PREAMBLE: GOALS AND COMPETENCY-BASED OBJECTIVES
Department of Obstetrics and Gynecology is a Clinical Department of the
Stritch School of Medicine, Loyola University Chicago which is primarily
responsible for educating its medical students in the reproductive
sciences. We are composed of a culturally diverse faculty and
administration. In addition, a number of our faculty members hold their
primary appointments in the Primary Care Division. All of our faculty
members, whether in the Department proper or the Primary Care Division,
are committed as teachers, mentors, and role models to support the
development of the student competencies.
GOALS AND COMPETENCY-BASED OBJECTIVES
this juncture, as guided by the Liaison Committee on Medical Education, we
are converting our curriculum and evaluation of the student-physician to a
Competency Basis. Thus, whenever possible, the student-physician will be
expected to establish competency in various areas of their educational
development, not just didactic knowledge. The Six Primary Competencies in
the Curriculum are considered below.
A. Competency: MEDICAL KNOWLEDGE
Students will be expected to demonstrate a knowledge of:
- Maternal physiologic alterations during pregnancy
- Diagnosis, mechanisms and conduct of normal labor and vaginal delivery
- Clinical circumstances when an instrument assisted delivery is indicated
- Immediate assessment and care of the newborn
- Risk factors, diagnostic methods and management of ectopic pregnancies
- Etiologies, physical findings and treatment options for spontaneous abortion
- Effects of medical and surgical conditions upon pregnancy including anemia, diabetes, cardiac disease, asthma, infectious diseases, chronic hypertension and drug abuse
- Impact, diagnosis and management of pregnancy-induced hypertension
- Impact, management and prevention of Rh isoimmunization during pregnancy
- Mechanisms, diagnosis and impact of multiple gestations on neonatal morbidity and mortality.
- Etiologies, management and treatment of fetal death in-utero
- Recognition and treatment of abnormal labor including cephalopelvic disproportion, dystocia, use of oxytocin, abnormal fetal presentations and vaginal birth after cesarean section
- Differential diagnoses and management plans for a patient with third-trimester vaginal bleeding
- Etiologies, impact and management of preterm labor/premature rupture of membranes
- Recognition and management of intrapartum fetal distress
- Diagnosis and management of postpartum hemorrhage
- Diagnosis and management of postpartum infections
- Diagnosis and management of postpartum depression
- Definition and common causes of maternal mortality
- Management of the post term pregnancy
- Etiologies, diagnosis and management of fetal growth abnormalities
- Definitions, indications, risks and contraindications for common obstetrical procedures including:
- cesarean delivery
- instrument assisted delivery
- induction of labor
- Non stress testing (NST), oxytocin stress testing (OCT), and biophysical profile (BPP) testing
- antenatal genetic testing
- newborn circumcision
- Methods, effectiveness and risks of contraception
- Methods and risks of sterilization
- Etiologies, diagnosis and management of vulvovaginitis
- Etiologies, diagnosis and treatment of sexually transmitted diseases
- Pathophysiology, etiologies, diagnosis and therapeutic options for pelvic inflammatory disease
- Etiology, diagnosis and treatment of pelvic organ prolapse
- Pathogenesis, symptoms, diagnosis and treatment of endometriosis
- Symptoms, diagnosis and treatment of adenomyosis
- Benign and malignant disorders of the female breast including pathology, examination techniques, diagnostic methods and therapy
- Physiology and pathophysiology of normal and abnormal puberty
- Definitions, causes and diagnostic approach to amenorrhea
- Presentation, causes and diagnostic approach to hirsutism and virilization
- Definitions, causes and evaluation of abnormal uterine bleeding
- Definitions, causes and treatment of dysenorrhea
- Physiology, symptoms and diagnosis of menopause including risks, benefits and methods of hormone replacement therapy
- Definition, causes and evaluation of the infertile couple
- Etiologies, diagnosis and treatment of premenstrual syndrome
- Etiologies, diagnosis and management of gestational trophoblastic disease
- Etiology, diagnosis and management of cervical dysplasia including colposcopy, directed biopsy, endocervical curettage and cone biopsy
- Diagnosis, management and indications for surgical treatment of uterine myomas
- Etiologies, diagnosis, staging and management of:
- vulvar neoplasia
- cervical neoplasia
- endometrial neoplasia
- ovarian neoplasia
- Physiologic, emotional and societal influences regarding female sexuality including issues of sexual dysfunction, alternative sexual expression, sexual assault and physical sexuality
- Definitions, indications, risks and contraindications for common
- gynecologic procedures including:
- dilatation and curettage
- colposcopy and cervical biopsy
- endometrial biopsy
- pregnancy termination
- laser vaporization
- vulvar biopsy
- staging laparotomy
- needle aspiration of breast
B. Competency: PATIENT CARE
- Develop history taking skills in ob/gyne
- Develop physical exam skills in ob/gyne
- Be able to provide routine antepartum care
- Be able to perform a cervical evaluation on a laboring patient
- Be able to recognize an abnormal fetal heart rate tracing
- Be able to perform an uncomplicated vaginal delivery
- Be able to provide routine postpartum care
- Be able to perform a routine pelvic examination to include the taking of a Pap smear and endocervical swabbing
- Be able to diagnose and manage a patient with an abnormal vaginal discharge
- Be able to make decisions for patient care in regard to pelvic ultrasound findings for possible ovarian pathology, fetal conditions or ectopic pregnancy
C. Competency: COMMUNICATION SKILLS
- Establish professional interactions with female patients
- Establish professional interactions with residents, faculty and other health care professionals
- Learn to formulate differential diagnoses and management plans for obstetrical and gynecologic patients
D. Compentency: PROFESSIONALISM
- Create thorough, yet concise, medical records
- Reinforce self-learning skills
- Learn to interact with peers and supervisors in a constructive manner.
- Establish and foster professional role models
E. Competency: PRACTICE BASED AND LIFE LONG LEARNING
- Realize the economic impact of health care decisions in obstetrics and gynecology
- Develop a constructive attitude towards the importance of human reproduction as it pertains to individuals, families and society
- Foster and reinforce self-learning skills
- Foster professional library skills and information acquisition skills using computer-based models
F: Competency: SOCIAL AND COMMUNITY CONTEXT OF HEALTHCARE
- Be aware of the many non-medical factors that influence disease, disability, and access to adequate health care.
Begin to partner with health care managers and other health care providers to assess, coordinate, and improve your delivery of medical care. Know how these activities can promote health, prevent disease, and manage illness.
- (a) Show an awareness of the ways in which family, culture, age, gender, physical and mental disabilities, and religious beliefs can influence healthcare decisions and outcomes.
- (b) Engage the various social supports (familial, cultural and spiritual) of the patient when rendering care.
- (c) Be aware that inappropriate and stereotypical language and categorizing of patients and all humanity is unacceptable.
- (d) Recognize the barriers that non-medical factors may impose on the delivery of healthcare.
- (e) Demonstrate a sophisticated knowledge of the social determinants of child abuse and domestic violence, as well as the economic, psychological, social, and cultural factors that may have an impact on their development and continuation.
- (f) Demonstrate an understanding that many people in our society are at risk for inadequate healthcare. Among these are the poor, uninsured, underinsured, children, unborn, single parents, the elderly, racial minorities, immigrants, refugees, the disabled, chemically dependent, and those with incurable diseases.
- (a) Demonstrate knowledge of the role for--and the services provided by--community resources.
- (b) Demonstrate an ability to arrange referrals to community resources for patients and their families.
- (c) Learn to work cooperatively with social service providers and to value their input into the comprehensive treatment plan for your patients.