Student Assignment Descriptors


 

ARNP Clinic

(Specific ARNP listed on your schedule) (ARNP names are Pierce, Adams and McKey)

Time: AM & PM. Location: WHG.

Objective

The ARNP clinics have a lot of bread-and-butter obstetrics and gynecology and you will be able to learn history taking and physical exam skills.

Preparation

Read about topics appropriate for the outpatient setting.

Participation

You will be assigned to a half-day clinic. You will take patient histories, perform physical exams, and present to the ARNP and possibly the CCC Attending. Your ARNP clinic will be assigned by the last name of the ARNP to whom you are assigned.

Evaluation

Providers will evaluate your ability to do a focused history and physical and develop a differential diagnosis and management plan. They will also evaluate your basic clinical knowledge and reasoning skills and professionalism based on your interactions with patients and staff.


 BOARD ROUNDS

(See OB Weekly Schedule).

Time: Monday – Friday at 8-830 AM. Location: Nurses lounge in L & D until the renovations are complete in L & D.

Objective

This is the formal hand-off of patients from one shift to the next, and is designed to acquaint all providers with the patients in L&D. In addition, common problems in antepartum and intrapartum women will be discussed. 

Preparation

None

Participation

Discussion is usually at the first and second year level which is very appropriate for you. You may, occasionally, be asked a question at your level.

Evaluation

You will be evaluated based on your professional behavior during this conference and based on your knowledge of basic topics in obstetrics.


 

Case-Based Conferences

Time: Monday-Friday, mainly 1200-1300 or 1600-1700, however can be scheduled at other times depending on faculty availability. Location: MCR or WHG Conference Room.

Objective

Increase your knowledge of core topics.

Preparation

For each conference topic you have been given 1 to 4 cases with questions (see Modcore) You must read for the answers to the questions associated with each case. In addition to Beckmann, it is expected you will read in the text books available to you. Read the entire chapter even if the CBC covers only part of it.

Participation

You will participate in the discussion of the cases. Attendance is required unless you are at an off campus assignment, L&D shadowing or involved in a clinical event of better educational value.

Evaluation

Faculty will evaluate you on your preparation, knowledge and participation.


CLINIC (CCC) = Resident Continuity Care Clinic

You will be assigned by the resident you will work with; see Gainesville Activities Roster for the name of the specific resident.

Time: AM & PM. Location: WHG

Objective

To learn outpatient management of antepartum and postpartum obstetric and general gynecologic problems in the continuity clinics of the residents.

Preparation

Read about topics appropriate for the outpatient setting.

Participation

You will be assigned for half-day clinics with a resident. Initially you will shadow the provider. As your skills increase you will be given more responsibility, including taking histories and performing examinations.

Evaluation

Providers will evaluate your ability to do a focused history and physical examination and develop a differential diagnosis and plan of management. You will be evaluated on your basic knowledge and clinical reasoning skills as well as your professionalism in your interactions.


COLPO

(By assignment on your individual schedule).

Time: Tuesday pm. Location: WHG.

Objective

To learn management of abnormal Pap smears.

Preparation

Review the most recent Pap smear guidelines. You may also access the ASCCP colposcopy course listed in the “References and Resources” section. You may download the ASCCP App from I-tunes for $9.99.

Participation

You will participate in review of the history, discussion of indications for colposcopy, and observe the colposcopy, including looking through the colposcope.

Evaluation

The resident or ARNP will evaluate the appropriate competencies.


Dr. Stone’s Seminar

As assigned on CBC Schedule.

Objective

To discuss with Dr. Stone, the former Chairman of our department and international expert on vulvovaginal diseases, various practical topics relevant to OB/GYN and Medicine.

Preparation

None.

Participation

As appropriate to topic and format.

Evaluation

Dr. Stone will evaluate your ability to write admission orders and prescriptions at the end of the rotation.


MFM FELLOWS CONFERENCE:

Time: Thursday 7:15 – 745 AM

Location: MCR

Objective: Increase your knowledge of MFM core topics.

Preparation: None

Participation: You may ask questions to increase your knowledge.

Evaluation: You are not evaluated formally


Florida Surgical Center (FSC) OR

(As assigned on your individual schedule.)

Time: Mondays or Fridays. Location: FSC.

Check with the Gyn intern (who goes there each Friday), or the G3 (who goes there on Mondays) to see which cases are scheduled. The FSC is located at the corner of Hull Road and SW 34th Street behind the UF & Shands Orthopedic and Sports Medicine Institute. You cannot see the building from the road, you have to turn down Hull Road and drive past the Ortho building. It is located at the end of this road on your right. You can park in front of the building in free patient parking. You need to enter the building and request a parking pass from the front desk to put on your dashboard. The phone number is (352) 733-8800.

Objective

Become familiar with common gynecologic procedures that may be performed on an outpatient basis.

Preparation

The day before surgery, find out from the resident or check the Dr. Schedule through portal what procedures will be performed and what time the cases start. Cases typically start at 8 am on Mondays and 830 am on Fridays. Read about the patient’s diagnosis and planned procedure. Scrubs are available at FSC. Wear your nametag.

Participation

Drive yourself to FSC and plan to arrive at least 10 minutes early. You will still be expected to attend morning rounds at the hospital, as well as Core Lecture on Mondays and Grand Rounds on Fridays. You may have to leave Grand Rounds early in order to get to FSC on time.  Follow your resident’s lead. When all of the cases have been completed, you are free unless there are other student activities such as CBC. When you arrive, tell them at the front desk that you are a medical student working with the Gynecology service, and they will direct you to pre-op holding, where you can meet the resident or the attending. Review the chart with them. Observe or scrub.

Evaluation

The faculty and residents will evaluate the applicable competencies.


Genetic Counseling

(By assignment on your individual schedule. You will work with our Genetic Counselor Jill Hendrickson)

Time: Thursday AM or  PM. Location: WHG left hall Room 4263.

Objective

Genetic counseling and prenatal diagnosis is a rapidly expanding field which is being more and more frequently discussed in the lay press, especially as women delay childbearing. After this session you will understand the issues and be familiar with how patients are educated.

Preparation

Review topics in genetics from the basic sciences and previous clinical clerkships. Read about genetic counseling and screening and diagnostic tests available during pregnancy.

Participation

You will observe genetic counseling and discussions of prenatal screening and diagnosis. You may be asked about your observations.

Evaluation

The genetic counselor will evaluate the applicable competencies using the form provided in the syllabus. Give it to her with your name and her name filled in. Tell her to complete it and place it in the folder the clerkship has provided in her office. It will be collected every 6 weeks and will be included in your summative evaluation.


Grand Rounds

Time: Friday 7:00-8:00AM. Location: MCR.

Objective

Topics of interest to the entire department are presented. See the monthly schedule on your bulletin board.

Preparation

None.

Participation

You are expected to attend and be on time. Turn off your cell phone. You may ask questions to clarify and increase your knowledge.

Evaluation

You are not evaluated.


GYN OR

(By assignment on your individual schedule).

Time: Monday, Wednesday, and Friday. Location: GYN OR’s, usually OR 16, 17, 18 or 21 in the North Tower. Check the OR schedule or ask your resident to confirm the room.

Objective

Become familiar with commonly performed gynecologic surgical procedures.

Preparation

The evening before surgery, discuss the next day’s schedule with the Chief Resident. Read about the patient’s problem/procedure the night before surgery.

Participation

You should come to the OR before the start of the case to review the chart with the residents or attending in order to understand why the surgery is being done. Typically there is a “preop huddle” at 0745 in preop holding. You are expected to attend. Do not hesitate to leave the OR after the case has begun if there is little for you to learn during the operation or if you have a CBC assigned. Always wear your nametag and introduce yourself to OR personnel.

Evaluation

The faculty and residents will evaluate the applicable competencies, including basic core knowledge and professionalism.


GYN Preoperative Conference

(All students unless assigned off campus or scrubbed into an Oncology case must attend, including the day of the end-of-rotation debriefing.)

Time: Thursday 2:00PM. Location: MCR.

Objective

Become familiar with preoperative assessment for gynecology patients.

Preparation

None

Participation

You may be asked questions appropriate for your level of training. You may be asked to give a brief presentation on a relevant topic

Evaluation

The faculty and residents will evaluate the applicable competencies.


High Risk GYN Clinic (HRGYN)

With the 3rd and 4th year residents on the Gynecology service as well as two Gynecology Division faculty members.

Time: Thursday AM. Location: WHG

Objective

To learn about management of complicated gynecologic patients. These patients may have complicated surgical problems, or may have medical conditions that significantly impact their gynecologic care.

Preparation

Read about topics appropriate for the outpatient setting.

Participation

You will be assigned for a half-day clinic. Initially you will shadow the provider. As your skills increase you will be given more responsibility, including taking histories and performing examinations.

Evaluation

Providers will evaluate your ability to do a focused history and physical examination and develop a differential diagnosis and plan of management. You will be evaluated on your basic knowledge and clinical reasoning skills as well as your professionalism in your interactions.


High Risk OB Clinic

(By assignment on your individual schedule)

Time: Monday AM, Wednesday AM, Thursday AM & Friday AM. Location: WHG.

Objective

To learn the outpatient management of antepartum obstetric problems.

Preparation

Read about common high risk obstetric problems.

Participation

Pair yourself with a provider for the morning. Initially you will go in together to see patients, but as your skills improve, you will go in alone and then come out and present the patient.

Evaluation

Providers will evaluate the applicable competencies.


PROCEDURES

(By assignment on your individual schedule).

Time: Tuesday AM  Location: WHG.

Objective

To learn the indications for loop electro excision procedure (LEEP) or cone biopsy, and to further your understanding of management of abnormal Pap smears and cervical cytology.

Preparation

Review the most recent Pap smear guidelines.

Participation

You will review the indications for LEEP and management of cervical dysplasia. You will observe the consent process and the LEEP procedure.

Evaluation

The faculty and residents will evaluate the applicable competencies.


OB CALL

(By assignment on your individual schedule)

Time: Monday -Thursday: 0630 – 0630, Friday 0630-0800, Saturday 0800-0800, Sunday 0800-0630. Location: L&D.

Objective

To learn how to interact with and care for women in labor. To learn how to perform uncomplicated vaginal deliveries and how to suture.

Preparation

The greater your knowledge of labor and delivery and the more skilled at knot tying, the more you will do and the more you will learn.

Participation

One student is on-call in L&D at the times above from the morning of the date on the schedule to the next morning. Change into scrubs as soon as you arrive. You are responsible to the resident “running the board” and should always let them know where you are and if you are leaving the unit. Put your full name and cell phone number on the small dry erase board provided. Since you do not have an individual assignment the next day, at night you are expected to follow your patients, write notes at the appropriate intervals and be available for deliveries. See “What the residents want you to know about your responsibilities on the OB service”.

Evaluation

Residents and faculty will evaluate the applicable competencies.


ONC

(By assignment on your individual schedule.)

Time: Tuesday, Thursday, & Friday. Location: OR 16, 17, or 18, North Tower.

Objective

Become familiar with gynecologic oncology surgical procedures.

Preparation

The evening before surgery, check the OR schedule to find out what cases are scheduled and in which room. Read on the particular problem and procedure.

Participation

Be sure you are in the OR before 0800! Present to the OR and introduce yourself as the Gyn Oncology residents and faculty. Always wear your nametag and introduce yourself to OR personnel. Observe or scrub as directed. You are expected to return if you leave for CBC. You will stay with the OR team until all of the cases are complete or until you are dismissed by your team. You want to get the most out of your OR day so take advantage of every educational opportunity.

Evaluation

The faculty and residents will evaluate the applicable competencies.


PATH (gynecologic pathology and cytology)

(By assignment on your individual schedules). You will work with Dr. Wilkinson, Dr. Rush and other gyn pathology faculty. The contact number is 627-9240 for secretary Karen Hyde. Please sign in on the “sigh in” sheet once there.

Time: Monday-Friday, AM & PM. You will not need to be there till 9 AM     Location: See Map here:PATH DIRECTIONS

Objective

To learn about Gyn pathology and cytology as clinically applied in the pathology laboratory. To have an opportunity to see “behind the scenes” how specimens are prepared and evaluated.

Preparation

Review topics in Gyn pathology and cytology from the basic sciences. Be familiar the American Society for Colposcopy and Cervical Pathology (ASCCP) Guidelines and American Cancer Society (ACS) Guidelines for Pap testing (www.ASCCP.org). Review the Ob/Gyn surgery schedule for your day so you are prepared for grossing of specimens and frozen section studies on scheduled cases. Wear your white coat with nametag.

Participation

Observe with the faculty in the surgical pathology and frozen section rooms and in the Gyn and cytopathology sign-out areas where Ob/Gyn cases are submitted and reviewed. You may be asked about your observations.

Evaluation

None


Patient Workup and Presentation

(This is one of the items you need to have signed off on your Skills and Achievements Form).

Time: Any clinic to which you are assigned. Location: WHG.

Objective

To learn how to present an obstetric or gynecologic patient in a concise and complete manner.

Preparation

You should present a patient you are evaluating in the clinic to the attending physician staffing the clinic. You will see the patient, complete her history and physical with the resident then present the patient to the clinic attending. You can use the patients chart as a reference if necessary.

Participation

You you will present a patient you are seeing in clinic to a faculty member. The patient should be presented as though you are the person seeing her in the clinic and making the decisions regarding plans for treatment. The presentation should include the patient’s chief complaint, history of present illness, past medical/surgical history, past obstetrics and gynecology history, current medications, allergies, social history, family history and review of systems. We want as concise a presentation as possible, so if there is nothing pertinent in any of these categories, say so and move on. The patient’s physical exam should then be presented, again, in as concise a fashion as possible. The exam should begin with a general description of the patient, followed by her vital signs. The length of the remainder of the presentation of the physical exam should be dictated by the complexity of the problem/findings. A complete description of the pelvic exam should always be given. Then a review of pertinent laboratory or radiologic data should be presented followed by your impression and plan. The impression should include a complete differential diagnosis, and the reasons why one particular diagnosis is most suspect. The plan for surgery (if applicable) or work-up of the problem should then be described.

The entire presentation, from beginning to end, should take no more than 10 minutes. Your presentation will then be reviewed and constructive criticism will be offered. Our goal is for you to present a patient in a concise and structured manner and for you to be able to generate a complete differential diagnoses ranked in order of likelihood.

Evaluation

The faculty member will evaluate your competency and provide you with immediate feedback. Have them sign off on your OBGYN Skills & Achievements List and also include in your online Patient Log.


Resident Core Lectures

Time: Monday 0700-0745. Location: BCR.

Objective

Increase your knowledge of topics in general OB/GYN. Although this lecture series is primarily for the residents, you will find it educational.

Preparation

None.

Participation

You may ask questions to clarify and increase your knowledge.

Evaluation

You are not formally evaluated.


Shadowing

(By assignment on your individual schedule.)

Time: 0700-1200. Location: L&D.

Objective

To acquaint you with what it is like to be a patient and a nurse in Labor & Delivery. You will also learn about teamwork and communication with other providers.

Preparation

None

Participation

You will shadow a L&D nurse, at least from 0700-1200 shift. You may stay later if it is of educational value. Change into scrubs as soon as you arrive and report by 7:00am to the charge nurse in L&D for your assignment. You must leave rounds in order to arrive on time, and the other students on your team will need to finish rounds for you. Primarily you are observing, and the amount of hands-on activity will vary considerably.

Evaluation

Nurses will evaluate applicable competencies using the appropriate evaluation form. Give it to them with your and their name filled in. Tell them they should complete it and either give it to you, give it to Dr. Madani or place it in the wall box in the nurse’s lounge.


Ultrasound

(By assignment on your individual schedule.)

Time: AM or PM. Location: WHG

Objective

To observe ultrasound examinations of obstetric and gynecologic patients and develop an appreciation for how ultrasound is used in clinical practice.

Preparation

Read about common ultrasound findings.

Participation

Observation of ultrasound examinations. Questions are encouraged.

Evaluation

Faculty will incorporate your participation into their evaluation of your performance.

 

Perinatal Conference:

Time:  7 am

Location:  NICU Conference Room

Objective:  This multidisciplinary conference with the NICU is a chance to review complicated cases, management, and baby follow up.

Preparation:  None

Participation:  You may ask question’s to increase your knowledge.

Evaluation:  You are not formally evaluated.

GYN ONC CLINIC

You will be assigned to the Gyn Onc team, which will include three residents and two attendings.

Time: AM & PM. Location: WHG

Objective

To learn outpatient management, diagnosis, and follow up of common gyn malignancies.

Preparation

Read about topics appropriate for the outpatient setting. Focus first on reading about the most common gynecologic malignancies.

Participation

You will be assigned for half-day clinics in the Gyn Oncology clinic.  Initially you will shadow the provider. As your skills increase you will be given more responsibility, including taking histories and performing examinations.

Evaluation

Providers will evaluate your ability to do a focused history and physical examination and develop a differential diagnosis and plan of management. You will be evaluated on your basic knowledge and clinical reasoning skills as well as your professionalism in your interactions.

 

G1 TRIAGE CLINIC

You will be assigned by the resident you will work with; see Gainesville Activities Roster for the name of the specific resident.

Time: AM & PM. Location: WHG

Objective

To learn outpatient management of common “work in” conditions and ER follow up patients.

Preparation

Read about topics appropriate for the this setting, such as ectopic pregnancy, vaginitis, and abnormal bleeding.

Participation

You will be assigned for half-day clinics with a resident. Initially, you will shadow the provider. As your skills increase you will be given more responsibility, including taking histories and performing examinations.

Evaluation

Providers will evaluate your ability to do a focused history and physical examination and develop a differential diagnosis and plan of management. You will be evaluated on your basic knowledge and clinical reasoning skills as well as your professionalism in your interactions.


HSG WITH DR. RHOTON

Day: Wednesday Time: am

Preparation: email Dr. Alice Rhoton (rhotona@ufl.edu) two days before your assignment to be sure it has not been canceled.

Objective: To learn the procedure to check tubal patency.

Location: Fluoroscopy suite radiology ground floor north tower.


Triage Labor and Delivery

Time:  Monday – Friday: 8:00 AM – 5:00 PM

Objective:

To learn the clinical presentation of women to labor and delivery, select and interpret appropriate diagnostic examinations, formulate a differential diagnosis and plan of management.

Preparation:

Please show up at the nurse’s desk after rounds and place your name and phone number and the word “triage” on the board

Participation:

You will work alongside the nurse or nurse practitioner to provide care in triage.

Evaluation:

Give the form, “ARNP’S, midwives, nurse shadowing and genetic counseling” and return evaluation to the practitioner she will then either give it back to you or place in the box in the lounge.