University of Illinois

LCME

Liaison Committee on Medical Education

Goals and Objectives

Core Clerkship Goals and Objectives
OB/GYN

The student will be able to:

  • Complete a comprehensive women’s medical interview, including: menstrual history; obstetric history; gynecologic history; contraceptive history; sexual history; including sexual orientation and sexual function; family history and social history
  • Assess risk for unintended pregnancy, sexually transmitted infections, cervical pathology, breast malignancy, gynecologic malignancies and domestic violence
  • Assess compliance with recommended screening measures specific to women (e.g. cervical malignancy, gynecologic exam, brfest exam, diagnostic breast imaging) in risk-appropriate circumstances
  • Demonstrate interpersonal and communication skills that build trust by addressing contextual factors (e.g. culture, ethnicity, language/literacy, socioeconomic class, spirituality/religion, age, sexual orientation, disability)
  • Communicate the results of the ob-gyn and general medical interview by well-organized written and oral reports
  • Interact with the patient to gain her confidence and cooperation, and assure her comfort and modesty
  • Perform accurate examinations in a sensitive manner, including: breast examination, abdominal examination, complete pelvic examination, and recto-vaginal examination
  • Use accurate medical terminology to describe the: normal female anatomy across the life cycle, appearance of common pathology of the female urogenital tract and appearance of common breast changes and disorders
  • Communicate the relevant results of the examination in well-organized written and oral reports
  • Educate the patient regarding breast self-examination
  • Perform an adequate Pap smear
  • Obtain specimens to detect sexually transmitted infections
  • Handle specimens properly to improve diagnostic accuracy
  • Provide an explanation to the patient regarding the purpose of these tests
  • Generate a problem list
  • Form a diagnostic impression, including differential diagnosis
  • Consider economic, psychosocial and ethical issues
  • Develop a management plan that includes: laboratory and disgnostic studies, treatment, patient education and continuing care plans
  • Establish rapport with patients
  • Work cooperatively with patients, their social supports and other members of the health care team
  • Assess his/her own strengths and weaknesses with regard to personal interactions
  • List age-appropriate screening procedures and recommended time intervals for mammogram, bone density, Pap tests, STI evaluation and other screening tests
  • Counsel patient regarding contraception, domestic abuse/violence and prevention of sexually transmitted infections
  • Discuss the maternal physiologic anatomic changes associated with pregnancy
  • Discuss the effect of pregnancy on common diagnostic studies
  • Describe how certain medical conditions affect pregnancy
  • Describe how pregnancy affects certain medical conditions
  • Counsel patients regarding substance abuse
  • Counsel patients regarding nutrition and exercise
  • Counsel patients regarding medications and environmental hazards
  • Counsel patients regarding immunizations
  • Diagnose pregnancy
  • Assess gestational age
  • Distinguish an at-risk pregnancy
  • Perform a physical examination on obstetric patients
  • List the signs and symptoms of labor
  • Describe the three stages of labor and recognize common abnormalities
  • Describe the steps of a vaginal delivery
  • Describe the evaluation of common puerperal complications
  • List the normal physiologic and anatomic changes of the breast during pregnancy and the postpartum periods
  • Recognize and treat common postpartum abnormalities of the breast
  • List the reasons why breast feeding should be encouraged
  • Identify commonly used medications which are appropriate and inappropriate to use while breast feeding
  • Develop a differential diagnosis for bleeding and abdominal pain in the first trimester
  • Identify risk factors for ectopic pregnancy
  • Be able to evaluate a patient suspected of having an ectopic pregnancy
  • Develop a differential diagnosis for first trimester vaginal bleeding
  • Differentiate the types of spontaneous abortion
  • Identify the causes and complications of septic abortion
  • The student will be able to recognize the following medical and surgical conditions in pregnancy: anemia, diabetes mellitus, urinary tract disorders, herpes, rubella, group B streptococcus, hepatitis, human immunodeficiency virus (HIV), human papillomavirus (HPV) and other sexually transmitted infections, cytomegalovirus (CMV), toxoplasmosis, varicella and parvovirus, cardiac disease, asthma, alcohol, tobacco and substance abuse, surgical abdomen, discuss the potential impact of the above conditions on the gravid patient and the fetus/newborn, as well as the impact of pregnancy on each condition, if any

The student will be able to:

  • Define hypertension in pregnancy
  • Enumerate the symptoms of preeclampsia-eclampsia syndrome
  • Summarize the physical findings of preeclampsia-eclampsia syndrome
  • Discuss the use of immunoglobulin prophylaxis during pregnancy for the prevention of isoimmunization
  • List the causes of third trimester bleeding
  • Differentiate the signs and symptoms of third trimester bleeding
  • Describe the initial management plan for shock secondary to acute blood loss
  • Cite the risk factors for preterm labor
  • Counsel the patient regarding the signs and symptoms of preterm labor
  • Summarize the history, physical findings and diagnostic methods to confirm rupture of the membranes
  • Identify risk factors and diagnose postpartum “blues,” postpartum depression and postpartum psychosis
  • Describe treatment options for postpartum “blues,” postpartum depression and postpartum psychosis
  • Identify appropriate treatment options for depression in pregnancy
  • Identify the normal period of gestation
  • Describe the key components of pre-operative evaluation and planning, including complete medical histories, the informed consent process and working with consultants
  • Describe the common peri-operative prophylactic measures, including steps taken to reduce infection and deep venous thrombosis
  • Describe the components of routine post-operative care
  • List common post-operative complications
  • Describe and list the indications and complications of spontaneous vaginal delivery
  • Describe the physiologic basis of contraception (OCP’s, emergency contraception, patches, rings, IUD, sterilization, etc.)
  • Describe the effectiveness of each form of contraception
  • Counsel the patient regarding the benefits and risks for each form of contraception
  • Describe the methods of male and female surgical sterilization
  • List the risks and benefits of procedures, including: potential surgical complications, failure rates and reversibility (lack of)
  • Explain surgical and non-surgical methods of pregnancy termination
  • Identify potential complications of induced abortion
  • Provide non-directive counseling to patients surrounding pregnancy options
  • Diagnose and manage a patient with vaginitis
  • Interpret a wet mount microscopic examination
  • Describe dermatologic disorders of the vulva
  • Evaluate a patient with vulvar symptoms
  • Describe the methods of evaluation for the following STIs: gonorrhea, Chlamydia, herpes simplex virus, syphilis, human papillomavirus infection, human immunodeficiency virus (HIV) infection, hepatitis B virus infection
  • Describe the management of the following STIs: gonorrhea, Chlamydia, herpes simplex virus, syphilis, human papillomavirus infection, human immunodeficiency virus (HIV) infection, hepatitis B virus infection
  • Describe the pathogenesis of salpingitis
  • List the signs and symptoms of salpingitis
  • Describe the management of salpingitis
  • Identify the long-term sequelae of salpingitis, including: tubo-ovarian abscess, chronic salpingitis, ectopic pregnancy, infertility
  • Describe the diagnosis and management of UTIs
  • Incorporate screening questions for urinary incontinence when eliciting a patient history
  • List the chief complaints a patient with endometriosis may present
  • Identify the symptoms of endometriosis in a female patient presenting with abdominal pain
  • List the physical exam findings a patient with endometriosis may have
  • Demonstrate the performance of a comprehensive breast exam
  • Discuss diagnostic approach to a woman with the chief complaint of breast mass, nipple discharge or breast pain
  • List history and physical findings that may suggest: mastitis, carcinoma, fibrocystic changes, intraductal papilloma and fibroma
  • Describe the key components of pre-operative evaluation and planning, including complete medical histories, the informed consent process and working with consultants
  • Describe the common peri-operative prophylactic measures, including steps taken to reduce infection and deep venous thrombosis
  • Describe the components of routine post-operative care
  • List common post-operative complications
  • Define amenorrhea and oligomenorrhea
  • Describe the etiologies of amenorrhea and oligomenorrhea
  • Describe the normal menstrual cycle
  • Define abnormal uterine bleeding
  • Describe the etiologies of abnormal uterine bleeding
  • Describe the evaluation methods of abnormal uterine bleeding
  • Define primary and secondary dysmenorrheal
  • Identify the etiologies of dysmenorrheal
  • Describe the evaluation and management of dysmenorrheal
  • Perform an assessment of the symptoms and physical findings associated with hypoestrogenism
  • Define infertility
  • Describe the causes of male and female infertility
  • Identify the risk factors for cervical neoplasia and cancer
  • Perform an adequate Pap smear
  • Describe the initial management of a patient with an abnormal Pap smear
  • Describe the symptoms and physical findings in patients with uterine leiomyomas
  • List the risk factors for endometrial carcinoma
  • Describe the symptoms and physical findings of a patient with endometrial cancer
  • Outline the appropriate management of the patient with postmenopausal bleeding
  • Outline the approach to a patient with an adnexal mass
  • Compare the characteristics of functional cysts, benign ovarian neoplasm and ovarian malignancies
  • Describe the symptoms and physical findings of a patient with ovarian malignancy
  • List the risk factors for ovarian cancer
  • Counsel a woman with risk for ovarian cancer
  • Obtain a basic sexual history, including sexual function and sexual orientation
  • Categorize common patters of female sexual dysfunction
  • Identify patients at increased risk for sexual abuse
  • List the components of a history on a sexual assault victim (child, adult and acquaintance rape)
  • Describe an age-appropriate examination on a sexual assault victim (child, adult and acquaintance rape)
  • Describe age-appropriate counseling on a sexual assault victim (child, adult and acquaintance rape)
  • Cite prevalence and incidence of violence against women, elder abuse, child abuse
  • Assess the involvement of any patient in domestic violence situations
  • Counsel patients for short-term safety
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