OB505M.1

Gynecologic Oncology

Credits: 4.00 CREDITS (Clinical Elective)
Sites: BIDMC
Directors: Awtrey, Christopher S
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month.
Open to Exclerks: Yes (may be restricted for international students)
Description:
This course is primarily a clinical experience, focused on providing the student with a fund of knowledge in the diagnosis, natural history, and management of gynecologic tumors. The multidisciplinary approach to cancer management will be emphasized. Students will attend weekly colposcopy clinics. Students will also see patients with attendings during outpatient sessions. Each student will be assigned several patients to follow in the hospital. The student will perform the preoperative evaluation, attend surgery, and follow the patient postoperatively. Management will be discussed with the faculty at daily beside teaching rounds. The students will present their patients at a weekly multidisciplinary gynecologic tumor conference and be expected to provide a discussion of management options. During the four weeks, the student will be expected to prepare a literature review relevant to a case on the service. The topic will be selected together with the course director and will emphasize the multimodality approach to cancer management. The student will prepare a oral report of his/her literature review.
Learning Goals:
Upon completion of this course the student should have an understanding of the presentation, risk factors, treatment and prognosis of women with a malignancy involving female genital tract.
Upon completion of this course the student should have an understanding of the basic surgical approach, relavent anatomy,pre- and post-operative care of patients with gynecologic malignancies.
Upon completion of this course the student should be able to discuss the complex psycho-social issues facing women carrying a diagnosis of a pelvic malignancy. Students should have an appreciation and understanding of the necessary communication skill needed to address these issues.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Basic science content and evidenced based medicine are incorporated in the course in all aspects in the care of our patients. In the OR we review the surgical approach and discuss the relevant anatomy. In the post-operative time period we review the data about how best to care for our, at times very sick patients. Finally we utilize a multidisciplinary treatment planning conference to discuss the use of surgery, adjuvant chemotherapy or radiation which really highlights basic science research and data in our field.
Evaluation:
Students are evaluated while actively participating in the care of patients on this service. An evaluation is based on the students understanding of the basic principles of the treatment of patients with gynecologic malignancies. Students will be evaluated also on their ability to take a detailed history and to perform, or describe the important components of a physical exam on patients suspected to have a gynecologic malignancy. Students will be evaluated on their ability to work with the team including residents, nurses and physicians to assist in the care of patients on service. Finally the student will be evaluated on their final project presentation where they will verbally report on a patient, her disease course and describe the data supporting a recommended treatment plan including surgery and adjuvant therapy.
Grade Criteria:
High Honors:
The student consistently demonstrates an exceptional level of knowledge of the principles of patients with gynecologic malignancies. The student has an exceptionally good ability to work within the team to assist in the care of patients. The student demonstrates an exceptional ability to perform a thorough physical exam and present the case in an efficient manner to members of the team.
Honors:
The student consistently demonstrates an excellent level of knowledge of the principles of patients with gynecologic malignancies. The student has an excellent ability to work within the team to assist in the care of patients. The student demonstrates an excellent ability to perform a thorough physical exam and present the case in an efficient manner to members of the team.
Satisfactory:
The student consistently demonstrates an basic level of knowledge of the principles of patients with gynecologic malignancies. The student has the ability to work within the team to assist in the care of patients. The student demonstrates an the ability to perform a thorough physical exam and present the case in an efficient manner to members of the team.
Unsatisfactory:
The student consistently demonstrates a lack of basic knowledge of the principles of patients with gynecologic malignancies. The student has a difficulty in the ability to work with the team to assist in the care of patients. The student demonstrates and inability to perform a thorough physical exam and present the case in an efficient manner to members of the team.
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