Credits: 4.00 CREDITS (Clinical Elective)
Directors: McElrath, Thomas Frederick; Wilkins-Haug, Louise Edith
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time one month. Not offered in May.
Open to Exclerks: US/Canadian
During their rotation as subinterns on the MFM inpatient service, students actively admit and follow patients, participating in their procedures and deliveries. The students are expected to be the physicians for their panel of patients under the supervision of the MFM fellows, a third year obstetrics resident and the attending perinatologist. Formal structured teaching occurs during Wednesday didactic sessions, after morning rounds and during weekly perinatal conferences. Students are expected to take night call, but the schedule is flexible. Grading is based on evaluations from resident staff, fellows and divisional faculty.
Familiarity with the physiology and common pathophysiologies of pregnancy.
Familiarity with the diagnosis and treatment of the common antenatal complications of pregnancy including preeclampsia, preterm premature fetal membrane rupture, preterm labor, placental abruption, and fetal growth abnormalities.
Familiarity with the diagnosis and treatment of the common medical complications of pregnancy including pre-gestational diabetes, asthma, HIV, and maternal autoimmune complications.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Basic science and evidence-based concepts, applicable to maternal fetal medicine, are incorporated primarily during daily teaching rounds and at at formal, weekly perinatal rounds and Ob Rounds.
Observation and participation in clinics, labor & delivery, operating room, on the wards with specific attention to integrity, interpersonal skills, professionalism, communication skills, fund of knowledge, participation and attendance. Feedback from faculty, fellows, residents, nurses and other ancillary staff.
Top 5%-10% of students who've rotated through the elective. Consistent high honors in all categories from all evaluators.
80%-90% Consistent honors in all categories from all evaluators.
50%-80% Consistent satisfactory in all categories from all evaluators.
Fails to meet the absolute minimum standards expected of a 4th year student with respect to integrity, interpersonal skills, professionalism, communication skills, fund of knowledge, participation and attendance.