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