Inpatient Gynecology
- Demonstrates basic understanding of abdominal and pelvic anatomy
- Positions patient appropriately for surgery
- Demonstrates knowledge of basic abdominal and pelvic anatomy
- Demonstrates a basic understanding of patients presenting with abdominal/pelvic pain regarding 1) risk factors; 2) signs and symptoms
- Demonstrates basic understanding of normal early pregnancy development, including implantation, early embryology, and placental development
- Recognize limitations and failures of a team approach (e.g. hand-offs, miscommunication) in health care as the leading cause of preventable patient harm
- Demonstrates an understanding of critical appraisal of the literature
- Demonstrates responsiveness of constructive feedback
- Understands the importance of relationship development, information gathering and sharing and teamwork
- 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:
- 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:
- Obtain a medical history in a reproductive-aged woman
- Develop a differential diagnosis for abdominal pain in a reproductive-aged woman
- Order and interpret diagnostic tests for a reproductive-aged woman with abdominal pain
- Develop a differential diagnosis in a patient with first trimester bleeding
- List risk factors for ectopic pregnancy
- Perform an evidence-based medicine search on treatment options for ectopic pregnancy
- Communicate elements of sign-out/handoff using SBAR in a patient with suspected pregnancy
- Describe the value and limitations of patient handoffs
- Demonstrate proper patient positioning of laparoscopy
- Perform a surgical time out
- Describe surgical anatomy for a laparoscopy
- Demonstrates responsiveness to constructive feedback