Introduction
This course is an introductory experience in the provision of comprehensive medical care and counseling services to adult and adolescent female patients. Obstetrical conditions and gynecologic problems commonly encountered by the physician provide the primary focus. Students will have an initial orientation at the University of Washington, and their final exams will take place there as well. During their stay at Group Health, they will be assigned alternating one-week blocks to Ob/Gyn Clinic and Labor & Delivery respectively. Group Health is a unique experience in that students will have a great deal of autonomy but will also have the opportunity to spend most of their time working one – on one with an attending.
Site Preceptor
Tracy Flum, MD
Office: (206) 326-3214
Pager: (206) 540-6511
Fax: (206) 326-2622
Email: flum.t@ghc.org
Schedule coordinator: Mark Cook MD
Email: cook.mj@ghc.org
Clinical Faculty
There are nine Board Certified Ob/Gyn physicians on staff at our site. Five of these physicians have an appointment with the University as Clinical Instructors. All of our staff physicians are dedicated to the teaching of students and residents.
Site Overview
While in the Ob/Gyn Clinic, students will be assigned to a staff physician , initially observing and then performing patient interviews, pelvic exams, office obstetrical care and pre surgical work ups. In addition students will assist in surgery and attend postoperative hospital rounds at Virginia Mason. Students will have the opportunity to observe minor surgical procedures at the Group Health Outpatient Surgical Center. Effort will be made to assign each student to a limited number of physicians in the clinic to facilitate rapport and enable the physician to monitor student progress throughout the rotation.
While on the Labor & Delivery rotation, the student will be assigned to the obstetrical staff physician on all, who will be responsible for having the student observe from one to three deliveries per day. Depending on the total exposure of the student, and his/her ability, the student may be able to provide some deliveries, with or without episiotomy or laceration repair. Students will attend morning ward rounds with the attending and the family practice residents.. Students will also have the opportunity to observe the Antepartum testing unit, lactation consults with our Lactation Consultants and patient interviews with our Medical Social Workers.
Students will be expected to take overnight call every seventh night including at least one 24-hour weekend shift. Students will be asked to make up a schedule after starting the rotation.
Hospitals
Group Health Cooperative is the site of the out patient clinic, labor and delivery and outpatient surgery. Within the campus there is a full laboratory and pharmacy, radiology, urgent care, 24-hour inpatient care unit, and a large number of sub-specialty clinics. Location is at 200-15thAve East in the Capital Hill Area. Our inpatient surgeries are performed at Virginia Mason Hospital. Location is at 9th and Seneca.
Orientation
Students will attend orientation at U/W on the first day of the clerkship and then come to GHC at 2 PM to meet with the site preceptor:
Tracy Flum, MD
Central North Building
2nd Floor
(206) 326-3214
Pager (206) 540-6511
Didactics
There will be three one-hour conferences given by the staff physicians weekly. The students will be expected to present one topic at one of these meetings. Students will also attend Ob/Gyn Teaching Rounds and other exercises that occur on Wednesday mornings at the University.
Meals
The Cooperative does not provide meals. A variety of restaurants are close by . Microwave ovens and refrigerators are available for your use.
Parking
Parking space is at a premium in the neighborhood of Group Health and within three to five block radius parking is limited to two to three hours. Supermarket parking lots and limited time spaces are patrolled rather strictly. Students may find parking on the street beyond 19th Ave if willing to walk. Most students purchase a six-week parking permit for about $ 100 at the Facilities Management Office located in the South Building, Basement B, Room B013. Alternatives to driving include the #10 and # 43 Metro buses, which stop at the hospital.
Evaluations
Students will be evaluated on their performance in surgery, delivery room, and the clinics. They will also be evaluated on their presentation and their work ups and well as by final oral and written examinations at the University.
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