By the end of the OB/GYN Clerkship, the BUSM III student will be able to:

Medical Knowledge

1. Describe the maternal physiologic and anatomic changes associated with pregnancy and the physiologic functions of the fetus and placenta
2. Recognize the stages, mechanisms and management of normal labor and delivery and identify common problems in obstetrics
3. Recognize how common medical and surgical conditions affect pregnancy
4. Identify the impact of systemic viral disease on the developing fetus
5. Describe the effect of substance abuse on pregnancy and the fetus
6. Explain the physiologic or pharmacologic basis of action, effectiveness, benefits and risks and financial considerations of various methods of contraception.
7. Describe the endocrinology and physiology of the normal menstrual cycle, including menopause.
8. Differentiate causes, evaluation methods and therapeutic options for abnormal uterine bleeding.
9. Provide the age and risk-appropriate recommendations for the screening of reproductive cancers.

Patient Care

1. Demonstrate the ability to perform a thorough Ob/Gyn history, including menstrual history, obstetric history, gynecologic history, contraceptive history and sexual history.
2. Perform an obstetric-gynecologic examination, including breast examination and complete pelvic examination in a sensitive manner.
3. Collect cervical cytology.
4. Interpret cervical cytology results according to guidelines set forth by the American Society for Colposcopy and Cervical Pathology.
5. Discriminate electronic internal and external fetal monitoring while the presenting patient is in labor.
6. Communicate the results of the OB/GYN history and physical examination by well organized written notes and oral reports to attendings, residents and peers.
7. Describe the age appropriate screening procedures and recommended time intervals for routine health maintenance and disease prevention in women.
8. Differentiate the symptoms, physical findings, evaluation, management and public health concerns of various vaginal and vulvar disorders, including sexually transmitted infections and how to counsel the patient.
9. Assess a wet mount microscopic examination.
10. Develop hypotheses, diagnostic strategies and management plans in the evaluation of antepartum, intrapartum and postpartum patients.
11. Prepare hypotheses, diagnostic strategies and management plans in the evaluation of patients with gynecologic problems, including routine postoperative care following gynecologic surgery.
12. Create a differential diagnosis of the "acute abdomen" in women of reproductive age, including pelvic infection, ectopic pregnancy, adnexal torsion, appendicitis, diverticulitis and renal calculi.
13. Outline the basic approach to evaluating common symptoms associated with the breast, including preventive measures for maintaining breast health as well as issues related to lactation.

Interpersonal and Communication Skills

1. Meet and work together with the patient to gain her confidence and cooperation
2. Assure the patient's comfort and modesty.
3. Address sensitive issues with compassion and demonstrate sensitivity to human differences and understanding of the impact of gender, ethnic, cultural, socioeconomic social factors.
4. Assess and counsel women for sex- and gender-appropriate reduction of risk, including lifestyle changes and genetic testing, in a manner that is sensitive to cultural beliefs.
5. Discuss social and healthy policy aspects of women's health, including ethical issues surrounding sterilization, domestic violence, adolescent pregnancy, and access to health care.
6. Share knowledge effectively with peers by giving and oral case presentation on a topic relevant to the specialty.

Professionalism

1. Show compassion in the treatment of patients and respect for their privacy, dignity and beliefs.
2. Demonstrate personal integrity, ethical behavior and altruism.
3. Exhibit dependability and responsibility.
4. Acknowledge and accept the limitations in his or her knowledge and clinical skills and seek assistance when appropriate.
5. Display the ability to develop effective therapeutic relationships with patients.

Practice-Based Learning

1. Use information technology to access medical information, critically assess current literature to support his or her own education and provide accessible educational information to patients.
2. Use feedback from other members of the healthcare team to identify areas for improvement.

Systems-Based Practice

1. Uses electronic systems to search and share protected patient health information within a healthcare system while maintaining confidentiality
2. Coordinate care in a health care system