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Inpatient Gynecology

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