4th Year Electives offered at BUSM

201.3 Inpatient Gynecology Sub-Internship

Instructor: Padmasini Kandadai, MD, MPH

Location: Boston Medical Center
Email: makeba.kent@bmc.org

Number of Students: One
Period to be Offered: One Month
The student participates as a sub-intern in all aspects of the inpatient and ambulatory gynecology service, assisting in minor and major gynecologic surgical procedures and following patients post-operatively. The student primarily will work with the East Newton gyn service. Students will spend one day per week in the Urogynecology clinic. Students will prepare a case based presentation at Gyn noon conference and are expected to participate in educating the clerkship students. To receive honors in the clerkship the student will write a paper, create an academic project, or create a quality-improvement protocol.

Successful completion of the core OB/GYN clerkship is a prerequisite.


202.3 Maternal-Fetal Medicine Sub-Internship

Instructors: Jodi Abbott, M.D.

Location: Boston Medical Center
Email:   makeba.kent@bmc.org

Number of Students: One
Period to be Offered: One Month
The student works with the Maternal Fetal Medicine and resident staff caring for high-risk pregnant patients, in both ambulatory and in-patient settings. The student will function as an acting intern for patients on the ante partum service. The student will attend the high risk prenatal clinics and spend one day per week on the labor floor. They will attend conferences run by the High Risk Department; additionally the student is expected to present at a MFM Thursday noon conference. To receive honors in the clerkship the student will write a paper or create a teaching tool for clerkship students.

Successful completion of the core OB/GYN clerkship is a prerequisite.


203.11 Family Planning and Reproductive Health

Instructor: Elisabeth Woodhams, MD

Location: Boston Medical Center
Email:   makeba.kent@bmc.org

Number of Students: One
Period to be Offered: One Month

Students will participate in the counseling and provision of contraceptive methods in a variety of outpatient settings. Management of spontaneous, inevitable and induced abortion and post-abortion care by both surgical and medical techniques is included. The student will acquire skills in physical examination, provision of contraceptives, and experience with ultrasound in early pregnancy diagnosis. There is a didactic component which includes a section on public health implications of family planning and preservation of fertility and reproductive health.  Students are welcome to participate in ongoing contraceptive research projects.

Successful completion of the core OB/GYN clerkship is a prerequisite.


203.3 Substance Use Disorder in Pregnancy

Instructor: Tirah Samura, MD

Location: Boston Medical Center
Email:  makeba.kent@bmc.org

Number of Students: One
Period to be Offered: One Month

The student works with the Project RESPECT staff (Obstetricians, Midwifery, Psychiatry, Social Work, and Nursing) in caring for high-risk pregnant patients, in the ambulatory setting. The student will have significant supervised clinical responsibility for the pharmacologic management of chemical dependency during pregnancy, participating in all aspects of antenatal, intra-partum and post-partum care. Pregnancies complicated by heroin, cocaine and alcohol addiction will be the focus of this elective. Each student is expected to prepare a formal presentation on a subject relevant to substance abuse and pregnancy and present at the end of their elective at our Thursday High Risk Perinatal Noon Conference.  

 

Successful completion of the core OB/GYN rotation is a prerequisite.

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203.2 Sexual Assault/Trauma Informed Care

Instructor: Shannon Bell, MD

Location: Boston Medical Center
Email:  makeba.kent@bmc.org

Number of Students: One
Period to be Offered: One Month

This elective will take place in the BMC ED and in the LINK Clinic within the Ob-Gyn department. BMC is a designated SANE hospital, which means specially-trained Sexual Assault Nurse Examiners (SANEs) can be called to perform sexual assault medical exams. Students will be paged to the ED when patients present following sexual assaults. Students will interact with patients in the ED in the role of an advocate, supporting the patients as appropriate throughout the SANE exam. In the clinic, the student’s role will be similar to their other outpatient clerkships, as students will see and present patients, write notes, and advocate for their patients to help them access appropriate social services. In both settings, students will work interprofessionally with social workers, nurse practitioners, and physicians.

In addition to on-call time and clinic, students will learn from a combination of online readings, presentations, and video interviews on the course Blackboard website. During the elective, students will create an educational project to add to the Blackboard site and write a reflection piece based on a case. They will receive feedback on these assignments from the preceptor Dr. Bell.

 

Successful completion of the core OB/GYN rotation is a prerequisite.

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204.3 Ob/Gyn Bootcamp: Preparing for Internship

Instructor: Padmasini Kandadai, MD, MPH

Location: Boston Medical Center
Email:  makeba.kent@bmc.org

Number of Students: 10
Period to be Offered: One Month

Students participate in an intense four week elective that will better prepare them specifically for an OB/GYN internship.  Each week the elective will focus on reviewing the Association of Professors of Gynecology and Obstetrics (APGO) milestones to ensure that fourth year medical students have a strong foundation in the subject matter and skills before proceeding to an OB/GYN internship.

Successful completion of the core OB/GYN rotation is a prerequisite.

 

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206.3 Breastfeeding Medicine

Instructor: Kari Radoff, CNM

Location: Various Community Health Centers
Email:  makeba.kent@bmc.org

Number of Students: 10
Period to be Offered: One Month

The Breastfeeding Medicine elective’s first week is composed of an independent study module (the Wellstart lactation curriculum) along with other relevant lactation resources and readings. During the remaining three weeks of the elective, the student will apply their knowledge in lactation clinics, breastfeeding classes, and new mother support groups in the community. This elective is expected to be 40 hrs/week for 4 weeks.

This elective will benefit any future physician who expects to care for breastfeeding mothers and their infants in any capacity. While students destined for OB/Gyn, Pediatrics, or Family Medicine are a natural audience for this information, any medical student who desires greater knowledge and confidence in management of breastfeeding problems will benefit from this elective.

The student will be required to obtain preceptor signoff and feedback on their assessment and management of specific breastfeeding problems. The student will also keep a portfolio of written journal entries documenting all patient encounters, as well as narrative reflections on outpatient learning experiences. The student will also identify a research question based on a patient encounter, search out answers to this question in the current literature, and create an evidence-based case presentation. The student will present this case at the OB/Gyn Maternal-Fetal Medicine noon conference during the rotation.

Prerequisites: Successful completion of the OB/Gyn, Pediatrics, and Family Medicine Clerkships.