M4 Obstetrics & Gynecology

• MED MD 429: Family Planning and Reproductive Health
  
• MED MD 470: Breastfeeding Medicine
  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.
• MED MD 471: Sub-Internship: Inpatient Gynecology
  The student participates as a subintern in all aspects of the inpatient and ambulatory gynecology service, assisting in minor and major gynecologic surgical procedures and following patients post-operatively.
• MED MD 472: Sub-Internship: Maternal-Fetal Medicine
  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.
• MED MD 473: Substance Use Disorder in Pregnancy
  The student works with the Obstetric and Addiction Medicine staff caring for high-risk pregnant patients, in an ambulatory setting. The student will have significant outpatient supervised clinical responsibility for the pharmacologic management of chemical dependency during pregnancy, participating in all aspects of antenatal and post-partum care. Pregnancies complicated by substance use disorder including opioids, cocaine and alcohol will be the focus of this elective. Each student is expected to complete a supervised, scholarly clinical presentation during this rotation.
• MED MD 475: Obstetrics and Gynecology Internship Prep Course
  The intern readiness course allows students apply into OBGYN to refresh their knowledge and skills prior to starting residency. This is an invaluable opportunity to review the basics and start the process of preparing for their new role as interns. Students will have access to faculty members of many subspecialities and have the opportunity through these interactions to learn more about what residency will be like and how they will manage it. This elective is held at Boston Medical Center and BUCASM. Simulation sessions will include hands on simulation in the Solomont Simulation center or the Department of OBGYN. Didactic sessions will be held in the Solomont Simulation center or the Department of OBGYN. One course is held in the anatomy lab at BUCASM. Individual self- study time that will be done independently. Students are also invited to our departmental Grand Rounds and M&M on Wednesday mornings at 7:30 am that are held remotely via Teams. The students will receive an email introducing the course and a welcome/orientation session by the course director at the start of the elective. The course will occur daily from 9 am to 4 pm with a lunch break. An OBGYN Department or BUCASM Faculty member will facilitate each session. Students will complete the APGO prep for residency assessment at the start of the elective. They are assigned pre reading for many of the sessions and other activities including practice dictation that they will submit to their course facilitator. Simulations include but are not limited to cesarean section, Bartholin’s gland I&D, ovarian cystectomy, hysteroscopy, Fundamentals of Laparoscopic Surgery (FLS), circumcision, ultrasound, labor skills, IUD insertion, D&C, vaginal laceration repair, and tubal ligation. Students will also gain insight into different career pathways in OBGYN including contact with faculty in subspecialities including Addiction Medicine, Maternal Fetal Medicine, Reproductive Endocrinology and Infertility, Minimally Invasive Gyn surgery, Complex Family Planning, Gyn Oncology. The OBGYN Chair and OBYN Residency Program Director also participate to allow students time to ask questions about training and a career in OBGYN.