Primary Care
By the completion of the RY 1 year, each resident should gain competency in the following categories listed below. In addition, these learning topics are reinforced throughout the next four years during the inpatient and outpatient management of Obstetric and Gynecologic patients.
- Elements of routine health maintenance and screening history and physical examination.
2.Required immunizations throughout age
- Manage the following medical conditions:
Emergency Medicine
- Perform a history and physical examination on a patient with a medical or surgical emergency
- Order and interpret diagnostic tests on patients with a medical or surgical emergency
- Correctly interpret
- electrocardiograms and cardiac monitoring data
- Perform:
- ECG, Arterial blood gas, Suturing and stapling of lacerations, Intravenous access on difficult patients, Intubation, Participate in code situations
- Efficiently assess, develop a differential diagnosis and effectively manage the common non-obstetrical/non-gynecological emergencies such as:
- Headache, Syncope/dizziness/seizures, Cardiac arrest, Hyper/hypoglycemia, Nausea/vomiting/diarrhea, GI bleeding, Fever, Shock, Arrhythmias, Chest pain, Allergic reactions, Muscle weakness/paralysis, Shortness of breath, Asthma, Urinary tract disorders: Infection, retention, calcular obstructions, Thrombotic/hemorrhagic events
Obstetrics
- Take a targeted history and perform a relevant physical examination on the obstetrical patient who presents to triage
- Appropriately triage patients who present for urgent evaluation and labor checks
- Recognize
- common abnormalities in the obstetrical exam such as abnormal fundal height, abnormal blood pressure
- Factors in the history or physical that indicate possible medical, genetic or obstetrical complications
- Postpartum complications such as:
- Endometritis and puerperal infections
- Postpartum hemorrhage
- Deep venous thrombosis
- Perform:
- Appropriate prenatal labs for uncomplicated patients
- Obstetrical dating
- Fundal height
- Fetal heart tones
- Leopold’s maneuver for presentation and estimated fetal weight
- Cervical dilation, effacement, station and position and plotting in Partorram
- Spontaneous vaginal delivery
- Midline episiotomy and repair
- Repair first and second degree lacerations
- Primary low transverse cesarean delivery
- Artificial rupture of membranes
- Sterile speculum exam to diagnose ruptured membranes
- Post partum tubal ligation
- Prescribe:
- RhoGAM
- Antibiotics
- Pitocin and utero-tonics drugs
- Cervical ripening agents
- Postpartum contraception
- Postpartum analgesia
- Blood components Transfusion
- Interpret
- Non-stress test
Gynecology
- Recognize
- An intrauterine pregnancy, an ectopic pregnancy and adnexal mass on ultrasound
- Interpret BHCG results in normal and abnormal pregnancy
- Perform:
- Pelvic exams
- Pap smear
- Wet prep
- pH of the vagina
- Suction and Dilation and curettage
- Insertion of Ward catheter
- routine postoperative care
- focused physical examination to evaluate for an abnormality of the breast
- Diagnose
- post-operative complications
- Wound infection
- Ileus
- Bowel obstruction
- Fluid overload
- DVT and PE
- Prescribe:
- Medical contraception
- Patient controlled analgesia
- Medical therapy for an ectopic pregnancy
- Perform:
- History and physical exam to assess the cause of infertility
- Selected diagnostic tests to assess the cause of infertility
- Hysterosalpingogram