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Medical Student Clerkship

We are looking forward to your participation on the Obstetrics and Gynecology Service. The Phase 3 Obstetrics and Gynecology rotation incorporates a wide range of medical care. It offers obstetrics, GYN surgery, elements of primary care, preventive medicine, and psychiatric and psychological problems. The highlights of the course are bringing a new life into the world and providing health care for women.

In choosing your preferences for the hospital rotations, please note the following:

St. Mary's Health Center is the clinical base for the Saint Louis University Department of Obstetrics and Gynecology. St. Mary's offers good experience in obstetrics, including high risk, general gynecology and GYN oncology, and a rich outpatient experience.

About a week before your rotation begins, you will be emailed a personal schedule of the rotation, which gives detailed information. If you have any questions, please call John Clay, the clerkship coordinator in the Department of Obstetrics and Gynecology at 314-781-1505.

We wish you much success during your Phase 3 experiences and in particular, on our service.

Sincerely,

D. Gregory Ward, MD
Michael Thomure, MD
Co-Directors, Obstetrics Gynecology and Women's Health Clerkship

Course Co-Directors Medical Student Coordinator
D. Gregory Ward, MD
Michael Thomure, MD
Department of Obstetrics, Gynecology, and Women's Health
6420 Clayton Road
Division 2-SW, Room 235
(314) 781-1505
FAX: (314) 781-2840

John Clay
Administrative Assistant
email: jclay5@slu.edu
Department of Obstetrics, Gynecology, and Women's Health
6420 Clayton Road, Suite 230-A
(314) 781-1505 
FAX: (314) 781-2840

Clerkship Overview

The clinical experience is widely based. This experience includes rotations through inpatient Obstetrics, inpatient Gynecology, and Out-Patient clinical experiences at St. Mary’s Hospital.Our goals and objectives coincide with those of the Association of Professors in Obstetrics and Gynecology (APGO).

In addition, Gynecological Teaching Associates (GTAs) are used to teach pelvic and breast examinations during the first week of the rotation, and a practice OSCE during the third week of the rotation.

Hospital Assignments
All students will complete three weeks on the In-Patient OB Service and three weeks on the GYN Surgery/OB-GYN Out-Patient Service.

Orientation
A general orientation takes place at St. Mary's Health Center from 7:00 a.m. to 12:00 p.m. on the first day of the rotation. This orientation is conducted by Dr. Robert Blaskiewicz and Dr.April Tritto.

Team Assignments, Makeup, and Organization

Students work with attending physicians, residents, and interns on their respective obstetrical or gynecological service. Students on the GYN Surgery/OB-GYN Out-Patient Services at St. Mary's Health Center will be assigned to a specific resident to attend that resident's continuity clinic. Students will be assigned to the General Division of Obstetrics and Gynecology for the in-patient experience.

Description of a Typical Day
For students assigned to the In-Patient OB services the three-week period is divided into Day Shift, Evening Shift, and Night Float. The Day Shift begins at approximately 0600 to 1700; Evening shift begins at 1500 to 2300; and the Night Shift begins at 2300-0700. Ward activities will follow rounds.

Each student will experience one 24-hour shift on a weekend while on the GYN or Clinic service. For students assigned to the GYN Surgery a normal day begins at 0600 to make patient rounds. At 0700, work rounds are made with the resident staff. Surgery, outpatient clinics, or other activities may follow. The student's day on this service will terminate generally by 1600. Students on this service DO NOT work weekend days. Ambulatory Clinic begins at 0815 with meeting a resident in the cafeteria then off to scheduled services until 1500 for teaching rounds.

Lectures
On Fridays there is a series of didactic lectures, departmental Grand Rounds, and special conferences devoted to residents and students. Lectures are on Fridays at St. Mary's Health Center in one of the meeting rooms. Students will receive a lecture schedule and syllabus of the lectures on the day of orientation and will be advised of any changes by the Medical Student Clerkship Coordinator. Students are expected to attend Grand Rounds at St. Mary's Health Center in Kohler Auditorium at 0730 on Fridays.

In addition, students will be expected to access Internet sites, electronic databases, and other computer programs as integral components of their learning experience. A newsletter will be distributed to students that will include articles and announcements pertinent to the rotation.

Readings
Required Textbook: Obstetrics and Gynecology: Beckmann, et al Lippincott
Suggested references in General Obstetrics and Gynecology are: Fundamentals of Gynecology and Obstetrics, Dunnihoo (suggested use to study for the OB/GYN NBME-format examination); Williams' Obstetrics and Gynecology, 19th ed., Cunningham, et al; Novack's Textbook of Gynecology, 10th ed., Jones and Jones; Principles and Practice of Clinical Gynecology, Kase and Weingold; Instructional Objectives for a Clinical Curriculum in Obstetrics and Gynecology, 4th ed.; Obstetrics and Gynecology: The Clinical Core, Wynn; Obstetrics and Gynecology, Danforth; Obstetrics and Gynecology, Beck; Clinical Gynecologic Oncology, DiSaia and Creasman; Novak's Gynecologic and Obstetric Pathology, Novak and Woodruff; Clinical Gynecologic Endocrinology and Infertility, Speroff, Glass, Kane; High Risk Pregnancy and Delivery, Arias; Essentially OB/GYN, Nevill Hacker.

Suggested journal references are American Journal of Obstetrics and Gynecology ("grey journal"), Journal of Obstetrics and Gynecology ("green journal"), and Obstetrical and Gynecological Survey. These texts and journals are available at the hospital libraries.

Quizzes/Tests
The students will take weekly quizzes based in part on their lectures and the newsletter distributed the previous week. The students will complete a series of OSCE stations in the Clinical Skills Center on the last Thursday of the rotation. The students will also take a final written examination, which is supplied by the National Board of Medical Examiners on the last Friday of their rotation.

Projects and Papers
Students are required to complete a series of five Evidence-Based Medicine exercises that are to be submitted weekly. Students are also required to submit three history and physical exams. These may be handwritten or typed, but it must be an H&P on a patient that the student personally evaluated. With each H&P, the student must pose a clinical question, and using the tenets of evidence-based medicine, supply information for the literature that answers their question.

Evaluation and Grading
The final grade is based on a number of elements including clinical performance evaluation (This clinical evaluation is comprised of information from the resident and attending staffs.), National Board of Medical Examiner's written examination and the weekly quizzes, Script Concordance exercise, evaluation of the H&Ps, Evidence-Based Medicine Exercises, and Student Portfolio items, critical assessment of clinical skills using the five OSCE stations, and a peer review evaluation.

A narrative summary of the student's performance accompanies the clinical evaluation. This summary will be included with exam scores and clinical grades in the final evaluation.

Inappropriate professional behavior at any time on this rotation will prompt corrective action up to and including removal from the service.


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