Goals and Objectives for the Obstetric and Gynecologic Clerkship

 

Clerkship Specific Learning Objective

Level of Competence

Evaluation Methods

UVa

#

1. Complete a comprehensive women's medical interview including menstrual hx, obstetrical hx, gynecologic hx, contraceptive hx, sexual hx -including sexual orientation and function, family hx,  & social hx.  Assess individual  for  unintended pregnancy, STI's, cervical pathology, breast malignancy, gynecologic malignancy and domestic violence.  Present this information in a well organized written or oral report.

Shows How

CL, G, Chart review

3,4,10

2. Demonstrates interpersonal skills that build trust by addressing contextual factors (ie. Culture, ethnicity, language. literacy, socioeconomic class, spirituality/religion, age, sexual orientation, disability)

Shows how

G

1,3,12

3. Perform accurate examinations in a sensitive manner, including: breast exam, abdominal exam, complete pelvic exam- including speculum & bimanual exam, recto-vaginal exam and communicate the relevant findings using accurate & concise medical terminology in written and oral reports.

Shows How

MCQ, Log, CL, G

3,5,10

4.  Perform basic Ob/Gyn related PE /Skills including an adequate Pap smear, obtain appropriate STI cultures, prepare and interpret wet prep, prepare and interpret rupture of membranes slide, handle these specimens appropriately to improve diagnostic accuracy and provide an explanation to patient regarding purpose and results of these tests.   Be able to perform basic prenatal exam.  Additionally be able to demonstrate basic knot tying and suturing skills.

Shows How, Knows How

G, Log, CL, MCQ

9,10,

11

5. Be able to identify an accurate problem list, generate an appropriate differential diagnosis and select most appropriate diagnostic tests to lead to effective management and treatment plans.

Shows How, Knows How

CL, Chart review, G

6,7,8,9

6. Be able to describe/demonstrate basic steps in labor and vaginal delivery process.

Knows

MCQ, G, CL

11

 

7. Demonstrate basic understanding of the following:

-Antepartum, intrapartum and postpartum Ob management

- Abnormal Obstetrics

-Contraception options

-Preconception counseling

-Interpretation & Management of Pap Smears

- Diagnosis & treatment of STI's

- W/U & evaluation of AUB & Amenorrhea

- Understanding the menstrual cycle

- Screening of Reproductive Cancers

- Diff diagnosis  & treatment  first trimester bleeding

- Ectopic Pregnancy

- HRT and Menopause

- Pelvic Pain

-Domestic Violence

-Evaluation of Infertility

- General Pelvic anatomy

-Women's Preventative Health Care thru Lifespan

 

 

Knows

MCQ, G, CL

2,7,9,

10,11

 

Levels of Competence:

Knows - is achieved when the learner gathers facts.

Knows How - is achieved when facts are interpreted and applied to given situations.

Shows How - is achieved when the student demonstrates the interpretation and application  of facts.

Does - is achieved when the student's knowledge and skills are integrated into actual professional practice.

G.E. Miller The Assessment of Clinical Skills / Competence / Performance. (Acad Med 1990;65:s63-7.)

  

360                   360° Global Rating

CSR                  Chart Stimulated Recall Oral Examination

CL                    Checklist Evaluation of Live or Recorded Performance

E                        Essay

G                      Global Rating of Live or Recorded Performance

KF                    Key Features Exam

OSCE                Objective Structured Clinical Examination

PtS                   Patient Surveys

Portf                 Portfolios

Log                   Procedure, Operative, or Case Logs

RecR                 Record Review

Sim                   Simulations and Models

Oral                  Standardized Oral Examination

SPE                   Standardized Patient Examination

MCQ                 Written Examination (Multiple Choice Questions)