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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. Mary’s Hospital

Laparoscopic Skills Laboratory

Course Director: Stephen Feaster, MD Course Contact: Rebecca Blake

304 691-1460 304 691-1456

jude@marshall.edu mooney17@marshall.edu

Course Objectives:

1. To demonstrate knowledge of the surgical anatomy of the female pelvis

2. To understand the rationale for surgical and non-surgical management of common gynecologic problems including

a. Abnormal Uterine Bleeding

b. Pelvic Floor Dysfunction

c. Benign Neoplasm of the Female Reproductive Tract

3. To begin to develop laparoscopic surgical skills

Course Outline:

1. Student will be responsible for the pre and post-operative management of patients undergoing surgical procedures for benign gynecologic diseases.

2. Student will learn the evaluation, ambulatory management, and surgical options to treat female pelvic floor dysfunction.

3. Students will be required to demonstrate knowledge of the anatomy of the female pelvis.

4. Students will be required to demonstrate basic laparoscopic skills.

Proposed Schedule*:

Monday Gynecologic surgery; CHH or St. Mary’s Hospital

Tuesday Gynecologic surgery; CHH or St. Mary’s Hospital

Wednesday 7am-Ob/Gyn Grand Rounds

8 am-Robotic Surgery

2pm-5 pm Laparoscopic skills lab

Thursday AM Gynecologic surgery; CHH or St. Mary’s Hospital

PM Gynecologic surgery; CHH or St. Mary’s Hospital OR

Laparoscopic skills lab

Friday AM Urogynecology clinic-MU Medical Center, 4th floor OR

Gynecologic Surgery-CHH or St. Mary’s 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

1. Surgical and Non-Surgical treatment options

2. Pre- and Post-operative management of patients undergoing procedures for benign gynecologic diseases

3. Management of unexpected complications of gynecologic surgeries

Medical Knowledge:

Students will receive instruction on and demonstrate knowledge of:

1. Surgical anatomy of the female pelvis

2. Surgical and Non-surgical treatment options for benign gynecologic problems

3. Expected outcomes and risks associated with common gynecologic procedures

4. Identify and know common use of instruments commonly in the performance of gynecologic procedures

Practice Based Learning and Improvement:

Students will

1. Pre-read about procedure the night before procedure performed

2. Self-review surgical anatomy of the female pelvis

3. Self-directed practice of laparoscopic skill

4. 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:

Interpersonal and Communication skills:

Students will demonstrate

1. Ability to discuss proposed procedure with patient and family

2. 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

1. Pre-operative surgical requirements including medical clearance and precertification of procedures

2. Understand the costs of various treatment options for women with benign gynecologic diseases

3. Understand the principles of cost containment for various benign gynecologic procedures

4. 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. Mary’s 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 director’s 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

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