PGY-3
- Obstetrics- Labor Floor Day Team
GOALS AND OBJECTIVES: Exposure to all aspects of normal and high-risk pregnancies, active management of labor, and supervision of the labor floor
CORE COMPETENCIES:
Patient Care / -Actively manage laboring patients admitted to Labor Floor-Participate in operative vaginal deliveries and complicated cesarean deliveries
-Participate in management of antepartum patients admitted to Labor Floor
-Participate in postpartum care for women with complicated deliveries
-Care for OBGYN patients in the outpatient Dickens Center setting
Medical Knowledge / -Prenatal diagnosis and treatment
-Understand and teach fetal and maternal invasive and non-invasive monitoring
-Repair of 3rd and 4th degree lacerations
Interpersonal and Communication Skills / -Be able to counsel patients regarding vaginal delivery, operative vaginal delivery, vaginal birth after cesarean, cesarean delivery
-Communicate with patients and families in an urgent care setting
-Optimize care provided by healthcare team by communicating with nursing staff, anesthesia, pediatrics, obstetrics
-Provide thorough, concise signout to night team
Professionalism / -Provide effective mentoring and role modeling for junior residents and students
Practice-Based Learning and Improvement / -Run Fetal High-Risk Conference in conjunction with fellows
-Attend Pediatric/OB Conference
Systems-Based Practice / -Present at monthly M+M conferences to improve patient safety, learn from errors, become informed about complex medical issues
-Use Baby Tracker system for data monitoring
- Obstetrics- Antepartum
GOALS AND OBJECTIVES: Exposure to high-risk, inpatient, and outpatient obstetrics as the first-line decision-maker on patient management issues
CORE COMPETENCIES:
Patient Care / -Direct and manage the Antepartum service-Direct and manage the Perinatal Evaluation Center
-Provide prenatal care for high-risk patients at Dickens
-Attend PPP sessions
Medical Knowledge / -Complete management of high-risk obstetrical conditions (diabetes, hypertension/preeclampsia, cardiac disease, multiple gestation, IUGR, preterm labor/ PPROM)
-Antepartum fetal surveillance- indications, frequency, interpretation
Interpersonal and Communication Skills / -Educate inpatients regarding disease and how pregnancy is affected, discuss indications for inpatient care
-Manage team including NP, junior resident, students, under supervision of fellow and attending
- Communicate significant changes in patient status to members of team
Professionalism / -Provide effective mentoring and role modeling for junior residents and students
-Take ownership of service as chief resident
Practice-Based Learning and Improvement / -Present cases at High Risk OB Conference
-Lead teaching at am and pm signout
-Tracing review
Systems-Based Practice / -Providing care in team setting with nursing, obstetrics, social work
-Understand resources available
-Present at monthly M+M conferences to improve patient safety, learn from errors, become informed about complex medical issues
-Use Baby Tracker system for data monitoring
- Gynecology- Benign
GOALS AND OBJECTIVES: Exposure to all aspects of benign gyn surgery with further development of operative skills and techniques and expertise in postoperative management
CORE COMPETENCIES:
Patient Care / -Cover operating room cases, majors and minors at HUP, Presbyterian Hospital, VA-Participate in postoperative care for Benign Gynecologic surgery patients as well as inpatient admissions
-Attend to emergency room and inpatient consults and become familiar with gynecologic surgical emergencies and admissions
- Care for OBGYN patients in the outpatient Dickens Center setting
-Counsel patients regarding medical vs. surgical management of benign gynecologic conditions
Medical Knowledge / -Pelvic anatomy
-Understand and execute surgical procedures including: operative laparoscopy/ hysteroscopy, abdominal/vaginal/laparoscopic hysterectomy, myomectomy
-Perform more complex surgeries with greater independence including operative laparoscopy, vaginal surgery and reconstruction, lysis of adhesions
-Postoperative management and treatment of complications
Interpersonal and Communication Skills / -Assist chief with delegation of responsibilities and with teaching of junior residents
-Work with other services to provide emergency and/or consult care appropriately
-Pre and post-surgical counseling
-Address advanced directives for gynecologic admissions
-Provide informed consent
-Follow up for early pregnancy patients tracked in quant book
Professionalism / -Provide effective mentoring and role modeling for junior residents and students
-Respond to consult requests in a timely manner
Practice-Based Learning and Improvement / -Provide educational experiences to Gyn team with presentations of consults
-Participate in work and teaching rounds
-Attend weekly GYN Case Conference
Systems-Based Practice / -Present at monthly M+M conferences to improve patient safety, learn from errors, become informed about complex medical issues
-Continue use of ACGME database for case collection
- Gynecology- Chester County Hospital
GOALS AND OBJECTIVES: Exposure to all aspects of benign gyn surgery with further development of operative skills and techniques and expertise in postoperative management
CORE COMPETENCIES:
Patient Care / -Achieve the level of first surgical assistant/ primary surgeon on gynecologic surgical cases-Provide post-operative follow up and inpatient care
Medical Knowledge / -Pelvic anatomy
-Broaden experience with varying surgical techniques, laparoscopic and open
Interpersonal and Communication Skills / -Cooperate with residents from Pennsylvania Hospital to provide effective patient care
Professionalism / -Maintain a good work ethic, punctuality, and efficiency as representatives of HUP
Practice-Based Learning and Improvement / -Use personal clinical experience to improve knowledge and surgical skills in the operating room
-Seek instruction and feedback from attendings with a commitment to practice improvement
Systems-Based Practice / -Attend monthly M+M conferences to improve patient safety, learn from errors, become informed about complex medical issues
-Continue use of ACGME database for case collection
- Gynecologic Oncology
GOALS AND OBJECTIVES: Exposure to all aspects of Gyn Oncology including operative technique, pre and post-operative management, chemotherapy. This rotation is designed to give the resident experience in managing a surgical service as the primary decision-maker working closely with the fellows.
CORE COMPETENCIES:
Patient Care / -Management of service as the senior resident-Organize coverage of all gyn oncology operative cases and act as first assistant/surgeon on complex surgical cases
-Assess the need for admission to inpatient service for patients presenting through office or emergency room
-Cover Colposcopy clinic
Medical Knowledge / -Advanced management of the gyn oncology surgical and post-operative patient
-Surgical approach to the treatment of gynecologic malignancies and staging procedures
-Principles of chemotherapy and radiation
-Familiarity with GOG protocols
Interpersonal and Communication Skills / -Perform as a team leader and patient advocate
-Manage team of 3 residents and students/ sub-interns under fellow and attending supervision
-Provide compassionate care to patients who are critically ill, coping with cancer diagnosis and associated treatments
-Coordinate inpatient and outpatient care
-Signout to gynecology night coverage
Professionalism / -Provide effective mentoring and role modeling for junior residents and students
Practice-Based Learning and Improvement / -Conduct morning work rounds
-Participate in afternoon rounds with Oncology fellow/attending
-Participate in Gyn Onc Conferences and case presentations
Systems-Based Practice / -Present at monthly M+M conferences to improve patient safety, learn from errors, become informed about complex medical issues
-Continue use of ACGME database for case collection
- Night Float- Gynecology
GOALS AND OBJECTIVES: Postoperative management, emergency gyn consultation, and surgery
CORE COMPETENCIES:
Patient Care / -Provide care/coverage for all gynecology inpatients-Act as primary consultant to the ED
-Determine need for and cover OR cases for all gynecologic emergencies
-Assist with the labor floor team as necessary
Medical Knowledge / -Management of routine and emergent postoperative issues
-Evaluation and management of patients presenting to the Emergency Department
-Understanding criteria for inpatient admission of gynecologic patients
-Diagnosis and management of ectopic pregnancy
-Emergency surgical skills
Interpersonal and Communication Skills / -Respond to ED consult requests in a timely and efficient manner
-Provide whole and compassionate care to gyn patients in an urgent care setting
-Triage surgical emergencies efficiently and work with OR staff to expedite cases appropriately
Professionalism / -Provide effective mentoring and role modeling for junior residents and students
-Adhere to attending supervision guidelines and protocols
Practice-Based Learning and Improvement / -Follow quant book data to compare clinical impressions and outcomes
-Attend weekly GYN Case Conference
Systems-Based Practice / -Practice cost-effective health care and resource allocation that does not compromise quality of care
- Reproductive Endocrinology and Infertility
GOALS AND OBJECTIVES: Exposure to basic office infertility and endocrinology with the evaluation of outpatients
CORE COMPETENCIES:
Patient Care / -Care for OBGYN patients in the outpatient Dickens Center setting-See patients in the REI faculty practice office in order to become familiar with basic office infertility and endocrinology
-Perform ultrasounds and hysterosalpingograms
-Cover major and minor cases with REI fellows and attendings
Medical Knowledge / -Assessment of the infertile couple
-Understanding normal physiology and abnormalities of the menstrual cycle
-Assessment of ovulation and management of ovulatory dysfunction
-Principles of ultrasound; scanning for follicular development and early pregnancy
-Principles of oocyte retrieval
Interpersonal and Communication Skills / -Communicate effectively with patients in language appropriate to age, educational, cultural, socioeconomic background
-Convey information to colleagues in a concise, effective manner
Professionalism / -Demonstrate a commitment to excellence and interest in ongoing professional development
Practice-Based Learning and Improvement / -Attend REI conferences
-Attend morning resident conferences
Systems-Based Practice / -Use Blackboard on-line curriculum to broaden knowledge base and improve patient care
-Demonstrate ability to use electronic medical records
- Elective
GOALS AND OBJECTIVES: Focused project for career development
CORE COMPETENCIES:
Patient Care / -Care for OBGYN patients in the outpatient Dickens Center setting-varies by elective
Medical Knowledge / -varies by elective
Interpersonal and Communication Skills / -varies by elective
Professionalism / -varies by elective
Practice-Based Learning and Improvement / -varies by elective
Systems-Based Practice / -varies by elective