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Outpatient Gynecology

This case incorporates the following Milestones:

GY 1a: Patient Care, Gynecology Technical Skills: Laparotomy

  • Demonstrates knowledge of basic abdominal and pelvic anatomy
  • Demonstrates basic surgical principles including use of universal precautions and aseptic technique
  • Positions patient appropriately for surgery

GY 2: Medical Knowledge, Peri-operative Care

  • Demonstrates knowledge of basic abdominal and pelvis anatomy

GY 4: Medical Knowledge, Abnormal Uterine Bleeding (Acute and Chronic)

  • Demonstrates basic knowledge of what constitutes normal and abnormal uterine bleeding
  • Verbalizes the phases of the normal menstrual cycle

GY 5: Medical Knowledge, Pelvic Mass

  • Demonstrates a basic understanding of patients presenting with a pelvic mass, including differential diagnosis signs and Symptoms

SB 1: Systems-based Practice: Patient Safety and Systems Approach to Medical Errors: Participate in Identifying System Errors and Implementing Potential Systems Solutions

  • Recognizes limitations and failures of a team approach (e.g. handoffs, miscommunication) in health care as the leading cause of preventable patient harm

IC 1:  Interpersonal and Communication Skills: Communication with Patients and Families

  • Demonstrates adequate listening skills
  • Communicates effectively in routine clinical situations

IC 3: Interpersonal Communication Skills: Informed Consent and Shared Decision Making

  • Understands the importance of informed consent


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 5:  Document a clinical encounter in the patient record
  • EPA 7:  Form clinical questions and retrieve evidence to advance patient care
  • EPA 11:  Obtain informed consent for tests and/or procedures
  • EPA 13:  Identify system failures and contribute to a culture of safety and improvement