – 100 A
85 – 92 B
75 – 84 C
74 & Below F
Mid-Point Evaluation
In accordance with LCME standard ED-30, the Course Director will evaluate student performance at mid-point to review the student’s professional, clinical and academic performance up to that point. The formative evaluation must be reviewed with the student and the student will have an opportunity to discuss with the Course Director. The form must be signed by the student and returned to the Course Director. The Course Director shall then forward a copy of the form to the Office of Academic Affairs. The form will NOT however be included in the student’s official academic record.
ATTENDANCE POLICY: INCLEMENT WEATHER POLICY:
Students will be required to attend daily as scheduled. Absences and Inclement Weather as per MUSOM rules.
REQUIRED READING:
Text: Provided to student for use during the rotation.
Emans, et al. Pediatric and Adolescent Gynecology. 6th edition
Chapter 1: Office Evaluation of the Child pages 1-9
Chapter 4: Vulvovaginal Problems in the Prepubertal Child, pages 43-57
Chapter 6: Physiology of Puberty, pages 100-105, 109-112
Chapter 9: Amenorrhea pages 138-143, 145-147, 155-156
Chapter 10: Abnormal Vaginal Bleeding in the Adolescent
Chapter 11: Androgen Abnormalities in the Adolescent Girl
Chapter 12: Structural Abnormalities of the Female Reproductive Tract, pages 213-224
Chapter 13: Gynecologic Pain
Chapter 16: Genital Trauma, pages 293-299, 301-303
Chapter 18: Sexually Transmitted Infections
Chapter 20: Human Papillomavirus Infection, pages 377-379
Chapter 21: Adnexal Masses, pages 389-392
Chapter 24: Contraception
Chapter 26: Adolescent Sexuality and Sexuality Education
Chapter 28: Gynecologic Issues in Adolescents with Developmental Delay
Chapter 30: Sexual Abuse, pages 524-534
Chapter 32: Legal Issues in Pediatric and Adolescent Gynecology
POLICY STATEMENT ON MAJOR PROJECTS, EXAMINATIONS AND OTHER ASSIGNMENTS (DUE DATES, MAKE-UPS) INCLUDING POLICY STATEMENT ON HOLDING GRADES UNTIL COURSE EVALUATIONS ARE COMPLETED:
Students will be given MCQ during first week of elective and may be completed at any time during the elective. Students may utilize appropriate texts and electronic resources to determine correct answers. Completed MCQ examination must be submitted to the course director by noon of the final day of the elective. Grades will be held pending evaluation of elective. Make up dates will be determined by course director.
PLAGERISM POLICY/ACADEMIC INTEGRITY POLICY STATEMENT:
As per MUSOM rules.
Revised June 9, 2016