OB504M.1

Urogynecology/Female Pelvic Medicine and Reconstructive Surgery

Sites: BIDMC
Director(s): Katharyn Atkins, Roger Lefevre
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Aug, Sep, Oct, May, June. Closed October 2016- March 2017
Location: BIDMCE - BI-Deaconess Med Ctr-East (1)
Open to Exclerks: US/Canadian
Description: This course is structured to provide students with adequate clinical exposure to the evaluation and management of women with disorders of the pelvic floor. Students will work directly with a Urogynecologist in both inpatient/outpatient settings at BIDMC and/or MAH. They will learn focused history-taking skills, thorough pelvic examination and participate in all diagnostic testing and procedures performed in the office. Daily teaching will occur during clinic sessions and cover relevant topics such as: pelvic anatomy, pelvic organ prolapse, urinary & fecal incontinence, urinary tract infections and others. Students will also assist in all surgical cases where the above concepts will be reinforced. They will learn about postoperative management and assessment of potential surgical complications during daily rounds in the hospital. The Section of Urogynecology at BIDMC has a clinical database available which provides students with the opportunity to start their own or participate in ongoing research projects.
Incorporation of Basic Science Content and Evidence-Based Medicine:
The student will be exposed daily to Basic Science and Evidence-based medicine during each patient's evaluation and counseling by the faculty. At the completion of both their second and fourth week, the student will perform a thorough search of the current medical literature for articles relevant to a selected case seen the office. Students will learn how to critically evaluate the information from a journal article and apply clinically relevant data during a "mock patient-counseling session" that will be held with the faculty.
Grade Criteria:
Honors with Distinction: In addition to the criteria listed to achieve "Honors", the student needs to start his/her own or participate in ongoing research projects. Honors: By the end of the rotation, the student should display: - An excellent fund of knowledge regarding the evaluation and management of pelvic floor disorders. - An excellent ability to summarize their evaluation and management plan for patients with pelvic floor disorders. - An exceptional ability to interact with patients and support staff. - A excellent performance and preparedness for their 2 "mock patient-counseling sessions". Satisfactory: By the end of the rotation, the student should display: - A basic fund of knowledge regarding the evaluation and management of pelvic floor disorders. - The ability to summarize their evaluation and management plan for patients with pelvic floor disorders. - The ability to interact with patients and support staff. - An average performance and preparedness for their 2 "mock patient-counseling sessions". Unsatisfactory: By the end of the rotation, the student has consistently displayed despite feedback from the faculty: - A lack of fund of knowledge regarding the evaluation and management of pelvic floor disorders. - An inability to summarize their evaluation and management plan for patients with pelvic floor disorders. - Difficulty interacting with patients and support staff. - A poor performance and preparedness for their 2 "mock patient-counseling sessions".