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Dr. Heidi Weaver
Dr. Heidi Weaver

Kelly McEntee, MD, FACOG

Faculty Contact OB/GYN 619

Location

Spokane, WA

Credentialing

Please contact the clerkship administrator at obclerk@uw.edu for more information and permission to take the course.

overview

This is an advanced sub-Internship for students who desire an immersive experience in sub-specialty areas of Gynecology. Students will work 1:1 with a variety of fellowship trained gynecologic sub-specialty physicians as they care for patients in both the outpatient and inpatient setting in the following subspecialties: Urogynecology, Minimally Invasive Gynecologic Surgery, Gynecology Oncology, Reproductive Endocrinology & Infertility, and Family Planning. Students will gain experience, knowledge, and skills in evaluating and managing patients with complex gynecologic needs, with an emphasis on surgical skills in the operating room. The goal of the sub-internship is to prepare students for their intern year in OB/GYN, and to also aid with career planning for those with interest in fellowship after residency. Students who are exploring or committed to pursuing OB/GYN are eligible for this course, by permission. 

1 student/section

course objectives

Gynecologic Oncology

  1. Develop basic surgical skills: port placement for laparoscopy, fascial closure, and skin closure for both laparoscopic and laparotomy cases.
  2. Identify the following anatomic structures during surgery: external iliac artery and vein, internal iliac artery and vein, uterine artery, superior vesical artery, pararectal and paravesical spaces, genitofemoral nerve, and obturator nerve. Identify and describe the course of the ureter.
  3. Perform a history, physical and formulate an assessment and plan for one new patient with gynecologic malignancy. Write a complete consult note and submit for faculty review.
  4. Independently prepare a 15-minute presentation on one type of gynecologic cancer.

Urogynecology

  1. Understand basic components of the evaluation, counseling, and management of women with benign gynecologic conditions including pelvic organ prolapse, fecal & urinary incontinence, urinary urgency, reproductive track fistulae.
  2. Acquire basic surgical skills and be exposed to complex surgical procedures in the operating room.
  3. Demonstrate skills in triage of multiple patients simultaneously, muti-tasking, and working with multi-disciplinary teams in the care of gynecologic patients.

Complex Family Planning

  1. Hands-On Exposure to and understanding of: first trimester surgical and medical abortion, LARC insertion, pregnancy options counseling, Ultrasound dating of pregnancy, complex contraception planning, medical and surgical management of miscarriage.

Reproductive Endocrinology and Infertility

  1. Understand and gain exposure to: infertility, recurrent pregnancy loss, PCOS, and non-fertility reproductive endocrine issues.

Minimally Invasive Gynecologic Surgery

  1. Understand and describe the indications for vaginal, hysteroscopic, laparoscopic and robotic surgery.
  2. Understand and describe the diagnosis, work up, medical management and surgical treatment for benign complex gynecologic pathology including endometriosis, fibroids, and adnexal masses.
  3. Be able to identify and explain pelvic anatomy, including the retroperitoneal spaces, and explain indications for retroperitoneal dissection in MIGS surgery.
  4. Develop basic surgical assisting skills and begin to develop intra-operative decision-making skills.
  5. Demonstrate understanding of intra-operative and post-operative complication management.