Women's Health Clerkship Objectives

• APGO Objectives PDF

• Obstetrics And Gynecology Clerkship Goals

Following is a condensation of the “Instructional Objectives for a Clinical Curriculum in Obstetrics and Gynecology” (Eighth Edition) of the Association of Professors of Obstetrics and Gynecology (APGO).  The numbers shown correspond to the numbers of the APGO objectives.  A more detailed outline is available on www.apgo.org

UNIT ONE:  APPROACH TO THE PATIENT

1. History

2. Examination

3. Pap Smear and Cultures

4. Diagnosis and Management Plan

5. Personal Interaction and Communication Skills

6. Legal and Ethics Issues in Obstetrics and Gynecology

7. Preventive Care and Health Maintenance
    
   UNIT TWO:  OBSETRICS
   Section A:  Normal Obstetrics

8. Maternal-Fetal Physiology

9. Preconception Care

10. Antepartum Care

11. Intrapartum Care

12. Immediate Care of the Newborn

13. Postpartum Care

14. Lactation
     
    Section B:            Abnormal Obstetrics

15. Ectopic Pregnancy

16. Spontaneous Abortion

17. Medical and Surgical Conditions in Pregnancy

18. Preeclampsia-Eclampsia Syndrome

19. Isoimmunization

20. Multifetal Gestation

21. Fetal Death

22. Abnormal Labor

23. Third-Trimester Bleeding

24. Preterm Labor

25. Preterm Rupture of Membranes

26. Intrapartum Fetal Surveillance

27. Postpartum Hemorrhage

28. Postpartum Infection

29. Anxiety and Depression

30. Postterm Pregnancy

31. Fetal Growth Abnormalities
    
    Section C:  Procedures

32. Obstetric Procedures
     
    UNIT THREE:  GYNECOLOGY
     
    Section A:  General Gynecology

33. Contraception and Sterilization

34. Abortion

35. Vulvar and Vaginal Disease

36. Sexually Transmitted Infections and Salpingitis

37. Pelvic Relaxation and Urinary Incontinence

38. Endometriosis

39. Chronic Pelvic Pain
     
    Section B:  Breasts

40. Disorders of the Breast
     
    Section C: Procedures

41. Gynecological Procedures
     
    UNIT FOUR:  REPRODUCTIVE ENDOCRINOLOGY, INFERTILITY, AND RELATED TOPICS

42. Puberty

43. Amenorrhea

44. Hirsutism and virilization

45. Normal and Abnormal Uterine Bleeding

46. Dysmenorrhea

47. Climacteric

48. Infertility

49. Premenstrual Syndrome
     
    UNIT FIVE:  NEOPLASIA

50. Gestational trophoblastic Neoplasia

51. Vulvar Neoplasms

52. Cervical disease and Neoplasia

53. Uterine Leiomyomas

54. Endometrial Carcinoma

55. Ovarian Neoplasms
     
    UNIT SIX:  HUMAN SEXUALITY
     
    Sexuality and modes of Sexual Expression
     
    UNIT SEVEN:  VIOLENCE AGAINST WOMEN

56. Sexual Assault

57. Domestic Violence

OBSTETRICS AND GYNECOLOGY CLERKSHIP GOALS

By the end of the clerkship the student will be able to:

1. Understand the process of normal labor and delivery.
   a. Each student will stay with one laboring patient from the beginning of labor to the time of delivery.
   b. The student will observe the residents or private practitioners during deliveries, particularly when these involve different modes of assisted delivery.

2. Participate as a principal and assistant in normal labor and delivery.
   a. The student will act as the principal obstetrician for a laboring patient under the close supervision of a resident.
   b. Participate in at least one delivery as described.
   c. The student will write a full admission H&P and progress notes on a laboring patient.

3. Recognize antepartum, intrapartum, and postpartum complications and their prevention and evaluation.
   a. The student will make rounds on the antepartum and postpartum floors as assigned.  The residents will specify particular duties.
   b. The student will attend all outpatient obstetrical patient clinics.
   c. The student will assist the residents in the early labor lounge to determine which patient should be admitted in labor.

4. Take a complete history from an obstetrical and gynecological patient.
   a. The student will interview patients in a variety of settings such as the outpatient Ob/Gyn Clinic and Labor & Delivery.
   b. The student will receive feedback from residents and attendings regarding their interview skills.

5. Recognize and manage common problems in ambulatory obstetrics and gynecologic patients including breast care, contraception, and preventive health care for women.  Identify patients at high risk following a complete history and physical exam.
   a. The student will learn to manage common medical complications in pregnancy such as hypertension, asthma, diabetes mellitus, and seizures.
   b. Perform a complete breast exam.
   c. The student should be able t specify appropriate preventive health care measures for different populations of women.  Examples include mammography, pap smears, and bone density studies.
   d. The student should be familiar with various types of contraception.

6. Perform general and pelvic examinations on normal and abnormal obstetric/ gynecologic patients including pap smears and vaginal discharge microscopy.
   a. The student will obtain basic understanding of the pelvic examination at the time of scheduled of Professional Patient Program.
   b. Each student will perform several pap smears during the clerkship.
   c. Each student should make a wet prep of a vaginal discharge from at least two patients complaining of symptoms consistent with vaginitis.  The student should be able to recognize microscopically the common causes of vaginitis.

7. Recognize the clinical features of the common gynecologic disorders and their prevention.
   a. Each student should become adept at taking a complete gynecologic history and performing a basic physical examination including a pelvic and rectal examination.
   b. Each student should be able to use the information derived from the history and physical to generate a differential diagnosis of the patient’s problem.
   c. Each student should be able to describe the primary modes of therapy for the common gynecologic disorders.

8. Understand the principles of and participate in common major/minor gynecologic operations.
   a. Each student should serve as a first or second assistant where deemed appropriate in as many minor/major gynecologic operations as possible.
   b. The student should become familiar with the appropriate writing of preoperative and postoperative orders for patients that are undergoing gynecologic surgery.

9. Appreciate the moral and ethical aspects of obstetrics and gynecology and the relationship of obstetrics and gynecology to other medical disciplines.  The student should participate in a structured conference which deals with the major problems inherent in human reproduction.

10. Prepare case presentations of obstetrics and/or gynecologic patients supported by appropriate literature review.
    a. Two oral/typed presentations to an assigned faculty member.  The presentation should be based upon a patient the student has personally evaluated.

11. Recognize and be familiar with procedures common in the Ob/Gyn field.
    a. Each student will present a brief (5 minute) discussion about one procedure from a list assigned on the first day of the rotation.