All students must complete the following required assignments before they can receive a clerkship grade. It is the student's responsibility to submit midclerkship feedback, breast CEx, pelvic CEx, and observed history forms to Whitney Hiatt by the conclusion of the clerkship (final grades will be held until received and a statement appearing under the Overall Assessment of Professional Behavior or Conduct on your final evaluation form submitted to the Registrar).
Midclerkship Feedback - due by end of clerkship
A mid-rotation evaluation (completed by reviewing Faculty/Resident) is required for final grade release. Students should solicit feedback frequently during their rotation, but are required to receive formal, mid-clerkship feedback in week 3 or 4 of the rotation.
Breast & Pelvic Mini-CEx (Clinical Examination Skill) - due by end of clerkship
The Obstetrics and Gynecology clerkship has chosen the performance of pelvic and breast exams, including patient communication, professional attitude, and actual performance of the examination, to be our required mini-CEx. Following are forms to be used for its evaluation and feedback. You should expect to have observed pelvic and breast examinations with the required feedback at least once during your clerkship. Students should aim to have both CEx forms completed by the end of week 5 of the clerkship.
Observed Histories - due by end of clerkship
Students are required to be observed taking 3 histories during their OB/GYN clerkship. These can be entire histories, or can be part of the history - past family history, for example. Students should track observed histories with this form and submit completed form to Whitney Hiatt by the last day of the clerkship.
Bioethical CEx - due by end of week 4
There are several bioethical issues that arise in obstetrics and gynecology. There are many scenarios with potential ethical dilemmas that are handled well and others that result in conflict, either between individuals or internally.
Students are required to identify a bioethical dilemma during the rotation and reflect on it.
- Choose a case observed or participated in during the rotation. Alternately, students can invent a medically plausible case, chosen from one of the following broad topics:
a. maternal-fetal conflict
b. informed consent
c. surrogate decision making
d. medical futility
e. moral objection to some aspect of obstetrics or gynecologic care (provider or patient objective)
- Write up your reflection
a. 1-2 pages and reflection must:
i. describe the specific obstetric or gynecologic scenario and the medical or surgical decision; outline the relevant facts.
ii. frame the ethical dilemma: what were the competing rights, values, obligations, or interests?
iii. describe the course of action taken and what arguments could be used to justify the course of action.
iv. describe a different course of action that might have been taken and provide support for that counterargument.
b. As an alternative to the 1-2 page reflection in 2a (above), you can fill in the 4-box paradigm with the medical considerations, patient preferences, quality of life and contextual features specific to your case with a short paragraph explaining how information was applied and the outcome: http://depts.washington.edu/bioethx/tools/4boxes.html
Three (3) Write-Ups - due by end of week 5
Students are required to complete a minimum of three (3) formal write-ups during their clerkship. The write-ups consist of complete histories and physicals and may be incorporated into the patient's chart. All write-ups will be reviewed by the physicians involved in the case and will be re-examined for the purpose of providing you with feedback. Students should obtain preceptor feedback early so they can steadily improve. All workups or other notes in charts must be signed by a physician.
Note: while students are only required to complete three write-ups some sites may rquire more than the minimum.
These write-ups are submitted to preceptors and/or site directors only. Please do not send these to Whitney.
Patient Encounters - Catalyst Survey due by end of clerkship
Students must have active patient involvement in each category OR complete a corresponding APGO uWise quiz as an alternative:
|Condition or Disease||Alternative Experience|
|Abnormal Pap Smear||Unit 1-Quiz #3|
|Abnormal Uterine Bleeding||Unit 4-Quiz #45|
|Cesarean Section Delivery||Unit 2-Quiz #32|
|Complicated OB(Diabetes, preterm labor, premature membrane rupture, Hypertensive disorders, 3rd trimester bleeding)||Choose 1 Quiz:
Unit 2-#17, 18, 19, 20, 23, 25
|Contraception||Unit 3-Quiz #33|
|1st Trimester Bleeding||
Choose 1 Quiz:
|Intrapartum Care of Laboring Patient||Unit 2-Quiz #11|
|Menopausal Symptoms||Unit 4-Quiz #47|
|Pelvic Mass||Choose 1 Quiz:
Unit 5-Quiz #53, 54, 55
|Pelvic Pain||Choose 1 Quiz:
Unit 3-Quiz #38, 39
Unit 4-Quiz #46, 49
|Postpartum Care||Choose 1 Quiz:
Unit 2-Quiz #13, 14
Choose 1 Quiz:
|Vaginal Delivery||Unit 2-Quiz #32|
|Vaginitis or Gynecologic Infection||
Choose 1 Quiz:
Students will document these patient encounters using the Catalyst on-line log. Students should use the LCME Patient Encounter Form to keep a weekly tally before entering the data on Catalyst (form available in Reference tab of this website).
If the student has not been actively involved with a patient in each of the above categories by the end of the 5th week of the clerkship, the student must fulfill an acceptable alternative experience by completing the corresponding APGO quiz using uWise (Whitney will send login information on the first day of the clerkship).
Once completed, the student must:
- Submit the Quiz
- Save Submission Confirmation
- Forward confirmation to Whitney by the final day of the clerkship.
Oral Presentation - due by end of clerkship
You are expected to prepare an oral presentation not to exceed 20 minutes on an Ob/Gyn topic of your choice. Ten minutes are allowed for questions following each 20-minute presentation. All students at each site are expected to be present and to participate in the question period.
To receive a passing grade you are required to submit a copy of your powerpoint slides and a bibliography to the faculty presentation reviewers at your clerkship site (Whitney does not need a copy of your slides). You must also use at least three different journals as references. Presentation grade is an automatic FAIL until these requirements are met. You will need to limit the scope of the topic you present so you can cover it in detail in 20 minutes. For example, do not try to cover the entire field of female genital cancers, but rather restrict your topic to one aspect of it such as epidemiology of vulvar in situ carcinoma.
Please check with your preceptor and/or site director regarding the presentation requirement at your site. Presentation dates and times differ at every clerkship site, but are typically in the fifth week of the rotation.
Examples of typical presentation topics:
- Antepartum management of high-risk pregnancy
- Diabetes and pregnancy
- Dysfunctional uterine bleeding
- Diagnosis and treatment of breast disease
Clerkship Evaluation (Required) - due within 4 weeks of end of clerkship
To improve the basic Ob/Gyn clerkship, we need your assistance. A Student Evaluation of Clerkship and Student Evaluation of Educator (for each faculty/resident you worked with) completed thoughtfully via E*Value are required for completion of the clerkship. Final clerkship grades will be held until these are completed.