ࡱ> `c__ 8*bjbjuu 4R0b0b8"HHD\Dt:DDDDDDD$|F2Ih;DTTT;DPDT"DTD508?JvM6"DfD0Do6IID88I8d  ;D;DDTTTTIH> : COURSE TITLE, DEPT. & COURSE NO: Gynecologic Surgery OBG 813 Course Description: Year IV Elective 2 or 4 week Course Locations: Marshall University Medical Center Cabell Huntington Hospital St. Marys Hospital Laparoscopic Skills Laboratory Course Director: Stephen Feaster, MD Course Contact: Rebecca Blake 304 691-1460 304 691-1456  HYPERLINK "mailto:jude@marshall.edu" jude@marshall.edu  HYPERLINK "mailto:mooney17@marshall.edu" mooney17@marshall.edu Course Objectives: To demonstrate knowledge of the surgical anatomy of the female pelvis To understand the rationale for surgical and non-surgical management of common gynecologic problems including Abnormal Uterine Bleeding Pelvic Floor Dysfunction Benign Neoplasm of the Female Reproductive Tract To begin to develop laparoscopic surgical skills Course Outline: Student will be responsible for the pre and post-operative management of patients undergoing surgical procedures for benign gynecologic diseases. Student will learn the evaluation, ambulatory management, and surgical options to treat female pelvic floor dysfunction. Students will be required to demonstrate knowledge of the anatomy of the female pelvis. Students will be required to demonstrate basic laparoscopic skills. Proposed Schedule*: Monday Gynecologic surgery; CHH or St. Marys Hospital Tuesday Gynecologic surgery; CHH or St. Marys Hospital Wednesday 7am-Ob/Gyn Grand Rounds 8 am-Robotic Surgery 2pm-5 pm Laparoscopic skills lab Thursday AM Gynecologic surgery; CHH or St. Marys Hospital PM Gynecologic surgery; CHH or St. Marys Hospital OR Laparoscopic skills lab Friday AM Urogynecology clinic-MU Medical Center, 4th floor OR Gynecologic Surgery-CHH or St. Marys Hospital PM Laparoscopic Skills Lab *As the number and types of procedures is highly variable, the course directory desires to maintain flexibility in making assignments to maximize learning opportunities. INSTITUTIONAL GOALS AND OBJECTIVES MET OR ADDRESSED At the end of this course, the student will have met the following clinical and basic science objectives. Patient Care: Students will receive instruction on and manage patients with benign gynecologic problems including Surgical and Non-Surgical treatment options Pre- and Post-operative management of patients undergoing procedures for benign gynecologic diseases Management of unexpected complications of gynecologic surgeries Medical Knowledge: Students will receive instruction on and demonstrate knowledge of: Surgical anatomy of the female pelvis Surgical and Non-surgical treatment options for benign gynecologic problems Expected outcomes and risks associated with common gynecologic procedures Identify and know common use of instruments commonly in the performance of gynecologic procedures Practice Based Learning and Improvement: Students will Pre-read about procedure the night before procedure performed Self-review surgical anatomy of the female pelvis Self-directed practice of laparoscopic skill Student will use online resources for reading assignments (Students are strongly encouraged to become student members in the American College of Obstetricians and Gynecologists. Membership is complimentary and will give student online access to selected publications, many of which are assigned reading for elective. Please see website:  HYPERLINK "http://www.acog.org/departments/membership/medstudentapp.cfm" http://www.acog.org/departments/membership/medstudentapp.cfm Interpersonal and Communication skills: Students will demonstrate Ability to discuss proposed procedure with patient and family Discuss pre- and post-operative care with faculty and residents Professionalism: Students will demonstrate ability to give informed consent Systems Based Practice: Students will receive instruction regarding Pre-operative surgical requirements including medical clearance and precertification of procedures Understand the costs of various treatment options for women with benign gynecologic diseases Understand the principles of cost containment for various benign gynecologic procedures Understand how to assist patients and families in procuring medical equipment for home use after gynecologic procedures, if needed TEACHING METHODS AND ASSESSMENT: Course will be taught by the full time and volunteer faculty of the Department of Obstetrics and Gynecology. Instruction will include 1-2 hours formal instruction on laparoscopic skills. There is no designated lecture time. Student is expected to spend 2-4 hours per week in laparoscopic skills lab. The remainder of the elective will be spent in the care of patients, under supervision, at both CHH and St. Marys Hospital. Elective is weekdays only. There is no night call, but student is expected to demonstrate practice based learning and improvement skills when not otherwise assigned. Expected hours per week = 60 Subjective evaluation and grading will be provided by the faculty upon completion of elective. Student will be required to take and pass a written MCQ examination with emphasis on surgical anatomy of the female pelvis and surgical and non-surgical management of gynecologic problems including possible complications of the procedure, pre- and post- operative management strategies, and patient safety. MCQ Exam will be based on required reading assignments (see below) Laparoscopic skills will be evaluated by demonstration of mastery of required skills in the laparoscopic simulation laboratory. Subjective evaluation by the faculty will be completed utilizing elective evaluation form. Student will receive feedback after each surgical procedure and for 4 week elective from the course director at midpoint. GRADING POLICY: This course will be graded as Pass/Fail. To pass you must have the following: Passing grade from the course director evaluation. PLUS Passing grad from all clinical faculty evaluations PLUS Score at least 80% on the MCQ The course directors evaluation will be based, but not limited to, upon the following factors: Attendance and participation in assigned activities Demonstration of knowledge and skills Maturity and Professionalism Oral Case presentation/patient workup Informal oral case discussions and presentations Self-directed learning MCQ Grading Scale >90=A 80-89=B 70-79=C <70%=F Demonstration of basic competence in laparoscopic skills as determined by skill examination on last day of elective. Students receiving a grade of <80% on MCQ will be given the opportunity to retake a similar examination. Average of 2 MCQ examinations will be used to determine final grade. ATTENDANCE AND INCLEMENT WEATHER POLICY: Students will be required to attend daily as scheduled. Absences and Inclement Weather as per SOM rules. READING REQUIREMENTS: ACOG Practice Bulletins: 140 Management of Abnormal Cervical Cancer Screening Test Results and Cervical Cancer Precursors 114 Management of Endometriosis 81 Endometrial Ablation 155 Urinary Incontinence in Women 185 Pelvic Organ Prolapse 195 Prevention of Infection After Gynecologic Procedures 96 Alternatives to Hysterectomy in the Management of Uterine Leiomyoma 182 Hereditary Breast and Ovarian Cancer Syndrome 84 Prevention of Deep Vein Thrombosis and Pulmonary Embolism 193 Tubal Ectopic Pregnancy 174 Evaluation and Management of Adnexal Masses 114 Management of Endometriosis ACOG Committee Opinions: 586 Health Disparities in Rural Women 578 Elective Surgery and patient choice 541 Professional Relationships with Industry 464 Patient Safety in the Surgical Environment 734 The Role of Transvaginal Ultrasonography in the Evaluation of Postmenopausal Bleeding 695 Sterilization of Women: Ethical Issues and Considerations 681 Disclosure and Discussion of Adverse Events 620 Salpingectomy for Ovarian Cancer Prevention 619 Gynecologic Surgery in the Obese Woman POLICY STATEMENT ON MAJOR PROJECTS, EXAMINATIONS AND OTHER ASSIGNMENTS (DUE DATES, MAKE-UPS) INCLUDING POLICY STATEMENT ON HOLDING GRADES UNTIL COURSE EVALUATIONS ARE COMPLETED: Date of MCQ and Laparoscopic skills evaluation will be afternoon of last day of elective. Student may request MCQ to be administered at any time during elective. Grades will be help pending evaluation of elective. Make up dates will be determined by course director. PLAGERISM POLICY/ACADEMIC INTEGRITY POLICY STATEMENT: As per MUSOM rules. 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