GYN DIVISION - University of Michigan
GYN DIVISION
Resident Education
Learning Objectives – HO I
|Level/ |Objective |Learning Environment |Domain |Knowledge/ Skills |Knowledge/Skills |Evaluation |
|Year |Disease | | | |Attained by: | |
| |State | | | | | |
|HO I |Abnormal Uterine Bleeding |Emergency Department |Skills |- EMB |- Hands on |- Direct observation |
| | |Operating | | | |- Competency form |
| | |Room |Knowledge |- Differential for AUB |- Reading | |
| | | | |- Diagnostic tests |- CORE |- Testing/CREOG |
| | | | |beta hcg | | |
| | | | |cbc +/- coags | | |
| | | | |tsh | | |
| | | | |imaging | | |
| | | | |- Treatment for AUB | | |
| | | | | | | |
| | | |Skills |- Endometrial ablation (Novasure) |- Reading |- Competency form |
| | | | |- Hysteroscopy, |- Operating |- Direct Observation |
| | | | |- Dilatation and Curettage |room | |
| | | | |- Polypectomy |- Hands on | |
| | | | |- Mirena IUD |teaching | |
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|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Knowledge/Skills |Evaluation |
|Year |Disease | | | |Attained By: | |
| |State | | | | | |
|HO I |Pelvic Masses |ED |Knowledge |- Major causes of masses |- Reading |- Testing/CREOG |
| | |Pre Op Care | | |- CORE | |
| | |Operating Room | |- Order appropriate tests ( radiology, |- Reading |- Testing/CREOG |
| | | | |serum markers) |- CORE | |
| | | | | |Teaching | |
| | | |Skills |-Elicit pertinent history and focused |- Reading |- Direct Observation |
| | | | |physical exam |- Hands on | |
| | | | |- Interpretation of tests |- Reading |- Direct Observation |
| | | | | |- Hands on |- Competency form (surgical |
| | | | |- Appropriate treatment medically |- Reading |procedures) |
| | | | |/surgically (awareness of surgical |- Hands on | |
| | | | |procedures) |- OR | |
| | | | | | | |
|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Skills Attained |Evaluation |
|Year |Disease | | | | | |
| |State | | | | | |
|HO I |Endometriosis |Operating Room |Knowledge |- Definition |- Reading |- Testing/CREOG |
| | | | |- Clinical presentation |- CORE | |
| | | | |- Medical Treatment | | |
| | | | | | | |
| | | |Skills |- Diagnostic laparoscopy |- Operating |- Direct Observation |
| | | | |- Ablation of lesions |Room |- Testing Competency |
| | | | | |- Hands on | |
|HO I |Urogynecologic Disorders |Anatomy Lab |Knowledge |- Describe the four major domains of |- Lectures |- Direct observation |
| |Pelvic Organ Prolapse |Clinic |Skills |pelvic floor dysfunction: urinary |- Hands on | |
| | | | |incontinence, pelvic organ prolapse, |learning | |
| | | | |fecal incontinence, sexual |- Clinical | |
| | | | |dysfunction |experience | |
| | | |Knowledge | |- Reading | |
| | | | |- Understand and define the |- Operating | |
| | | | |symptoms, signs, and diagnosis of |Room | |
| | | | |urge and stress incontinence. |- Anatomy lab | |
| | | | | | | |
| | | | |- Understand the normal support of | | |
| | | | |the vagina, uterus, bladder, and | | |
| | | | |rectum. | | |
| | | | | | | |
| | | | |- Understand the anatomic and | | |
| | | | |structural factors associated with | | |
| | | | |pelvic organ prolapse. | | |
| | | | | | | |
|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Skills Attained |Evaluation |
|Year |Disease | | | | | |
| |State | | | | | |
|HO I |Ectopic Pregnancy |Emergency Department |Skills |- Accurate history/physical |- CORE |- Direct observation |
| | | | |- Interpret formal ultrasound findings | | |
| | | | | |- Reading |- Testing/CREOG |
| | |ER Add-On Clinic |Knowledge |- Ectopic risk factors | | |
| | | | |- Methotrexate criteria/protocol, |- Resident | |
| | | | |including follow-up and BHCG curves |website | |
| | | | |- Indications for emergent vs. non- | | |
| | | | |emergent surgical management | | |
| | | | |- Ddx abdominal pain in early | | |
| | | | |pregnancy | | |
| | | | |- Ddx bleeding in early pregnancy | | |
| | | | |- Indications for Rhogam | | |
| | |OB Continuity Clinic | | | | |
| | | |Skills |- Identify IUP >= 6 weeks by office | |- USN Competency |
| | |[Planned Parenthood] | |transvaginal ultrasound | |Assessment |
| | | | | | | |
| | | |Knowledge |- BHCG/ ultrasound correlation | | |
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|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Knowledge/Skills |Evaluation |
|Year |Disease | | | |Attained BY | |
| |State | | | | | |
|HO 1 |Pre Op Care |Clinic |Skills |- Choosing appropriate suture and |- Reading |Direct observation |
| | |Operating Room | |surgical instruments | | |
| |Mechanical Vacuum | | | | |Competency form |
| |Aspiration | |Knowledge/Skills |- Cervical dilators (Pratt, Hanks, |- Operating | |
| | | | |Hagars) |Room | |
| | | |Knowledge | | | |
| | | | |- Uterine position | | |
| | | | | | | |
| | | | |- Risk of uterine perforation | | |
|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Knowledge/Skills |Evaluation |
|Year |Disease | | | |Attained BY | |
| |State | | | | | |
|HO I |Post Op Care |Emergency Department |Skills |- Perform a physical examination and |- Reading |- Direct observation |
| |Gynecology rotation: | | |order appropriate test to assess | | |
| | |Clinic | |fever |- Clinical experience |- CREOG Examination |
| |Common postoperative | | | | | |
| |complications |Hospital |Knowledge |- Interpretation of: | | |
| | | | |1) Physical exam: | | |
| |Fever | | |-Pulmonary Abdomen | | |
| | | | |-Spine/Back | | |
| | | | |-Incision | | |
| | | | |-Pelvic exam | | |
| | | | |-Extremities | | |
| | | | |-IV sites | | |
| | | | |2) Laboratories | | |
| | | | |-CBC with differential | | |
| | | | |-Cultures | | |
| | | | |-Urine analysis | | |
| | | | |3) Radiologic studies | | |
| | | | |-Pelvic ultrasound | | |
| | | | |-Chest X-Ray (with radiology | | |
| | | | |consultation) | | |
| | | | | | | |
|HO I |Post Op Care |Emergency Department |Skills/ |- Perform a physical examination and |- Reading |- Direct observation |
| |Gynecology rotation: | |Knowledge |order appropriate tests to assess for | | |
| | |Clinic | |Gastrointestinal ileus/obstruction |- Clinical experience | |
| |Common postoperative | | | | | |
| |complications |Hospital | |- Abdominal exam interpretation | | |
| | | | | | | |
| |Gastrointestinal | | |- Abdominal x-ray (with radiology | | |
| |Ileus/obstruction | | |consultation) | | |
|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Knowledge/Skills |Evaluation |
|Year |Disease | | | |Attained BY | |
| |State | | | | | |
|HO I |PostOp Care |Emergency Department |Skills/ |- Perform a physical examination and |- Clinical experience |- Direct observation |
| |Gyn rotation: | |Knowledge |order appropriate test for | | |
| | |Clinic | |assessment of fluid or electrolyte | | |
| |Common postoperative | | |disturbances | | |
| |complications: |Hospital | |- Neurologic exam for orientation | | |
| |Fluid or electrolyte | | |- Interpretation of electrolyte | | |
| |disturbances | | |disturbances | | |
| | | | |- Steps in evaluation of abnormalities | | |
|HO I |PostOp Care |Emergency Department |Skills/ |- Perform a physical examination and |- Clinical experience |- Direct observation |
| |Gyn rotation: | |Knowledge |order appropriate test for | | |
| | |Clinic | |assessment of respiratory problems | | |
| |Common postoperative | | | | | |
| |complications: |Hospital | |- Cardiovascular evaluation (Vital | | |
| |Respiratory problems | | |signs, pulse oximetry) | | |
| | | | | | | |
| | | | |- Arterial blood gas | | |
| | | | |- Chest X-ray | | |
| | | | |- EKG interpretation | | |
|HO I |PostOp Care |Emergency Department |Skills/ |- Perform a physical examination and |- Clinical experience |- Direct observation |
| |Gyn rotation: | |Knowledge |order appropriate test for | | |
| | |Clinic | |assessment of Thrombo-embolism | | |
| |Common postoperative | | | | | |
| |complications: |Hospital | |- Order & interprets Arterial blood gas | | |
| |Thrombo-embolism | | |- Pulse oximetry | | |
| | | | |- Interpret and make appropriate | | |
| | | | |decisions for tests: | | |
| | | | |- Dopplers of lower extremities | | |
| | | | |- CXR | | |
| | | | |- D-Dimer | | |
| | | | |- V/Q scans | | |
| | | | |- Pulmonary angiography | | |
| | | | |- Spiral CT scan | | |
|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Knowledge/Skills |Evaluation |
|Year |Disease | | | |Attained BY | |
| |State | | | | | |
|HO I |Toxic shock syndrome (TSS)| |Knowledge |- Describe typical presentation of TSS |- Reading |- CREOG |
| | | | |including pertinent historical and |- Core |- Inpatient rounder |
| | | | |physical examination |- Management of affected| |
| | | | | |patients | |
|HO I |Septic shock |Emergency Department |Knowledge/ |- Describe causes and frequency of |- Reading |- CREOG |
| | |Inpatient units |Skills |septic shock; differential diagnosis |- Core | |
| | | | | |- Patient care |- Faculty or senior resident |
| | | | |- Demonstrate ability to obtain |- Patient simulator |supervision |
| | | | |appropriate history and perform |where appropriate | |
| | | | |physical examination in post- | | |
| | | | |operative patient with fever and | | |
| | | | |hypotension including differential | | |
| | | | |diagnosis | | |
| | | | | | | |
| | | | |- Demonstrate/describe initial | | |
| | | | |response to patient with | | |
| | | | |hypotension potentially due to septic | | |
| | | | |shock | | |
GYN DIVISION
Resident Education
Learning Objectives – HO II
|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Skills Attained |Evaluation |
|Year |Disease | | | | | |
| |State | | | | | |
|HO II |Abnormal Uterine Bleeding |Emergency Department |Skills |- Transvaginal Ultrasound |- Hands on |- Direct Observation |
| | | | | | | |
| | |Continuity Clinics |Knowledge |- Differential for AUB |- Reading |- Testing/CREOG |
| | | | |- Treatment for AUB |- CORE | |
| | |Operating Room | |medical | | |
| | | | |surgical | | |
| | | | | | | |
| | | |Skills |- Endometrial ablation (novasure) |- Reading |- Competency form |
| | | | |- Hysteroscopy, |- Operating |- Direct Observation |
| | | | |- Dilatation and Curettage |room | |
| | | | |- Polypectomy |- Hands on | |
| | | | |- Mirena IUD | | |
|HO II |Vaginal and vulvar |Continuity Clinic |Skills |- Obtain yeast culture, identify species |- Reading |- Direct observation |
| |infections- candidiasis | | |with aerobic swab; Determine vaginal | | |
| | | | |pH, microscopy | |- Testing/CREOG |
| | | | | | | |
| | | |Knowledge |- Common candidal infections | | |
| | | | | | | |
| | | | | | | |
| | | |KnowledgeSkills |- Treatment for common candida | | |
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|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Skills Attained |Evaluation |
|Year |Disease | | | | | |
| |State | | | | | |
|HO II |Pelvic Masses |ED |Knowledge |- Major causes of masses |- Reading |- Testing/CREOG |
| | |Continuity Clinic | | |- CORE | |
| | |PreOp evaluation | | | | |
| | |Operating Room | |- Order appropriate tests ( radiology |- Reading |- Testing/CREOG |
| | |PostOp care | |tests, serum markers) |- CORE | |
| | | | | |- Teaching | |
| | | | | | | |
| | | |Skills |- Patient follow up |-Reading | |
| | | | | |-CORE | |
| | | | | | | |
| | | | |- Elicit pertinent history and focused |- Reading |- Testing |
| | | | |physical exam |- Hands on | |
| | | | | | | |
| | | | |- Interpretation of tests |- Reading |- Direct Observation |
| | | | | |- Hands on | |
| | | | | | | |
| | | | |- Appropriate treatment: medical and |- Reading |- Direct Observation |
| | | | |surgical procedures |- Operating | |
| | | | | |Room |- Competency form (surgical |
| | | | | |- Hands on |procedures) |
| | | | | | | |
| | | | | |- Reading | |
| | | | |- Patient Counseling |- Hands on |- Direct Observation |
|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Skills Attained |Evaluation |
|Year |Disease | | | | | |
| |State | | | | | |
|HO II |Urogynecologic Disorders | |Knowledge |-Describe the typical symptoms |- Lectures |- Direct observation |
| | | | |experienced by a patient with a |- Hands on |-Testing competency |
| | | | |urogyn disorder. |teaching | |
| | | |Skills |-Take a focused history of the lower |- Clinical | |
| | | | |urinary tract function |experience | |
| | | | |- Take a focused history of genital |- Reading | |
| | | | |prolapse symptoms and fecal |- Operating | |
| | | | |incontinence |room | |
| | | | | |experience | |
|HO II |Endometriosis |Continuity Clinics |Skills |- Transvaginal Ultrasound |- Hands on |- Direct Observation |
| | |Operating Room | | | |- Competency Form |
| | |Specialty Clinics |Knowledge |- Theories for pathogenesis |- Reading | |
| | | | |- Treatment for endometriosis |- CORE |- Testing/CREOG |
| | | | |medical | | |
| | | | |surgical | | |
| | | | | |- Operating |- Competency form |
| | | | |- Diagnostic laparoscopy |room |- Direct Observation |
| | | |Skills |- Excision of lesions |- Hands on | |
|HO II |Breast Mass |Continuity Clinic |K/S |- Demonstrate all of HOI |- Continuity clinic |- CREOG testing |
| |Breast Pain |Breast Care Clinic | |knowledge/skills with increased | |- Direct observation in |
| |Nipple discharge |OR | |facility |- BCC |BCC |
| |Abnormal mammogram | | |- Perform cyst aspiration in clinic | |- Observation in OR |
| |Family history of breast | | |- Assist in excisional biopsy of breast |- OR experience | |
| |cancer | | |masses | | |
| | | | |- Develop plan for determining who are | | |
| | | | |appropriate candidates for BRCA gene | | |
| | | | |mutation testing | | |
|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Skills Attained |Evaluation |
|Year |Disease | | | | | |
| |State | | | | | |
|HO II |Undesired Pregnancy |Emergency Department |Skills |- Manage hemorrhage or sepsis | | |
| | | | |following medication or surgical | | |
| | | | |abortion | | |
| | | |Knowledge |- Manage uterine perforation | | |
| | | | |- Manage hemorrhage at time of | | |
| | | | |abortion | | |
| | |[Planned Parenthood] | |- Manage IV sedation, complications of | | |
| | | |Knowledge |sedation, and their treatment | | |
| | |Operating Room | |- MI law re. abortion (24 hour consent, | | |
| | | | |minors) | | |
| | | |Skills |- assist in l/s or laparotomy for uterine | | |
| | | | |perforation | | |
|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Skills Attained |Evaluation |
|Year |Disease | | | | | |
| |State | | | | | |
|HO II |Post Op Care: Gyn |Emergency Department |Skills |- Choose pain control appropriate to |- Reading |- Direct observation |
| |Rotation: | | |the type of surgical procedure, age of | | |
| | |Operating Room | |patient, and degree of patient |- Clinical | |
| |Ectopic Pregnancy | | |discomfort |experience | |
| |(Laparoscopy) |Post Anesthesia Care Unit | | | | |
| | | |Knowledge |- Use of NSAIDs, Tylenol, Opioids for | | |
| | | | |inpatient and outpatient surgeries, | | |
| | | | |including laparoscopy and robotic | | |
| | | | |surgeries with discharge home same | | |
| | | | |day | | |
|HO II |Toxic shock syndrome (TSS)| |Skills/ Knowledge |- Order and interpret appropriate |- Reading |- CREOG |
| | | | |laboratory, radiologic and |- Core |- Inpatient rounder |
| | | | |microbiology testing for patient with |- Management of affected| |
| | | | |suspected TSS |patients | |
|HO III |Pathology and neoplasia |Continuity Clinic |Skills |- Vulvoscope |- Hands-on |- Direct observation |
| | |Vulvar Disease Clinic | | | | |
| | | |Knowledge |- HPV of the vulva and VIN |- Reading |- Testing/CREOG |
| | | | | |- CORE | |
| | | |Knowledge | | | |
| | | | |- Awareness of the new terminology |- Reading |- Competency form |
| | | | |for VIN; Gain knowledge on laser |- Operating | |
| | | | |therapy |room | |
| | | | | | | |
| | | | | |- Hands on | |
|HO III |Abnormal Uterine Bleeding |Emergency Department |Knowledge |- Differential for AUB |- Reading |- Testing/CREOG |
| | |Continuity clinics | |- Treatment for AUB |- CORE | |
| | |Operating Room | |medical | | |
| | |Inpatient Consults | |surgical | | |
| | |Specialty Clinics | | | | |
| | | |Skills |- Hysterectomy |- Reading |- Competency form |
| | | | |abdominal |- Operating |- Direct Observation |
| | | | | |room | |
| | | | |- Myomectomy |- Hands on | |
| | | | |abdominal |- Simulation | |
| | | | |hysteroscopic | | |
| | | | | | | |
| | | | | | | |
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|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Skills Attained |Evaluation |
|Year |Disease | | | | | |
| |State | | | | | |
|HO III |Non-neoplastic epithelial |Continuity Clinic |Knowledge |- Lichen sclerosus |- Reading |- Direct observation |
| |disorders of the vulva | | | |- Hands on | |
| |(previously called vulvar |Vulvar Disease Clinic | | | |- Testing/CREOG |
| |dystrophies) | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
|HO III |Non-neoplastic epithelial |Continuity Clinic |Knowledge |- Squamous cell hyperplasia |- Reading |- Direct observation |
| |disorders of the vulva | | | |- Hands on | |
| |(previously called vulvar |Vulvar Disease Clinic | | | |- Testing/CREOG |
| |dystrophies) | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
|HO III |Non-neoplastic epithelial |Continuity Clinic |Knowledge |- Lichen planus |- Reading |- Direct observation |
| |disorders of the vulva | | | |- Hands on |- Testing/CREOG |
| |(previously called vulvar |Vulvar Disease Clinic | | | | |
| |dystrophies) | | | | | |
| | | | | | | |
| | | | | | | |
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|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Skills Attained |Evaluation |
|Year |Disease | | | | | |
| |State | | | | | |
|HO III |Ulcerative STDs (HSV, |Emergency Department |Knowledge/Skills |- Evaluate response to therapy for |- Reading |- Observation in various clinical |
| |Syphilis, Chancroid, LGV) | | |PID and determination for need for | |settings |
| | |Clinic | |additional management (e.g., |- Clinical | |
| |STDs associated with | | |surgical or imaging guided drainage) |experience |- CREOG |
| |discharge |Inpatient units | | |in clinic or | |
| | | | | |ED setting | |
| |Also: HIV, HPV, Hepatitis | | | | | |
| |C/ D | | | |- Core | |
| | | | | |lectures | |
| |Pelvic inflammatory | | | | | |
| |disease (PID) | | | | | |
|HO III |Pelvic Masses |ED |Knowledge |- Major causes of masses |- Reading |- Testing/CREOG |
| | |Continuity Clinic | | |- CORE | |
| | |Pre Op evaluation |Skills | | | |
| | |Operating room | |- Order appropriate tests ( radiology |- Read/CORE |- Testing/CREOG |
| | |Inpatient Consults | |tests, serum markers) |- Teaching | |
| | |Post Op care | | | | |
| | | | |- Patient follow up |- Reading |- Testing |
| | | | | |- CORE | |
| | | | | | | |
| | | | |- Elicit pertinent history and |- Reading |- Direct Observation |
| | | | |focused physical exam |- Hands-on | |
| | | | | | | |
| | | | |- Performing USN |- Teaching |- Direct Observation (competency |
| | | | | |- Hands-on |from?) |
| | | | | | | |
| | | | |- Interpretation of tests |- Reading |- Direct Observation |
| | | | | |- Hands on | |
| | | | | | | |
| | | | |- Appropriate treatment: medical and |- Reading |- Competency form (surgical |
| | | | |surgical procedures |- Teaching |procedures) |
| | | | | |- Hands on | |
| | | | |- Patient Counseling |- Reading |- Direct Observation |
| | | | | |- Hands-on | |
|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Skills Attained |Evaluation |
|Year |Disease | | | | | |
| |State | | | | | |
|HO III |Endometriosis |Continuity Clinics |Knowledge |- AFS Staging system |- Reading |- Testing/CREOG |
| | |Operating Room | |- Treatment for endometriosis |CORE | |
| | |Specialty Clinics | |medical | | |
| | | | |surgical | | |
| | | | |- Operative Laparoscopy for |- Operating |- Direct Observation |
| | | |Skills |endometrioma |room | |
|HO III |Urogynecologic Disorders/ | |Knowledge |- Perform focused PE to determine |- Lectures |- Direct observation |
| |Pelvic Organ Prolapse | | |cause of urogyn disorder |- Hands on | |
| | | | |- Identify the patient requiring |teaching | |
| | | | |treatment and establish a plan of |- Clinical | |
| | | | |treatment for the patient with pelvic |experience | |
| | | | |organ prolapse. |- Reading | |
| | | | |- Understand the nonsurgical options |- Operating | |
| | | | |for treatment, including care and |Room | |
| | | | |use of pessaries and administration |experience | |
| | | | |of vaginal estrogen. | | |
| | | | |-Understand the possible side effects | | |
| | | | |of nonsurgical treatment, such as | | |
| | | | |infection, ulceration, urinary i | | |
| | | | |incontinence or retention associated | | |
| | | | |with pessary use. | | |
| | | | |- Perform selected tests: | | |
| | | |Skills |- POP-Q, exam during Valsalva | |-Testing competency |
| | | | |- PVR | | |
| | | | |- Assess perineal/ levator strength | | |
| | | | |- exam of urethral and vag supports | | |
| | | | |- Focused neurologic exam | | |
| | | | |- UA | | |
|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Skills Attained |Evaluation |
|Year |Disease | | | | | |
| |State | | | | | |
|HO III |Ectopic Pregnancy |Operating Room |Skills |- Manage unstable ruptured ectopic |- Hands on |- Direct observation |
| | | | |pt., including blood products | | |
| | | | |- Counsel pts re future pregnancies, |- Reading | |
| | | | |ectopic recurrence rates | | |
| | | |Knowledge |- Manage failed medical treatment of | | |
| | | | |ectopic | | |
|HO III |Undesired Pregnancy |Operating Room |Skills |- D+E to 18 weeks | | |
| | | | | | | |
| | | | |- techniques for 2nd trimester medical | | |
| | | |Knowledge |and surgical abortion | | |
|HO III |Preoperative assessment of|Continuity Clinic |Knowledge |- Recognize risk factors: |- Reading |- Direct observation |
| |patients with special |Urogyn Clinic | |cardiovascular, pulmonary, | | |
| |needs |Pediatric Gyn | |hematologic (bleeding diatheses, |- CORE |- Testing/CREOG |
| | |Developmentally disabled Gyn | |thromboembolism), | | |
| | |clinic | |infection |- Clinical |- Competency form |
| | | |Skills | |experience | |
| | |Minimally Invasive Surgery | |- Procedure specific evaluation of | | |
| | |Clinics | |surgical risks | | |
| | | | | | | |
| | | | |- Informed consent | | |
|HO III |Pre Op Care: |Operating Room |Knowledge |- Equipment to capture peritoneal |- Operating |- Direct observation |
| |Choosing appropriate | | |fluid |Room | |
| |suture and surgical | | | | |- Competency form |
| |instruments | | |- Instruments to dissect | | |
| | | | |retroperitoneally and coagulate | | |
| |Surgical evaluation of | | |ovarian vessels | | |
| |adnexal mass | | | | | |
| | | | |- Laparoscopic bags to remove mass | | |
|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Skills Attained |Evaluation |
|Year |Disease | | | | | |
| |State | | | | | |
|HO III |Septic shock |Emergency Department |Knowledge |- Identify need for appropriate |- Reading |- CREOG |
| | |Inpatient Units |Skills |consultation for patient with critical |- Core | |
| | | | |care or infectious disease |- Patient care |- Faculty or senior |
| | | | |consultation |- Patient simulator |resident supervision |
| | | | | |where appropriate | |
| | | | |- Determine need for more intensive | | |
| | | | |monitoring and intervention (central | | |
| | | | |hemodynamic monitoring, arterial | | |
| | | | |blood gases, etc.) | | |
| | | | | | | |
| | | | |- Interpret imaging studies and | | |
| | | | |determine need for drainage | | |
| | | | |procedures (imaging guided or | | |
| | | | |open) with appropriate consultation | | |
GYN DIVISION
Resident Education
Learning Objectives – HO IV
|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Skills Attained |Evaluation |
|Year |Disease | | | | | |
| |State | | | | | |
|HO IV |Pathology and neoplasia|Continuity Clinic |Skills |- Vulvoscope |- Hands-on |- Direct observation |
| | |Vulvar Disease Clinic | | | | |
| | | | | | | |
| | | |Knowledge |- HPV of the vulva and VIN |- Reading |- Testing/CREOG |
| | | | | |- CORE | |
| | | | | | | |
| | | | | | | |
| | | | |- Awareness of the new terminology |- Reading |- Competency form |
| | | | |for VIN; Gain knowledge on laser |- Operating | |
| | | | |therapy; describe the role of |room | |
| | | | |oncogenes in the pathogenesis of |- Hands on | |
| | | | |VIN | | |
|HO IV |Abnormal Uterine |Emergency Department |Knowledge |- Differential for AUB |- Reading |- Testing/CREOG |
| |Bleeding |Continuity Clinics | |- Treatment for AUB |- CORE | |
| | |Operating Room | |medical | | |
| | |Specialty Clinics | |surgical | | |
| | | | | | | |
| | | |Skills |- Office Hysteroscopy |- Reading |- Competency form |
| | | | |- Sonohysterography |- Operating |- Direct observation |
| | | | |- Hysterectomy |room | |
| | | | |abdominal |- Hands on | |
| | | | |laparoscopic | | |
| | | | |vaginal | | |
| | | | | | | |
| | | | |- Myomectomy | | |
| | | | |abdominal | | |
| | | | |hysteroscopic | | |
|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Skills Attained |Evaluation |
|Year |Disease | | | | | |
| |State | | | | | |
|HO IV |Non-neoplastic |Continuity Clinic |Knowledge |- Lichen sclerosus |- Reading |- Direct observation |
| |epithelial disorders of| | | |- Hands on |- Testing/CREOG |
| |the vulva (previously |Vulvar Disease Clinic | | | | |
| |called vulvar | | | | | |
| |dystrophies) | | | | | |
| | | | | | | |
| | | | | | | |
|HO IV |Non-neoplastic |Continuity Clinic |Knowledge |- Squamous cell hyperplasia |- Reading |- Direct observation |
| |epithelial disorders of| | | |- Hands on |- Testing/CREOG |
| |the vulva (previously |Vulvar Disease Clinic | | | | |
| |called vulvar | | | | | |
| |dystrophies) | | | | | |
| | | | | | | |
| | | | | | | |
|HO IV |Non-neoplastic |Continuity Clinic |Knowledge |- Lichen planus |- Reading |- Direct observation |
| |epithelial disorders of| | | |- Hands on |- Testing/CREOG |
| |the vulva (previously |Vulvar Disease Clinic |Skills | |- Operating |- Competency form |
| |called vulvar | | | |room | |
| |dystrophies) | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Skills Attained |Evaluation |
|Year |Disease | | | | | |
| |State | | | | | |
|HO IV |Ulcerative STDs (HSV, |Emergency Department |Knowledge |- Discuss long term follow-up |- OR |- Faculty supervision |
| |Syphilis, Chancroid, LGV) | |Skills |including counseling about potential | | |
| | |Clinic | |sequelae of PID (infertility, pelvic | | |
| |STDs associated with | | |pain, adhesive disease, etc) | | |
| |discharge |Inpatient units | | | | |
| | | | |- Surgical management of complex | | |
| |Other STDs (HIV, HPV, | | |PID (e.g., TOA) | | |
| |Hepatitis C and D) | | | | | |
| | | | | | | |
| |Pelvic inflammatory | | | | | |
| |disease (PID) | | | | | |
|HO IV |Pelvic Masses |ED |Knowledge |- Major causes of masses |- Reading |- Testing/CREOG |
| | |Continuity Clinic | | |- CORE | |
| | |Preop evaluation | | | | |
| | |Operating room | |- Order appropriate tests ( radiology |- Reading |- Testing/CREOG |
| | |Inpatient Consults | |tests, serum markers) |- CORE | |
| | |Postop care | | |- Teaching | |
| | | | | | | |
| | | |Skills |- Patient follow up |- Reading |- Testing |
| | | | | |- CORE | |
| | | | | | | |
| | | | |- Elicit pertinent history and |- Reading |- Direct Observation |
| | | | |focused physical exam |- Hands on | |
| | | | | | | |
| | | | |- Performing USN |- Teaching |- Direct Observation (competency |
| | | | | | |from?) |
|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Skills Attained |Evaluation |
|Year |Disease | | | | | |
| |State | | | | | |
|HO IV |Chronic Pelvic Pain |Emergency Room |Knowledge |- Definition |- Reading |- Testing/CREOG |
| | |Operating Room | |- Etiology/differential |- CORE | |
| | |Continuity Clinic | |- Diagnostic studies | | |
| | |Specialty Clinic | |-cultures | | |
| | | | |-laparoscopy | | |
| | | | |-radiographic | | |
| | | | |- Treatment | | |
| | | | |-medical | | |
| | | | |-surgical | | |
| | | | | | | |
| | | |Skills |- Physical examination |- Hands-on |- Competency form |
| | | | |- Laparoscopy-advanced operative |- Operating |- Direct observation |
| | | | |- Cystoscopy |room | |
| | | | |- Cultures | | |
|HO IV |Endometriosis |Continuity Clinics |Knowledge |- AFS staging system |- Reading |- Testing/CREOG |
| | |Operating Room | |- Treatment for endometriosis |- CORE | |
| | |Specialty Clinics | |medical | | |
| | | | |surgical | | |
| | | | | | | |
| | | | |- Surgical management of Stage IV |- Operating | |
| | | |Skills |endometriosis |Room |- Direct Observation |
|HO IV |Urogynecologic Disorders | |Knowledge |- Interpret results of diagnostic tests: |- Lectures |- Direct observation |
| | | | |- The resident should be able to |- Hands on teaching | |
| | | | |demonstrate an understanding of |- Clinical experience | |
| | | | |the prevalence, etiology, redisposing |- Reading | |
| | | | |factors, symptomatology, and |- Operating room | |
| | | | |management of fecal incontinence, |experience | |
| | | | |urinary incontinence, and pelvic | | |
| | | | |organ prolapse. | | |
| | | | |- Understand the different types of | | |
| | | | |fecal and urinary incontinence, their | | |
| | | | |causes, symptom complexes, | | |
| | | | |physical findings, and distinctions | | |
|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Skills Attained |Evaluation |
|Year |Disease | | | | | |
| |State | | | | | |
|HO IV |Ectopic Pregnancy |Operating Room |Skills |- Primary surgeon on open or l/s |- Hands on | |
| | | | |treatment of stable ectopic and | | |
| | | | |unstable ectopic | | |
| | | | | | | |
| | | |Skills |- Mobilize operating room team | | |
| | | | |emergently | | |
| | | | | | | |
| | | | |- Oversee “beta book” | | |
| | |ER Add-On | |accurately/responsibly | | |
|HO IV |Undesired Pregnancy |Operating Room |Skills |- primary surgeon on l/s or | | |
| | | | |laparotomy for uterine perforation | | |
| | | | |- managing difficult D+E | | |
|HO IV |Preoperative assessment of|Continuity Clinic |Knowledge |- Recognize risk factors: |- Reading |- Direct observation |
| |patients with special |Urogyn Clinic | |cardiovascular, pulmonary, | | |
| |needs |Pediatric Gyn | |hematologic (bleeding diatheses, |- CORE |- Testing/CREOG |
| | |Developmentally disabled Gyn | |thromboembolism), infection | | |
| | |clinic | | |- Clinical experience |- Competency form |
| | | |Skills |- Procedure specific evaluation of | | |
| | |Minimally Invasive Surgery | |surgical risks | | |
| | |Clinics | | | | |
| | | | |- Informed consent | | |
|HO IV |Pre Op Care |Operating Room |Knowledge/Skills |- Open versus vaginal approach |- Operating |- Direct observation |
| | | | | |Room | |
| |Choosing appropriate | | |- Positioning | | |
| |suture and surgical | | | | |- Competency Form |
| |instruments | | |- Safe entry to anterior and posterior |- Operating | |
| | | | |cul de sac |Room | |
| |Hysterectomy | | | | | |
|Level/ |Objective |Environment |Domain |Knowledge/ Skills |Skills Attained |Evaluation |
|Year |Disease | | | | | |
| |State | | | | | |
|HO IV |Toxic shock syndrome (TSS)| |Knowledge |- Manage all aspects of initial phases |- Reading |- CREOG |
| | | | |of TSS hospitalization and treatment |- Core |- Inpatient rounder |
| | | | |including need for appropriate |- Management | |
| | | | |consultation for other services (e.g., |of affected | |
| | | | |ICU, infectious diseases, etc). |patients | |
| | | | | | | |
| | | | |- Counsel patients on recurrence risk | | |
| | | | |and risk reduction/preventive | | |
| | | | |measures | | |
|HO IV |Septic shock |Emergency Department |Knowledge |- Develop and implement plan for |- Reading |- CREOG |
| | |Inpatient units |Skills |surgical drainage procedure |- Core | |
| | | | |including pre-op preparation, intra- |- Patient care |- Faculty or senior resident |
| | | | |operative management and post- |- Patient simulator |supervision |
| | | | |operative management in |where appropriate | |
| | | | |consultation with appropriate | | |
| | | | |consultants | | |
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