SELECT SIOGA - Inpatient Acting Internship-Obstetrics Service

1. (PC) Obtain accurate histories, perform thorough physical exams and develop comprehensive management plans for various medical conditions complicating pregnancy such as diabetes, hypertension, and sickle cell disease.
2. (PC) Obtain accurate histories, perform thorough physical exams and develop comprehensive management plans that require hospitalization such as premature labor, preterm premature rupture of membranes, preeclampsia, Intrauterine growth restriction and others.
3. (PC) Learn the evaluation process of the progress if labor and the application of internal fetal monitoring devices.
4. (PC) Perform directly supervised deliveries of uncomplicated pregnancies.
5. (MK) Evaluate and interpret lab abnormalities and formulate a response to them.
6. (MK) Evaluate antepartum and intrapartum states of mother and fetus.
7. (MK) Understand significant physiological changes of pregnancy as they are affected by medical diseases.
8. (I&CS) Present patient information and assessment to other members of the team, in an organized manner with attention to pertinent details and logical management plan.
9. (PBL&I) Use information technology to access information.
10. (P) Work effectively and harmoniously with all members of the OB service.
11. (P) Be present to report to all assigned academic activities on time and to let their team know where they are at all times.
12. (P) Perform/complete all assigned tasks in a timely and careful manner.

Texts: William’s Obstetrics 24^th ed. - Cunningham, MacDonald, Gant, Leveno

Case Files in Obstetrics and Gynecology 4^th ed by Toy, Baker, Ross, and Jennings

Case Files in High-Risk Obstetrics by Toy, Yeomans, Fonseca, and Ernest

ACOG Practice Bulletins and Compendium - selected topics

Evaluation:
The final grade will be Pass or Fail.

The acting Intern will be evaluated by the faculty and or residents who are assigned to the specific block period using a standard competency based evaluation form based on the above objectives. For the practical portion of assessing technical skills, if the student is unable to perform directly supervised placement of intrauterine fetal monitoring or a vaginal delivery then simulation will be utilized to assess the student’s skills.

The acting intern will submit a different weekly high risk patient interaction write up which includes pertinent history, physical exam and then assessment and plan and present this patient to the faculty coordinator or the designated faculty of the rotation. The expectation will be for a write up that reflects a well thought out differential and a presentation that succinctly communicates the logical thought process undergirding patient care. A total of 4 high risk obstetrical patients write ups will be submitted.

The acting intern will also submit weekly a log of patients with the listing of their chief problems or diagnosis and of self-directed learning activities that were accomplished during the week. The submitted log will be the springboard for weekly meeting with the faculty coordinator or designated faculty for discussions which are designed to nurture critical thinking development.

Offered: All

Pass/Fail