Reading is an essential complement to your clerkship learning experience. This will enable you to accomplish many of the behaviors listed above, and also prepare for the final examination. You are responsible for learning about each of the content areas in Gynecology and Obstetrics listed in this section. In order to get an "honors" in the clerkship, students will need to learn about every topic listed under the textbook section. Students may read about the topic from any source.
Supplementary Texts Recommended for Reference (most are available at all sites)
Reading is essential if you wish to do well on the final exam.
Students must have active patient involvement in each category OR complete a corresponding APGO uWise quiz as an alternative:
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).
Clinics or Physician's Offices
You will be assigned to work in specific clinics or offices. Participating clinical faculty have reserved time to teach you. All assigned clinics are required. Prolonged and/or unexcused absences from the clerkship may require remedial make-up time or repetition of the clerkship.
Inpatient or Outpatient Workups
The workups consist of complete histories and physicals, detailed write-ups, which may be incorporated into the patient's chart. All workups will be reviewed by the physicians involved in the case and some will be re-examined for the specific purpose of providing you with feedback. Obtain preceptor feedback early so you can steadily improve. All workups or other notes in charts must be signed by a physician. You must do a total of 3 workups during the 6-week clerkship.
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.
You are required to identify a bioethical dilemma during the rotation and reflect on it.
Pelvic Exams, Breast Exams, Deliveries, Workups and other Patient Experiences
While no specific number of clinical experiences is required, it is expected that you will have opportunities for a wide variety of clinical experiences by participating at different levels of involvement from observer to primary doer. Each site will differ in the number of deliveries, pelvics, and workups available to medical students. Past experience has shown that students who demonstrate interest by being available and prepared to perform at appropriate skill and knowledge levels get to do more. Key words are "BE AVAILABLE and BE READY."
Mini-CEx (Clinical Examination Skill)
An observed performance of a skill on which you receive specific feedback is required in each of the basic clerkships. 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, preferably occurring after the mid-point and preferably more than one time so that you can judge your progress in this important physical examination skill. It is the student's responsibility to submit this to the clerkship coordinator 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).
Please see the Smart Phone Study information tab regarding submission of your CEX if you received a QR code at the start of your rotation.
Each site will have its own schedule of the above activities. The schedule should be reviewed with you early in the clerkship. In the event that circumstances do not allow for this review, the student is responsible for finding out about the schedule. Students are responsible for making appointments for regular meetings with their preceptors. During your meetings with the faculty, a number of topics will be discussed and specific patient workups will be reviewed. This activity may be carried out differently at each site, but the aim of the department is to provide one hour of student/faculty interaction per week. Meeting with your preceptors for discussion and review of workups is your responsibility. Your preceptor should review a minimum of one of your workups each week. Contact your assigned preceptor early in the first week to arrange for weekly meetings and review of your patient workups. Workups should be reviewed each week.
A mid-rotation evaluation (completed by reviewing Faculty/Resident) is required for final grade release. This Student Competency Assessment card will be distributed at orientation and is also available below in PDF format. It is the student's responsibility to submit this to the clerkship coordinator by the conclusion of the clerkship (final grades will be held until this is received and a statement appearing under the Overall Assessment of Professional Behavior or Conduct on your final evaluation form submitted to the Registrar).
Please see the Smart Phone Study information tab regarding submission of your evaluation if you received a QR code at the start of your rotation.
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.
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:
Clerkship Evaluation (Required)
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.
Research Paper: Seattle Gyn Society Award (optional)
The Seattle Gynecological Society (SGS) is local organization dedicated to providing ongoing continuing medical education for Obstetricians, Gynecologists, Family Practitioners, Nurse Practitioners, and other health care providers who work in women's health. The SGS Award is a prestigious recognition of a University of Washington medical students' women's health related research performed during medical school. All research must be complete to be considered. Students with potential submissions should contact the student clerkship director, Vicki Mendiratta, MD to discuss their submission. Once awarded, the recipient will present their research at the annual Spring meeting of the Seattle Gynecological Society and receive an honorarium. In addition, the recipient will be acknowledged for this award at UWSOM Graduation. Former award recipient and the title of their project include: