OB/GYN 618: Advanced Rural Obstetrics and Gynecology

Site information

Heidi Weaver, MD

Faculty Contact OB/GYN 618

Prosser Memorial Hospital

723 Memorial St, Prosser, WA 99350

Credentialing

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

Prosser Memorial Health: Contact pmhmedstaffcred@prosserhealth.org to request documents list and further instructions.

overview

This course is designed for 4th year medical students interested in specializing in and focusing on Women’s care in a rural community. The students will be one on one with an attending giving them a unique opportunity to manage and treat a wide variety of patients in the clinic and on the OB floor. They will be able to perform uncomplicated vaginal deliveries as well as learn to do simple vaginal repairs. They will also be expected to first assist major surgeries like hysterectomies and C-sections and be the primary for minor surgeries like hysteroscopies. Students will be encouraged to take call with the attending to maximize their opportunities and better understand the unique demands and patient/physician interactions of rural practice. Lastly, the students will be invited to attend local community and hospital events that occur during their rotations.

1 student/section

course objectives

Gynecology Office

1. Oncology
   1. Know and understand routine cancer screening recommendations including breast, cervical, and ovarian.
   2. understand indications for and be able to perform endometrial biopsy in office.
   3. see and potentially perform colposcopies and LEEP in office.
2. Urogynecology: Understand basic components of the evaluation, counseling, and management of women with pelvic organ prolapse.
3. Family Planning: Hands-on exposure to and understanding of:
   1. Contraception options and counseling
   2. LARC insertion, Nexplanon placement
   3. Pregnancy options counseling
   4. Ultrasound dating of pregnancy
   5. Medical and surgical management of miscarriage
4. Infertility: Understand and gain exposure to infertility, recurrent pregnancy loss, PCOS.
5. Well Woman Exams: Perform all components of a yearly exam and write complete notes.

Obstetric Care

1. Office: Perform clinical evaluation and make treatment plans of low/moderate risk OB patients.
2. Hospital:
   1. Manage active labor, perform cervical checks, and learn to perform uncomplicated vaginal deliveries without assistance.
   2. Be able to do 1st and 2nd degree repairs with assistance.
   3. Be the first assist in cesarean sections and work on surgical closure techniques of all layers.
3. Postpartum: Learn to diagnose and treat postpartum complications.

Benign 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.
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