Jersey Shore University Medical Center Ob/Gyn Residency Program Educational Goals and Objectives for OBSTETRICS PGY

Transcription

1 These are the Educatinal Gals and Objectives fr the Obstetrics Rtatin. Please review and becme familiar with these gals and bjectives. As a 4th Year Resident yu shuld have mastered the educatinal bjectives listed fr PGY1, PGY2 and PGY3. The Chief Resident is respnsible fr the all management decisins and care f all bstetric patients. The Chief Resident will be supervised by the attending faculty. The Chief Resident must review all wrk dne by medical students, interns, 2nd year and 3rd year residents. Equally imprtant is the supervisin and instructin f the bstetric resident team. The Chief Resident is respnsible fr identifying and assigning cases f educatinal imprtance fr presentatin at the bi-mnthly Ob Clinical Pathlgic Cnferences and Ob-Pedi Cnferences. The Chief Resident shuld als use this rtatin as an pprtunity t strengthen any weakness they may nte in their bstetric training. Educatinal Gals and Objectives fr this rtatin: 1. Learn hw t multitask, priritize, delegate and supervise in rder t manage the inpatient and utpatient bstetric service. 2. Understand the cncept f wnership f the bstetric service. 3. Master skills and knwledge required t understand and manage critically ill bstetric patient. 4. Fcus the educatinal experience in areas f weakness and gain additinal clinical experience in areas f cmpetency. 5. Learn hw t bjectively evaluate ne s clinical practice thrugh bimnthly cnference presentatins and review f cases. 6. Learn hw t interact with ther services. 7. Cnsider impact f Labr and Delivery n health care system. 8. Master cncept f life-lng learning and teaching in bstetrics. 9. Demnstrate accuntability fr nes actins and clinical decisins. Prcedural Gals fr this rtatin: Understand: Hypgastric artery ligatin Hematma evacuatin, intra abdminal Trans abdminal cerclage Vaginal breech delivery

2 Understand and perfrm: Cesarean, classical Cesarean hysterectmy Frceps, utlet and lw applicatins Wund dehiscence management and repair Reading List: Operative Obstetrics, 2 nd Editin External Cephalic Versin Shulder Dystcia Genital Tract Laceratins and Puerperal Hematmas Obstetric Hysterectmy Pstperative Cmplicatins Evaluatin f the Surgical Abdmen Management f Pstpartum Hemrrhage Cancer in Pregnancy PATIENT CARE Residents must be able t prvide patient care that is cmpassinate, apprpriate, and effective fr the treatment f health prblems and the prmtin f health. 1. Recgnize and treat pssible cmplicatins f vaginal birth after cesarean, such as: a. Uterine scar dehiscence b. Hemrrhage c. Fetal cmprmise d. Infectin 2. Diagnse and treat pst partum maternal cmplicatins: a. Pulmnary emblism b. Deep vein thrmbsis c. Injury t urinary tract 3. Determine the etilgy f chrnic hypertensin 4. Treat hypertensive disrders f pregnancy 5. Recgnize and treat maternal cmplicatins f hypertensive disrders in pregnancy: a. Cerebrvascular accident b. Seizure c. Renal failure d. Pulmnary edema e. HELLP syndrme (hemlysis, elevated liver enzymes, lw platelets) f. Abruptin 6. Cnfirm the diagnsis f multiple gestatin by perfrming endvaginal r transabdminal ultrasund.

3 7. Describe, diagnse, and manage maternal and fetal cmplicatins assciated with multiple gestatin. 8. Cunsel patients as t the antenatal testing and delivery plans fr multiple gestatin. 9. Develp and carry ut patient management plans 10. Cunsel and educate patients and their families MEDICAL KNOWLEDGE Residents must demnstrate up t date knwledge f established and evlving bimedical, clinical, epidemilgical, and scial-behaviral sciences, and be able t apply this knwledge t patient care. 1. Describe the medical ratinale fr selective fetal reductin in higher rder multiple gestatin. 2. Perfrm tests t differentiate chrnic hypertensin frm preeclampsia and gestatinal hypertensin. 3. Describe the majr antigen-antibdy reactins that result in red cell isimmunizatin r thrmbcytpenia. 4. Describe the majr fetal cmplicatins f isimmunizatin and allimmune thrmbcytpenia. PRACTICE BASED LEARNING AND IMPROVEMENT Residents must be able t investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and imprve their patient care practices thrugh cnstant self-evaluatin and cmmitment t life lng learning. Objectives 1. Schedule and perfrm apprpriate antepartum fllw up fr high risk bstetric care. 2. Demnstrate cmmitment t life lng learning. 3. Cnduct reviews f critical cases with a systematic apprach. 4. Incrprate feedback frm evaluatins t imprve skills. 5. Maintain an updated case lg. 6. Participate in quality assurance activities f the department. PROFESSIONALISM Residents must demnstrate prfessinalism as manifested thrugh a cmmitment t carrying ut prfessinal respnsibilities, adherence t ethical principles, and sensitivity t a diverse patient ppulatin. 1. Cunsel patients with diabetes regarding future reprductin and the lng term health implicatins f their medical cnditin.

4 2. Develp in cnsultatin with ther specialists a cmprehensive plan fr the perinatal management f a patient with renal disease. 3. Demnstrate accuntability fr nes actins and clinical decisins 4. Acknwledge errrs r missins and wrk tward timely reslutin 5. Demnstrate truthful and timely disclsure f adverse utcmes t the patient and designated individuals 6. Maintain sensitivity t issues f diversity with patients and staff INTERPERSONAL AND COMMUNICATION SKILLS Residents must be able t demnstrate interpersnal and cmmunicatin skills that result in effective infrmatin exchange and teaming with patients, their families, and prfessinal assciates. Objectives 1. Maintain a medical recrd that is clear, cncise, and cmplete. 2. Demnstrate ability t cnvey bad news t patients and families. 3. Demnstrate ability t disclse unfreseen utcmes, mistakes, and untward events. 4. Cmmunicate effectively with patients and families acrss a diverse range f sciecnmic, cultural, and educatinal backgrunds. 5. Cmmunicate effectively with physicians, health prfessinals, and health care agencies. SYSTEMS BASED PRACTICE Residents must demnstrate an awareness f and respnsiveness t the larger cntext and system f health care and the ability t effectively call n system resurces t prvide ptimal health care. Objectives 1. Cnsider cst and risk-benefit analysis in patient care 2. Wrk t enhance patient safety and imprve patient care quality 3. Fllw clinical pathways as detailed in apprved prtcls 4. Develp appreciatin fr the cst f labratry and radilgical studies rdered in the evaluatin f patients 5. Participate in quality imprvement activity f the department METHOD OF EVALUATION Residents will be evaluated during this rtatin and thrughut residency via several methds including: fcused assessments, glbal assessments, in-training exams, prfessinal assciate evaluatins, patient satisfactin surveys, participatin at Jurnal Club, self-assessment, Life Lng Learning assignments, and participatin in grup discussins, sign ut, wrk runds, and cntributin t discussins and plans t imprve the residency educatinal experience.

5 1. Case Lg and Resident Statistics The resident is expected t maintain a case lg and input their prcedure statistics n a regular basis. 2. Fcused Assessment Cmpetencies (FAC) The resident shuld cmplete fcused assessment cmpetencies (FAC) fr the Educatinal Gals and Objectives listed fr this rtatin. 3. Glbal Evaluatin Glbal evaluatin f the resident will be perfrmed quarterly. Evaluatin will be based n feedback frm peers, medical students, attending faculty and patient satisfactin questinnaire. Residents will als underg self evaluatin. 4. Resident Prtfli The resident is expected t maintain a resident prtfli develped during the time the resident is enrlled in the prgram. It will cntain a variety f infrmatin reflecting the resident s prgress, evaluatins, cmmendatin, letters, and ambitin and achievements during residency. 5. Self Evaluatin The resident will cmplete regular self evaluatins fr review and discussin with the Prgram Directr. Research and schlarly activity will be reviewed. Patient surveys will be discussed. 6. Feedback The resident shuld give timely feedback t attendings and department as t the effectiveness and quality f the educatinal experience n this rtatin. Strengths, weaknesses and pprtunities t imprve this rtatin will be examined. 7. CREOG In Training Exam Perfrmance, self study, and plans fr imprvement will be discussed.

6 I have received and will review the Educatinal Gals and Objectives fr the OBSTETRICS ROTATION PGY4 at Jersey Shre University Medical Center. Resident: Date: Please sign and return t the Prgram Directr s Office.