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Inpatient Gynecology

View Milestones, EPAs and Basic Clinical Skills
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This case incorporates the following Milestones: GY 1c: Gynecology Technical Skills: Endoscopy (Laparoscopy, Hysteroscopy, Cystoscopy)
  • Demonstrates basic understanding of abdominal and pelvic anatomy
  • Positions patient appropriately for surgery
  GY 2: Peri-operative Care
  • Demonstrates knowledge of basic abdominal and pelvic anatomy
  GY 3: Abdominal/Pelvic Pain (Acute and Chronic)
  • Demonstrates a basic understanding of patients presenting with abdominal/pelvic pain regarding 1) risk factors; 2) signs and symptoms
  GY 7: First Trimester Bleeding
  • Demonstrates basic understanding of normal early pregnancy development, including implantation, early embryology, and placental development
  SB 1: Patient Safety and Systems Approach to Medical Errors: Participate in identifying system errors and implementing potential systems solutions
  • Recognize limitations and failures of a team approach (e.g. hand-offs, miscommunication) in health care as the leading cause of preventable patient harm
  PB 1: Self-directed Learning/Critical Appraisal of Medical Literature
  • Demonstrates an understanding of critical appraisal of the literature
  • Demonstrates responsiveness of constructive feedback
  IC 2: Communication with Physicians and Other Health Professionals and Teamwork
  • Understands the importance of relationship development, information gathering and sharing and teamwork
This case incorporates the following Entrustable Professional Activities (EPAs):
  • EPA 1:   Gather a history and perform a physical examination
  • EPA 2:   Prioritize a differential diagnosis following a clinical encounter
  • EPA 3:   Recommend and interpret common diagnostic and screening tests
  • EPA 7:   Form clinical questions and retrieve evidence to advance patient care
  • EPA 13: Identify system failures and contribute to a culture of safety and improvement

Basic Clinical Skills:

 This case incorporates the following Basic Clinical Skills (BCS) checklists:
  • Patient Positioning Checklist
  • Surgical Timeout Checklist

Case: A 17-year-old white female presents to the emergency department with vaginal bleeding and right-sided pelvic pain beginning three hours ago and getting progressively worse.

Tasks:

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Milestones
GY 1a
GY 1c
GY 2
GY 3
GY 4
GY 5
GY 7
IC 1
IC 2
IC 3
OB 1
OB 2
OB 3
OB 4
OB 5
OP 1
OP 2
OP 3
OP 4
PB 1
PB 2
PR 1
SB 1
SB 2

EPAs
EPA 1
EPA 2
EPA 3
EPA 4
EPA 5
EPA 7
EPA 10
EPA 11
EPA 12
EPA 13