Oklahoma State University Center for Health Sciences
Oklahoma State University Center for Health Sciences

News Alert:

Obstetrics and Gynecology Clerkship

If you are interested in setting up an elective rotation with the OSU Obstetrics and Gynecology program during your fourth year, please contact Samantha Heitman at sam.heitman@okstate.edu.


Syllabus

CE 9175

  1. General Description
    1. A practical clinical experience in obstetrics and gynecology is designed as an integral part of each OSU-COM clerkship program. The clerkship program is under the direction of the Oklahoma State University College of Osteopathic Medicine, and the course (rotation) is conducted as OSU-COM affiliated "Core" teaching hospitals located in Tulsa and Oklahoma City. Successful completion of the course is an OSU-COM requirement for graduation, including passing the COMAT exam.
    2. Joseph R. Johnson, D.O. FACOOG, Chairman OB/GYN Department and clerkship director of the OSU-COM Department of Obstetrics and Gynecology. Student Core rotation assignments will be arranged by the Office of Clinical Education.
    3. A rotation in Clerkship Obstetrics and Gynecology is assigned during the clerkship program. The rotation is a four-week clinical experience (expanding to six-week in 2014) designed to develop a student's decision-making and cognitive skills, as it relates to the patient, while he or she continues accumulating further knowledge in medicine. An additional goal is to provide the student a chance to develop additional clinical psychomotor skills by performing routine basic procedures in a supervised setting. Primary medical care is to be emphasized, and teaching conferences are encouraged.
    4. The participating student is assigned to the facility's Director of Medical Education, by the OSU-COM Chairman of the Department of Obstetrics and Gynecology, and the Office of Clinical Education. Primary medical care is to be emphasized, and teaching conferences encouraged.
    5. The Chairman of the OSU-COM Department of Obstetrics and Gynecology will coordinate physician supervision of the student, assign patient responsibilities, determine a final evaluation of the student's clinical progress, and schedule academic presentations. The Chairman of the OSU-COM Department of Obstetrics and Gynecology will determine reading assignments and supervise (or assign) physician faculty monitoring of the evaluation process.
    6. An on-site physician must be in attendance at all times while the student is in the facility for training purposes. This requirement may be met by the Chairman of the Department of Obstetrics and Gynecology and the DME designating physicians as supervising physicians. The student is expected (at all times) to identify himself or herself as a non-graduate medical student by utilizing College-approved identification, and is neither to represent himself or herself as a medical graduate, nor function as a licensed physician.
    7. The student should be encouraged to observe, evaluate, and participate in the discussions and medical care of patients, at the discretion and under the supervision of an assigned physician through the combined coordination and direction of the OSU-COM Department of Obstetrics and Gynecology and the facility's DME.
    8. The student is expected to dress appropriately. Men are expected to wear a shirt and tie, women may wear either slacks or a dress. Unless specified differently, the student will wear a cleaned and pressed white clinical jacket. During all clerkship rotations, the student is directed to wear College approved identification. Scrubs are permissable for surgical aspects.
  2. Purpose
    1. The purpose of Obstetrics and Gynecology clerkship is to provide the student additional didactic and practical clinical experience in the areas of evaluation, diagnosis, and medical management of the patient presenting medical problems in primary care clinic setting. The student is expected to gain additional clinical knowledge and practical experience pertaining to the natural course of disease. The rotation is expected to enhance learning opportunities and aid in passing NBOME and COMAT exam.
  3. Course Objective
    1. The Clerkship Obstetrics and Gynecology rotation has been designed to provide practical clinical exposure and knowledge in the area of primary care medicine. This may be accomplished through a basic program structure developed to achieve proficiency in the following areas:
      1. Supervised patient evaluation, diagnosis, and management of general medical maladies.
      2. Application of didactic general medicine principles.
      3. Development and expansion of clinical psychomotor skills.
  4. Implementation
    1. The student will interact with OSU-COM Clinical Educators and the affiliated facility's patients, and will participate in their medical management under the direct supervision of a physician. During the course (rotation), the student will be presented reading assignments, appropriate lectures, and computer-assisted programs (when available). Evaluation of the student is to be accomplished by utilizing collective physician observations of the student's clinical performance.
    2. Course objectives are to be implemented, utilizing the OSU-COM "Core" teaching facility, as follows:
      1. During the clerkship, various degrees of familiarity with certain basic medical/surgical skills are recommended. Three levels of achievement goals are identified. The student should develop:
        1. familiarity with a variety of clinical procedures through physician supervision
        2. a degree of manual proficiency in clinical procedures through actual supervised performance
        3. awareness of (and define) the availability of various clinical procedures, and consider selected procedures as potential aids in diagnosis and/or therapy
      2. Didactic concepts in medicine should be expanded by:
        1. participation in daily patient assignments and conferences
        2. supervised and critiqued clinical work-up of patients admitting to the OSU-COM "Core" teaching facility
        3. assigned reading and case presentations
        4. attendance/participation in formal clinical presentations by the clinical staff and guest lectures, when requested
        5. performance feedback to the student
      3. Final evaluation of the student is to be determined by:
        1. Collective physician observations of the student's clinical performance and successful completion of a final examination, the COMAT, and case studies online.
  5. Learning Resources
    1. Required text:
      1. Normal and Problem Pregnancies, Gabbe
      2. Second Edition, Comprehensive Handbook, Obstetrics & Gynecology by Thomas Zheng, M.D.
      3. Seventh Edition, Obstetrics & Gynecology, by The American College of Obstetricians and Gynecologists
      4. Fifth Edition, Essentials of Obstetrics and Gynecology, by Hacker and Moore’s
      5. OB/GYN Board Review 2012 Manual, by Joseph R. Johnson, D.O., FACOOG, Department Chair of OB/GYN & Residency Director
    2. Additional resources:
      1. Comprehensive Gynecology
      2. Obstetrics and Gynecology Pearls

      3. OSUMC Obstetrics/Gynecology
    3. The student learning manual has been put on the "online classroom". You will need to click on the link that says: CLME 9175-CLERK-OB/GYN-SEC CC 710. There are daily reading assignments, which are a part of your core rotation learning experience and a board review.

  6. Student Responsibilities
      1. One hundred percent (100%) attendance is required on all clinical rotations. Permission to be absent must be obtained by the student from the OSU-COM Chairman of the Department of Obstetrics and Gynecology and the facility's DME, prior to the student leaving the facility (rotation). A reasonable absence approval is recommended.
      2. It is the responsibility of the student to go online and complete a site evaluation.  The site evaluation is a course requirement, and must be completed by 7 days after the completion of the rotation. A decrease of one letter grade may be implemented for failed compliance.
      3. It is also the responsibility of the student to have the form "Medical Student Learning Objectives and Skills Assessment" signed off on by the OB/GYN physicians and turned in at the end of the rotation. A decrease of one letter grade may be implemented for failed compliance.
      4. The "Medical Student Learning Objectives and Skills Assessment" may be turned in on the last day of rotation or mailed or faxed to:
        Samantha Heitman
        Houston Center
        717 S. Houston Ave. Suite 200
        Tulsa, Ok 74127
        918-586-4522
        918-586-4531 fax
      5. Students with disabilities or requiring special accommodations should notify the Clerkship Director at least 30 days prior to the start of the rotation. Requests submitted less than 30 days prior to the start of the rotation may be denied.

      6. Students requiring special accommodations should go through the college's procedure for this prior to notifying the course director. Notification must be made in writing and at least 30 days prior to the beginning of the rotation; otherwise special accommodations will not be granted.

       

  7. Core Areas
    1. The required text and this workbook will serve as the basic "Core" study source. The Chairman of the Department of Obstetrics and Gynecology will determine reading assignments and supervise (or assign) physician faculty monitoring of the evaluation process.
    2. The Obstetrics and Gynecology clerkship should include a minimum of thirteen (13) "Core" topic areas:
      1. Normal and Abnormal Labor (IV stages), including fetal/maternal monitoring
      2. First Trimester Problems (common)
      3. Pregnancy Induced Hypertension
      4. Recognition and Management of High risk Pregnancy
      5. Third Trimester Bleeding
      6. Trophoblastic Disease
      7. Menstrual cycle
      8. Chronic Pelvic Pain
      9. Gynecologic Emergencies
      10. Abnormal Uterine Bleeding
      11. Sexually Transmitted diseases
      12. Contraception and Infertility
      13. Evaluation and treatment of abnormal pap smears
  8. Determination of Grades
    1. At the completion of each Clerkship Obstetrics and Gynecology Core Rotation, an evaluation of the student's overall performance is to be determined by the Chairman of the Department of Obstetrics and Gynecology in congress with all supervising physicians (e.g., staff physicians and residents). A single evaluation form is to be prepared for each student. The final evaluation rating with accompanying comments is to be determined by carefully assessing the characteristics (e.g., medical knowledge, diagnostic acumen, decision-making capabilities, professionalism, etc) enumerated on the performance evaluation form. This accounts for 85% of their grade. You must make a 75% to pass the rotation.
      A 90 - 100% Excellent
      B 80 - 89% Good
      C 75 - 79% Satisfactory
      U Below 75% Unsatisfactory

      A grade of I, incomplete, will be given for COMAT failure. A student must then remediate the exam and undergo mentoring. Failure of the COMAT again will require repeat remediation of the rotation and referral to academic affairs.

    2. In addition to the evaluation rating procedure, the student's progress will be monitored by written examination. This exam will amount to 10% of their grade - a mandatory pass score on the COMAT. (This is given to encourage thought process and evaluate clinical competence.) Reading assignments are to be provided and coordinated by the OSU-COM Department of Obstetrics and Gynecology.
    3. The student must also present a PowerPoint presentation on a selected case as assigned by the Chairman of the Department on OB/GYN. Completion of this with acceptable evaluation will account for 5% of your grade.
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