OB-Gyn 260 Internship in Obstetrics and Gynecology AY 2023- 2024

Module Objectives

Learning Outcomes

Teaching-Learning Activities Pre-COVID

Alternative Teaching-Learning Activities

Evaluation

1. Perform the following:
   1. prenatal care
   2. monitor normal labor 
   3. normal vaginal delivery (including episiotomy & episiorrhaphy)
   4. render immediate postpartum care
   5. provide post partum follow up 
   6. advise patients on breastfeeding, family planning/spacing

LO1, 2, 3, 4, 5, 6, 8,  9, 10, 11

-   Rotation in the Outpatient clinic and Ortoll Primary Reproductive Care Center

24 hour duty at the OBAS, LR/DR and Operating Room Complex

Phase 1 and 2:

Telemedicine consults with supervision by senior residents and consultant on duty

Quizzes

SGD (via video-conference)

Teleconsult evaluation

1. Diagnose, manage and treat with supervision:
2. hyperemesis gravidarum
3. threatened abortion and preterm labor
4. first degree perineal lacerations, post partum 
5. mild postpartum bleeding due to uterine atony
6. menstrual disorders
7. common inflammatory diseases of the vulva and vagina

LO1, 2, 3, 4, 5, 6, 7, 8, 10, 11

-   SGDs

-   Staff conferences

-   Ward work, outpatient clinics 

-   24 hour duty at OBAS, LR/DR, Operating Room

Phase 1:

Online conferences and summary rounds

Telemedicine consults with supervision by senior residents and consultant on duty

Phase 2:

Ward work (non-COVID OB area): 

• 8-hour duty shift at the LR/DR/OB-OR complex
• 8-hour duty shift at the non-Covid wards (OB and Gyne wards)

Online recitation

Quizzes

Final Examination

Comprehensive Exam

SGD (via video-conference)

Case discussion evaluation

1. Diagnose and refer:
2. Bleeding in early pregnancy
3. Gestational trophoblastic diseases
4. Bleeding in late pregnancy
5. Multiple pregnancies
6. Hydramnios
7. Cord prolapse
8. Hypertensive complications of pregnancy
9. Other cases of high risk pregnancy
10. Medical and surgical complications in pregnancy
11. Dystocia
12. Postpartum and puerperal complications

1. Obstetric shock 
2. Pelvic infections
3. Infertility and menstrual disorders
4. Benign gynecologic lesions of female genital tract
5. Premalignant and malignant lesions
6. Pelvic relaxation
7. Adolescent and menstrual problems
8. Congenital abnormalities of female genital tract

LO1, 2, 3 4, 5, 6, 7, 8, 9, 10, 11

-   Summary rounds

-   Preoperative conferences – general OB Gyne Service, Malignancy Rounds, Tropho Rounds

-   SGDs

-   Staff conferences

-   Teaching rounds in gyne onco and trophoblastic disease services

-   Rotation in subspecialty services (Gyne Oncology & Tropho Services) 

-   Ward work, outpatient clinics and conferences

-   Outpatient clinic 

24 hour duty at OBAS, LR/DR, Operating Room

Phase 1:

Online Summary Rounds

Online Pre-op conferences

Online Gyne Onco, Tropho, IMU, Infectious diseases, REI, Ultrasound Conferences

Phase 2:

Ward work (non-COVID OB area): 

• 8-hour duty shift at the LR/DR/OB-OR complex

8-hour duty shift at the non-Covid wards (OB and Gyne wards)

Surgical assists in Gyne elective cases (benign & malignant, general and subspecialty services)

Online Recitation

SGD (via video-conference)

Paper Case Discussion on gynecologic malignancy case

Paper case discussion

-       Benign gynecologic condition

-       Obstetric case

Teleconsult evaluation 

Quizzes

Final Examination

Comprehensive examination

1. Perform independently the following procedures:
2. Leopold’s maneuver and estimation of fetal weight
3. Complete pelvic examination and clinical pelvimetry
4. Cervical and vaginal smear for Pap test, culture and TMG
5. Normal delivery, local anesthesia, episiotomy, episiorrhaphy and perineorrhaphy or 1st and 2nd degree tears and postpartum monitoring
6. Cervical inspection post partum
7. Vaginal packing
8. Initial resuscitation of newborn
9. Family planning procedures like IUD insertion, removal and assist in tubal ligation
10. Assist in minor and major gynecologic operations

LO1, 2, 3 4, 5, 6, 7, 8, 9, 10, 11

-   Lecture regarding the procedures during orientation 

-   Demo/ Return demo

-   Outpatient clinic rotation

-   24 hour duty at OBAS, LR/DR, Operating Room

Phase 1: 

Online Lecture regarding the office gynecologic procedures and normal labor and delivery

Handout pdf file of same lecture

Phase 2:

Ward work (non-COVID OB area): 

• 8-hour duty shift at the LR/DR/OB-OR complex
• 8-hour duty shift at the non-Covid wards (OB and Gyne wards)
• Surgical assists in Gynecologic elective cases (benign & malignant, general and subspecialty services)

Phase 2:

OSCE – simulation skills lab evaluation

Assessment Tools

% Distribution

Small Group Discussion/ Case Conference

Synchronous: Zoom Conference

Asynchronous -- Paper Case Discussion  

1. Gynecology 

2. Obstetrics

10%

10%

20%

Written Quizzes

Weekly Online Quiz (minimum of 5)

15%

Clinical Skills

OSCE/ Skills lab simulation

10%

Ward Work

Gyne elective assists and patient rounds

OB duties 

Telemedicine 

Ward duty

Subspecialty rotation: Gynecologic Oncology, Trophoblastic diseases, Maternal-Fetal Medicine

5%

7.5%

7.5%

5%

10%

35%

10%

Written Examination #1

Final Exams

10%

Written Examination #2

Comprehensive Exam 

10%