Inpatient Obstetrics
View Milestones, EPAs and Basic Clinical Skills
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This case incorporates the following Milestones:
OB 2: Care of Patients in the Intrapartum Period
- Demonstrates knowledge of routine uncomplicated Intrapartum care including normal labor
- Demonstrates basic surgical principles, including use of universal precautions and aseptic technique
- Performs basic procedures, including speculum examination and cervical examination
- Performs initial warming and drying of a non-depressed infant
- Has a commitment to self-evaluation, lifelong learning, and patient safety
- Understands the importance of compassion, integrity, and respect for others
- Demonstrates sensitivity and responsiveness to patients
- EPA 1: Gather a patient history and perform a physical examination
- EPA 4: Enter and discuss orders and prescriptions
- EPA 7: Form clinical questions and retrieve evidence to advance patient care
- EPA 10: Recognize a patient requiring urgent / emergent care and initiate evaluation and management
- EPA 12: Perform general procedures of a physician
Basic Clinical Skills:
This case incorporates the following Basic Clinical Skills (BCS) checklists:
- Pelvic Examination
- Sterile Technique
Case: Mary Smith is a 27-year-old G2P1 woman at 38-weeks gestation presents to the labor and delivery department complaining of lower abdominal pain.
Tasks:
- Develop a differential diagnosis for abdominal pain in a pregnant woman
- Obtain a medical history in a pregnant woman with abdominal pain
- Perform a focused physical examination on a pregnant woman with abdominal pain
- Interpret a fetal heart tracing
- Develop an appropriate treatment plan and write orders
- Demonstrate compassion, integrity, and respect for others
- Systematically analyze practice using quality improvement methods and implement changes with the goal of practice improvement
- Identify normal/abnormal labor progress, stages of labor and cardinal movements of labor
- Demonstrate appropriate management of labor
