Education Table of Contents: Introduction Educational Objectives List of Recommended Textbooks Organization and Structure Master Rotation Schedule (on Hold for now) Rotation Descriptions and Educational Guidelines Continuity Clinics Teaching Conferences Schedule Resident Projects

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Educational Goals and Objectives For the Residency Program in Obstetrics and Gynecology

Goals

To provide:

• a structured educational experience
• an opportunity for resident physicians to achieve the knowledge, skills and attitudes essential to the practice of obstetrics and gynecology
• specific educational experiences geared toward the development of competence in the provision of ambulatory primary health care for women
• opportunity for increasing responsibility, appropriate supervision, formal instruction, critical evaluation and counseling for the residents
• a scholarly environment

The ACOG Committee on Graduate Medical Education has mandated 6 core competencies to be achieved in a residency curriculum. They are:

• Patient care/surgical skills
• Medical knowledge
• Professionalism
• Interpersonal communication skills
• Practice-based learning skills
• System-based learning skills

We have incorporated the 6 competencies as overall goals in our program, by adopting the following interpretations:

• To have each resident achieve independent competence in the full range of obstetrics and gynecology
• To enable the residents to become respected practitioners of the specialty of obstetrics and gynecology, and to become competent teachers of patients, medical students and other physicians
• To enable the residents to become compassionate and supportive physicians, and ethical and valuable members of our society
• To teach residents the basics of epidemiology, statistics, and data collection, by involving each resident in a research project
• To guide the residents to develop the curiosity and skills to facilitate critical review of the medical literature
• To teach and enable the residents to acquire the knowledge and skills needed to pass the written and oral examinations of the American Board of Obstetrics and Gynecology
• To teach the residents to provide competent assessment and to understand when consultation with a subspecialist or expert in another field is appropriate

Objectives

General Considerations

Basic science/mechanisms of disease most pertinent of the four clinical disciplines of the specialty (obstetrics, gynecology, reproductive endocrinology, and oncology)

• Genetics
• Physiology
• Embryology and developmental biology
• Anatomy
• Pharmacology
• Pathology and neoplasia
• Microbiology and immunology

Professional growth and development

• Ethics
• Communication skills
• Information management
• Continuing medical education
• Stress management

Practice management

• Familiarity with the health care delivery system
• Terminology/classification of disease

Ambulatory Health Care

Primary care

• Initial assessment
• Screening
• Evaluation and counseling
• Immunization

Management of nongynecologic conditions

• Head, ears, eyes, nose, and throat
• Respiratory system/chest
• Cardiovascular system
• Gastrointestinal system
• Urinary system
• Neuropsychiatry system
• Endocrine system
• Musculoskeletal system

Gynecologic Care

• Contraception
• Induced abortion
• Sexuality
• Crisis intervention

Office procedures

• Diagnostic procedures
• Therapeutic procedures

Obstetrics

Antepartum care

• Physiologic changes in pregnancy
• Fetal development and physiology
• Preconceptual care
• Genetic counseling
• Prenatal care
• Antepartum fetal monitoring

Medical complications

• Diabetes mellitus
• Diseases of the urinary system
• Infectious diseases
• Hematologic disorders
• Cardiac disease
• Pulmonary disease
• Gastrointestinal disease
• Diseases of the nervous system
• Endocrine disease (excluding diabetes)
• Collagen vascular disorders
• Emergency care during pregnancy
• Psychiatric disorders
• Malignancies in pregnancy
• Drug use in pregnancy

Obstetrics complications

• Second trimester pregnancy loss
• Preterm labor (at or before 37 weeks)
• Bleeding in late pregnancy
• Hypertension in pregnancy
• Multiple gestation
• Fetal growth restriction
• Isoimmunization
• Dystocia
• Postterm pregnancy
• Premature rupture of membranes
• Fetal death

Intrapartum care

• Labor and delivery
• Intrapartum fetal assessment
• Induction and augmentation of labor
• Operative vaginal delivery
• Cesarean delivery
• Vaginal birth after cesarean delivery
• Anesthesia

Postpartum care

• Evaluation of the newborn
• The puerperium
• Lactation
• Postpartum hemorrhage and obstetric shock
• Puerperal infection
• Puerperal thrombophlebitis and pulmonary embolism

Gynecology

Disorders of the urogenital tract

• Abnormal uterine bleeding
• Vaginal and vulvar infections
• Sexually transmissible diseases
  Pelvic support defects
• Pelvic masses
• Chronic pelvic pain
• Endometriosis
• Urogynecology disorders

Disorders of the breast

• Benign conditions of the breast
• Galactorrhea

Critical care

• Toxic shock syndrome
• Septic shock
• Acute respiratory distress syndrome
• Hemodynamic monitoring
• Cardiopulmonary resuscitation
• Allergic drug reactions

Early pregnancy loss

• Spontaneous abortion
• Ectopic pregnancy
• Recurrent pregnancy loss

Gynecologic procedures and complications

• Procedures
• Complications
• Postoperative infections

Reproductive Endocrinology

Pediatric and Adolescent Gynecology

• Pediatric gynecology (birth to menarche)
• Adolescent gynecology (postmenarche)
• Precocious puberty
• Delayed puberty

Menstrual and endocrine disorders

• Dysmenorrhea
• Dysfunctional uterine bleeding
• Amenorrhea
• Premenstrual syndrome
• Hirsutism

Infertility

• Infertility evaluation
• Reproductive technologies

Management of Climacteric Period

• Physiology of menopause
• Symptoms of menopause
• Problems of menopause

Oncology

Vulvar and vaginal malignancies

• Preinvasive vulvar lesions
• Invasive vulvar carcinoma
• Preinvasive vulvar neoplasia (vaginal intraepithelial neoplasia)
• Carcinoma of the vagina

Cervical disorders

• Preinvasive cervical disease
• Invasive carcinoma of the cervix

Carcinoma of the uterus

• Endometrial hypoplasia
• Carcinoma of the endometrium
• Uterine sarcoma

Ovarian and tubal carcinoma

• Carcinoma of the ovary
• Carcinoma of the fallopian tube

Gestational trophoblastic disease

• Hydatidform mole
• Malignant gestational trophoblastic disease

Carcinoma of the breast

• Epidemiology of breast cancer
• Invasive carcinoma of the breast

Therapy

• Radiation therapy
• Chemotherapy
• Terminal care

Research

Each resident is responsible for completing a research project by graduation. The project is intended to develop a basic understanding of research design and statistics, and to allow demonstration of that understanding (for details, please see the section in this manual on resident research projects).

For a more detailed list of objectives, please refer to the latest edition of the CREOG publication, "Educational Objectives-Core Curriculum in Obstetrics and Gynecology."

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