OG225.02 REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY

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OG225.02 REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY

  1. 1. OG225.02 REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY 2007-2008 Advanced Clinical Clerkship Location: CHS Revised: 1/4/07 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) T.C. Jackson Wu, M.D., Ph.D. (310) 825-9945 1. To gain an understanding of the basic concepts involved in reproductive endocrinology and infertility. FAX: E-MAIL: 2. To gain insight info on the pathophysiologic processes in- volved in reproductive endocrinology and infertility. SUPPORTING FACULTY: 3. To gain knowledge in the management of patients with various All faculty in Reproductive Endocrinology & Infertility reproductive endocrinology disorders. 4. To gain exposure to the various aspects of the assisted repro- ductive technologies including ultrasound, in vitro fertilization, STUDENT COORDINATOR: PHONE #: ovulation induction, and intrauterine insemination. Wayne Hasby (310) 825-9945 5. To provide an introduction to the in vitro fertilization and an- FAX: drology laboratories. E-MAIL: WHasby@mednet.ucla.edu 6. To become actively involved in conferences including oral presentations, case and group discussions. REPORT TO: 24-126 CHS at 8:30 a.m. 7. To provide an opportunity for research in both basic science and clinical projects. PREREQUISITES: Medicine, Surgery and Ob/Gyn AVAILABLE FOR EXTERNS: Yes STUDENTS / PERIOD: max 1 min 1 DURATION: 3 weeks 2007-2008 ROTATIONS BEGIN WEEKS: 2, 5, 8, 11, 14, 17, 20, 27, 30, 33, 36, 39, 42, 45, 48 DESCRIPTION: This in-depth elective is designed for 4th year medical students with basic knowledge of Obstetrics and Gynecology. It will provide the necessary information to understand the many complex issues encountered in Reproductive Endocrinology and Infertility Services, including various androgen excess, ovulatory dysfunction, menstrual disorders, menopause, fertility counseling, and advanced reproductive technology treatment, such as in vitro fertilization and sperm microinjection. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 5% CLOSE CONTACT WITH: 1. Infertility OUTPATIENT: 95% X FULL-TIME FACULTY 2. Ovulatory Dysfuction X CLINICAL FACULTY 3. Menopause CONSULTATION: 90% X FELLOWS 4. Androgen Excess PRIMARY CARE: 10% X RESIDENTS 5. Menstrual Disorders X INTERNS 6. Contraception X OTHER: Nurses 7. Galactorrhea 8. Endometriosis APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT: 13 TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE: 50 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday UCLA IVF & Ovulation Induction Clinic UCLA IVF & Ovulation UCLA IVF & Ovulation UCLA IVF & Ovulation UCLA IVF & Ovulation AM Induction Clinic Induction Clinic Induction Clinic Induction Clinic Combined Endocrine Conference 12:00 Olive View Med. Ctr. Case Statistics Case Presentation REI Case Presentation IVF Meeting Reproductive Endocrine PM Clinic with 1:30 - Grand Rounds UCLA Reproductive En- Reproductive Endo- Surgeries with Dr. Wu REI attending docrine Clinic crine Clinic w/ 2:30 Dr. Wu Resident Lecture ON-CALL SCHEDULE & WEEKEND ACTIVITIES: None ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 247
  2. 2. OG257.01 REPRODUCTIVE HEALTH ELECTIVE 2007-2008 Advanced Clinical Clerkship Location: CHS Revised: 12/1/06 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Angela Chen, M.D., M.P.H. (310) 206-3306 1. Gain an understanding of the common reproductive health issues women face. FAX: E-MAIL: 2. Describe current methods of contraception 3. Describe current methods of pregnancy termination SUPPORTING FACULTY: Dr. Ram Parataneni, MD, MPH 4. Appreciation of basic OB/Gyn ultrasound 5. Perform basic reproductive health exams 6. Perform sexually transmitted infections screening on men and STUDENT COORDINATOR: PHONE #: women Wayne Hasby (310) 825-9945 FAX: E-MAIL: kfong@mednet.ucla.edu REPORT TO: UCLA Students: West Medical OBGYN Clinic, 1010 Veteran Ave., 8:00am, Dr. Chen & Gita Patel; Visiting Students: Wayne Hasby, 24-126 CHS, 8:00 am PREREQUISITES: OB/Gyn AVAILABLE FOR EXTERNS: Yes STUDENTS / PERIOD: max 1 min 1 DURATION: 3 weeks 2007-2008 ROTATIONS BEGIN WEEKS: By Arrangement DESCRIPTION: This is a unique opportunity to experience outpatient Ob/Gyn management of common reproductive health issues includ- ing abortion and contraception that is so rarely discussed in most medical school educations. The OB/Gyn clinic offers comprehensive care for all women’s needs throughout their reproductive lifespan STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 10% CLOSE CONTACT WITH: 1. Pregnancy options counseling OUTPATIENT: 90% X FULL-TIME FACULTY 2. Contraception counseling X CLINICAL FACULTY 3. STI intervention/counseling CONSULTATION: 50% FELLOWS 4. Pre and post-natal care PRIMARY CARE: 50% X RESIDENTS 5. Abortion, medical and surgical X INTERNS 6. Basic OB/Gyn ultrasound X OTHER: Clinical Staff 7. Management of cervical pathology 8. Breast exam 9. Pap and pelvic exam APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT: 30 - 45 TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE: 125 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday Operating room or high- AM Family planning clinic Family planning clinic Operating room OB/Gyn Clinic risk obstetrics Grand rounds PM Family planning clinic Family planning clinic OB/Gyn clinic OB/Gyn clinic M&M Didactic lecture ON-CALL SCHEDULE & WEEKEND ACTIVITIES: None ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: Externs: Funding for this rotation is available through the Medical Students for Choice Reproductive Health Externship program (www.ms4c.org/extern.htm). 248
  3. 3. OG280.01 FUNDAMENTAL ULTRASOUND FOR OB 2007-2008 Advanced Clinical Clerkship Location: CS Revised: 5/11/07 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Kimberly Gregory, M.D., M.P.H. (310) 425-5420 At the completion of this course the participant should have knowl- edge of: FAX: E-MAIL: 1. Normal fetal anatomy. 2. Fetal biometry. SUPPORTING FACULTY: Drs. J. Williams, III, D. Krakow and K. Gregory, M.P.H. 3. Pelvic anatomy. 4. Basic principles and instrumentation of ultrasound physics. 5. Biological effects and safety precautions for use of diagnostic STUDENT COORDINATOR: PHONE #: ultrasound. Fay Shapiro (310) 423-7417 6. Proper fundamental maintenance and use of equipment. FAX: E-MAIL: shapiro@chsh.org REPORT TO: Cedars-Sinai Medical Center, 8700 Beverly Blvd, Suite 3622, 3rd Floor, South Tower at 9:00 a.m. PREREQUISITES: OB/GYN, Medicine, and Family Medicine AVAILABLE FOR EXTERNS: No STUDENTS / PERIOD: max 1 min 1 DURATION: 3 weeks 2007-2008 ROTATIONS BEGIN WEEKS: By Arrangement DESCRIPTION: The student will participate in the performance of ultrasound examinations within all the divisions of the Department of Obstetrics and Gynecology. Teaching activities include: classes and lectures with members of the staff and faculty, conference and specialty clinics with the Staff, Fellows, and Resident Teams. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 25% CLOSE CONTACT WITH: 1. Fetal viability OUTPATIENT: 75% X FULL-TIME FACULTY 2. Estimated gestational age X CLINICAL FACULTY 3. Estimated gestational weight CONSULTATION: 100% X FELLOWS 4. Placentia previa PRIMARY CARE: 0% X RESIDENTS 5. Ectopic pregnancy X INTERNS 6. R/O pelvic mass X OTHER: (Nurses, sonographers) 7. Fetal aneuploidy 8. Multiple gestations APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT: 13 TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE: 125 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday AM 7:15 9:00 – 4:00 Stats 7:30 – 9:00 Ultrasound & Prenatal Combined OB/NICU Conference (alternative Diagnosis 9:00 – 5:00 8:00 9:00 – 5:00 weeks) Ultrasound & Prenatal Grand Rounds Ultrasound & Prenatal 4:00 – 6:00 Diagnosis Diagnosis 9:00 – 5:00 Clinical Pathology Con- 10:00 – 5:00 Ultrasound & Prenatal ference Ultrasound & Prenatal Diagnosis PM Diagnosis ON-CALL SCHEDULE & WEEKEND ACTIVITIES: N/A ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 249
  4. 4. OG322.01 HIGH RISK OBSTETRICS 2007-2008 Subinternship Location: CS Revised: 5/11/07 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) John Williams, III, M.D. (310) 423-5715 1. Increase understanding of the effect of pregnancy on normal female physiology. FAX: E-MAIL: 2. Gain insight into the pathophysiologic processes of pregnancy. 3. Become an active member of the obstetrical team by partici- SUPPORTING FACULTY: pating in all aspects of patient care evaluation, orders, proce- All Obstetrical Faculty dures, and management planning including the management of high risk pregnancies. 4. Become proficient in the oral presentation of patients with STUDENT COORDINATOR: PHONE #: multiple problems. Fay Shapiro (310) 423-7417 5. Gain experience in establishing a plan of management for FAX: major prenatal and intrapartum high risk conditions. E-MAIL: shapiro@chsh.org 6. Gain experience in the Antenatal Testing Unit and ultrasound in the evaluation of the high risk fetus. REPORT TO: Cedars-Sinai Medical Center, 8700 Beverly Blvd, Suite 3622, 3rd Floor, South Tower at 9:00 a.m. PREREQUISITES: Core Clerkships in Ob-Gyn, Medicine, and Surgery AVAILABLE FOR EXTERNS: Yes STUDENTS / PERIOD: max 1 min 1 DURATION: 3 weeks 2007-2008 ROTATIONS BEGIN WEEKS: 2, 5, 8, 11, 14, 17, 20, 27, 30, 33, 36, 39, 42, 45, 48 DESCRIPTION: An opportunity to provide primary patient care in a busy Obstetrical Unit with emphasis on the antepartum and intrapar- tum management of the high risk OB patient. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 80% CLOSE CONTACT WITH: 1. Diabetes Mellitus in pregnancy OUTPATIENT: 20% X FULL-TIME FACULTY 2. Hypertensive disorders in pregnancy X CLINICAL FACULTY 3. Premature labor and rupture of Mem- CONSULTATION: 20% X FELLOWS brane. PRIMARY CARE: 80% X RESIDENTS 4. Placental and fetal growth problems X INTERNS 5. Multiple gestation X OTHER: Clinical Nurses 6. Infectious diseases in pregnancy 7. Autoimmune disease in pregnancy 8. Cardiovascular & pulmonary APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT: 6 TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE: 38 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 6:45 - L & D Rounds 7:00 - L & D Rounds 7:00 7:00 7:00 L & D Rounds L & D Rounds 7:15 M&M Stats L & D Rounds 7:30 - Fetal Monitoring AM 8:00 Grand Rounds Conference 8:00 8:00 7:30 9:00 Maternal-Fetal Care Labor/Delivery and Ma- Neonatal-MFM Confer- Multidisciplinary 9:00 - Maternal-Fetal ence (every other week) Unit ternal-Fetal Care Unit Conference Care Unit 12:00 1:00 12:00 Pre-Clinic Conference 1:00 Gyn-Onc Conference OB/Peds/Med ID Antenatal Testing 1:00 1:00 Conference 1:00 PM Labor/Delivery High Risk OB Clinic Labor/Delivery 6:00 MFCU 6:00 6:00 6:00 Rounds Rounds Rounds Rounds ON-CALL SCHEDULE & WEEKEND ACTIVITIES: Night call every fourth night. Inpatient rounds on the weekends are expected. ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 250
  5. 5. OG322.02 HIGH RISK OBSTETRICS 2007-2008 Subinternship Location: CHS Revised: 1/17/07 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Khalil Tabsh, M.D. (310) 825-9945 1. Gain appreciation for impact of pregnancy on normal physiol- ogy. FAX: E-MAIL: 2. Increase understanding of various pathophysiologic processes in pregnancy. SUPPORTING FACULTY: 3. Observe firsthand the effect of pregnancy on many common Maternal-Fetal Medicine Faculty and Fellows medical and surgical problems. 4. Gain experience in evaluating and managing high-risk obstet- ric patients in both the inpatient and outpatient settings. STUDENT COORDINATOR: PHONE #: 5. Evaluate and write admission orders for pregnancies compli- Wayne Hasby (310) 825-9945 cated by hypertension, diabetes, recurrent urinary tract infec- FAX: (310) 206-7186 tious, incompetent cervix and premature labor. E-MAIL: WHasby@mednet.ucla.edu 6. Develop continuing management and treatment plans for these same patients. REPORT TO: Ob/Gyn Dept. Off., Rm. 24-126 CHS at 8:30 a.m. 7. Understand rationale for management of pregnancy compli- cated by diabetes. 8. Learn team care approach in management of high-risk pa- PREREQUISITES: Core Clerkships in Ob/Gyn, Surgery, Inter- tients working with nurses, dietitians and social workers. nal Medicine and Pediatrics 9. Observe and participate in new approaches to fetal diagnosis and therapy. AVAILABLE FOR EXTERNS: Yes 10. Gain experience in the presentation of conferences. STUDENTS / PERIOD: max 1 min 1 DURATION: 3 weeks 2007-2008 ROTATIONS BEGIN WEEKS: 2, 5, 8, 11, 14, 17, 20, 27, 30, 33, 36, 39, 42, 45, 48 DESCRIPTION: This is a clinical course for medical students focusing on the medical management of high-risk obstetric patients. Stu- dents will be paired with a Maternal-Fetal Medicine attending and accompany them during outpatient clinics, inpatient rounds, ultrasound procedures and during selected deliveries and surgery. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 15% CLOSE CONTACT WITH: 1. Hypertensive disorders in pregnancy OUTPATIENT: 85% X FULL-TIME FACULTY 2. Premature labor rupture of membranes CLINICAL FACULTY 3. Cardiovas.and pulmonary disease CONSULTATION: 0% X FELLOWS 4. Diabetes mellitus in pregnancy PRIMARY CARE: 100% X RESIDENTS 5. Urinary tract infections in pregnancy. X INTERNS 6. Autoimmune disorders complicating X OTHER: Clin. nurse, dietician, Social pregnancies Worker, Specialist 7. Abnormal fetal growth and postdate disease 8. Multiple gestation and Rh disease APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT: 5 TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE: 25 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday See your own patients See your own patients See your own patients OB Ward Rounds See your own patients OB Ward Rounds OB Ward Rounds OB Ward Rounds OB Ward Rounds Labor and Delivery (2-West) AM (2-West) (2-West) High-Risk Rounds High-Risk Rounds High-Risk Rounds High-Risk Rounds Fetal Heart Rate Ultrasound or High Labor and Delivery Labor and Delivery Monitoring Conf. High-Risk Clinic Risk Clinic Ward Work or Labor and Delivery Grand Rounds Ultrasound or Labor and PM Maternal – Fetal Medi- Delivery Dept. Conference cine Conference 24-132 CHS Perinatal Conference ON-CALL SCHEDULE & WEEKEND ACTIVITIES: No night-call on this elective, but attendance at weekend rounds to report on hospital- ized patients is expected. This elective is NOT intended for those seeking extensive labor and delivery experience. ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 251
  6. 6. OG322.03 HIGH RISK OBSTETRICS 2007-2008 Subinternship Location: HARBOR Revised: 12/5/06 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Marie H. Beall (310) 222-3565 1. Increase understanding of maternal and fetal physiology. FAX: 2. Diagnosis and management of pregnant patients with medical E-MAIL: and obstetrical complications during the antepartum, intrapar- tum, and postpartum periods. SUPPORTING FACULTY: 3. Understanding the impact of pathologic conditions on the Drs. C. Archie, R. Eden, S. Kjos, M. Ross, and L. Yonekura course of pregnancy and the effect of pregnancy on certain disease processes. 4. Knowledge of fetal and maternal antepartum assessment and STUDENT COORDINATOR: PHONE #: surveillance in high risk pregnancies. Antonia Enriquez (310) 222-2997 5. Improve skills in clinical diagnosis and the use of laboratory FAX: tests and procedures in perinatal medicine. E-MAIL: aenriquez@obgyn.humc.edu 6. Oral presentations and group discussions. REPORT TO: Antonia Enriquez 7W12 on the first day of the 7. Library research of pertinent literature dealing with perinatal rotation at 8:00 am. problems PREREQUISITES: Core clerkships in Ob/Gyn, Medicine, Sur- gery and Pediatrics AVAILABLE FOR EXTERNS: Yes STUDENTS / PERIOD: max 1 min 1 DURATION: 3 weeks 2007-2008 ROTATIONS BEGIN WEEKS: 5, 11, 17, 20, 27, 30, 33, 36, 39, 42, 45, 48 DESCRIPTION: The student will observe and participate in the evaluation and management of complicated pregnancies in the inpatient and outpatient settings. At the end of the rotation the student will present a 30 minute talk on a topic to be agreed on by the student and faculty Course Chair. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 30% CLOSE CONTACT WITH: 1. Premature labor & rupture of membranes OUTPATIENT: 70% X FULL-TIME FACULTY 2. Hypertensive disorders in pregnancy CLINICAL FACULTY 3. Diabetes mellitus in pregnancy CONSULTATION: 0% X FELLOWS 4. Cardiovascular &pulmonary disease in preg- PRIMARY CARE: 100% X RESIDENTS nancy X INTERNS 5. Infectious disease in pregnancy X OTHER: Nurse Midwives & Nurse 6. Third trimester bleeding Practitioners 7. Abnormal fetal growth & postdates pregnancy 8. Multiple gestation APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT: 15 TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE: 200 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 7:00 - OB Rounds 7:00 - OB Rounds 7:00 - OB Rounds 7:00 - OB Rounds 8:00 – 9:30 7:00 - OB Rounds 8:00 - Residents 8:00 - Residents AM OB M&M Conference Conference Conference Fetal Assessment 9:30 – 10:30 Research Time Clinic Grand Rounds Labor & Delivery Special OB Clinic PM Ultrasound Clinic Labor & Delivery Fetal Assessment Clinic Special OB Clinic Special OB Clinic ON-CALL SCHEDULE & WEEKEND ACTIVITIES: None ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: The student will be assigned to follow high-risk pregnancies in the antepartum service. 252
  7. 7. OG322.05 HIGH RISK OBSTETRICS 2007-2008 Subinternship Location: OVH Revised: 11/27/06 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Jeostna Grover, M.D. (818) 364-3222 1. Know the definition of risk factors for pregnancy. FAX: 2. Improve knowledge of physiopathology of pregnancy. E-MAIL: 3. Diagnose and evaluate disorders of pregnancy. SUPPORTING FACULTY: 4. Management of high risk patients in out- and in-patient depart- All Ob/Gyn faculty ments. 5. Interpretation of intrapartum fetal monitor strips, intrauterine pressure monitoring. STUDENT COORDINATOR: PHONE #: 6. Learn basic ultrasound skills. Jonna Meloni (818) 364-3222 7. Enhance presentation skills. FAX: 8. Interpretation of NST, BPP Doppler study. E-MAIL: jmeloni@ladhs.org 9. Genetics – Learn about genetic screening tests, indications of genetic counseling. REPORT TO: OB/GYN Office, Rm. #2B163 at 8 a.m., 1st day of rotation. PREREQUISITES: OB/GYN, Medicine, Surgery AVAILABLE FOR EXTERNS: No STUDENTS / PERIOD: max 1 min 1 DURATION: 3 weeks 2007-2008 ROTATIONS BEGIN WEEKS: 2, 5, 8, 11, 14, 17, 20, 27, 30, 33, 36, 39, 42, 45, 48 DESCRIPTION: This is an advanced course for those interested in both outpatient and inpatient evaluation and management of high-risk pregnancies. The student will work closely in contact with specialists in maternal-fetal medicine. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 50% CLOSE CONTACT WITH: 1. Pregnancy induced hypertension OUTPATIENT: 50% X FULL-TIME FACULTY 2. Post datism CLINICAL FACULTY 3. Gestational diabetes CONSULTATION: 70% X FELLOWS 4. Third trimester bleeding PRIMARY CARE: 30% X RESIDENTS 5. Premature labor X INTERNS 6. Intrauterine growth retardation OTHER: 7. Genetic counseling/amniocentesis 8. Multiple gestations APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT: 25 TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE: 500 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday Ward Rounds Grand Rounds Ward Rounds Ward Rounds Ward Rounds OBG Stats. Confer- Labor and Delivery Labor and Delivery AM Labor and Delivery Labor & Delivery ence High Risk OB Clinic Genetics & Ultrasound High Risk OB Clinic Genetics & Ultrasound M & M Conferences Ultrasound Antenatal Genetics & Ultrasound Testing/Genetic Antenatal Testing PM Labor and Delivery Counseling OB Triage Antenatal Testing Prepare Presentation Labor & Delivery ON-CALL SCHEDULE & WEEKEND ACTIVITIES: Every fourth night. ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 253
  8. 8. OG340.02 GYNECOLOGIC ONCOLOGY 2007-2008 Subinternship Location: CS Revised: 12/6/07 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Ilana Cass, M.D. (310) 423-3599 1. To become familiar with the diagnosis, staging, and manage- ment of gynecologic malignancies. FAX: E-MAIL: 2. To understand the pathophysiologic process in the clinical and histologic settings of the major gynecologic malignancies. SUPPORTING FACULTY: 3. To actively participate on the oncology team in all aspects of Christine Walsh, M.D., Ronald S. Leuchter, M.D., Beth Y. Kar- primary patient care, admission, evaluation, orders, surgery, lan M.D., Andrew J. Li, M.D. and management. 4. To become proficient in the written and oral presentation of STUDENT COORDINATOR: PHONE #: patients with multiple problems. Fay Shapiro (310) 423-7417 5. To become familiar with historical and current concepts of FAX: cancer therapy; surgery, chemo, radiation, and most impor- E-MAIL: shapiro@chsh.org tantly—prevention. 6. To improve knowledge of pelvic anatomy by observing radical REPORT TO: surgery. PREREQUISITES: Core Clerkships in Ob-Gyn, Medicine and Surgery AVAILABLE FOR EXTERNS: Yes STUDENTS / PERIOD: max 1 min 1 DURATION: 3 weeks 2007-2008 ROTATIONS BEGIN WEEKS: 2, 5, 8, 11, 14, 17, 20, 27, 30, 33, 36, 39, 42, 45 DESCRIPTION: This clerkship provides an opportunity to work as a member of the Gynecologic Oncology service in the capacity of an intern with emphasis on primary patient care. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 80% CLOSE CONTACT WITH: 1. Ovarian cancer OUTPATIENT: 20% X FULL-TIME FACULTY 2. Cervical cancer X CLINICAL FACULTY 3. Endometrial cancer CONSULTATION: 50% X FELLOWS 4. Bowel obstruction PRIMARY CARE: 50% X RESIDENTS 5. Vulva cancer, X INTERNS 6. Chemotherapy X OTHER: Ancillary staff 7. Radiation therapy APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT: 6 TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE: 25 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 6:30 - Ward Rounds 6:30 - Ward Rounds 6:30 - Ward Rounds 8:00 - Pathology 7:15 - M&M Conference 6:30 - Ward Rounds 6:30 - Ward Rounds AM Conference 7:30 - Surgery 8:00 - Grand Rounds 9:00 - Oncology Clinic 7:30 - Surgery 7:30 - Surgery Oncology Clinic (CCC) 9:00 - Surgery (CCC) Surgery Surgery Surgery 4:00 - Chemotherapy 12:30 - Gyn Oncology Surgery Rounds 5:00 - Ward Rounds Conference PM 5:00 5:00 - Ward Rounds 5:00 Ward Rounds 5:00 - Ward Rounds 5:30 - Didactic 6:30 - Journal Club Ward Rounds Conference (1/mo) ON-CALL SCHEDULE & WEEKEND ACTIVITIES: No required night call on this elective. Inpatient rounds on the weekends are expected. ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 254
  9. 9. OG340.03 GYNECOLOGICAL ONCOLOGY 2007-2008 Subinternship Location: HARBOR Revised: 12/5/06 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Samuel Im, M.D. (310) 222-2997 1. Develop a fundamental knowledge base in gynecologic pre- malignant and malignant disease. FAX: E-MAIL: 2. Diagnosis and management of gynecologic oncology patients during initial presentation, perioperative periods, and follow up. SUPPORTING FACULTY: 3. Development of skills in managing postoperative complica- tions and serious medical and psychiatric conditions common in the gynecologic oncology population. 4. Development of patient assessment techniques and clinical STUDENT COORDINATOR: PHONE #: skills specific to the gynecologic cancer patient through history Antonia Enriquez (310) 222-2997 and physical examination, choice of diagnostic studies, devel- opment of differential diagnoses, development of management FAX: plans, and follow-up care. E-MAIL: aenriquez@obgyn.humc.edu 5. Development of the doctor-patient relationship with particular REPORT TO: Antonia Enriquez 7W12 at 8:00 a.m. attention to the communication skills and empathy relevant to discussing end-of-life issues, difficult prognoses. 6. Exposure to the surgical aspects of gynecologic oncology including retroperitoneal anatomy, surgical planes, principles PREREQUISITES: Medicine, Obstetrics and Gynecology, of oncologic surgery, and techniques for improving exposure Surgery and for repairing injuries of bowel, bladder, and ureters. 7. Exposure to the fundamentals of radiation oncology as they AVAILABLE FOR EXTERNS: Yes apply to gynecologic cancer patient. STUDENTS / PERIOD: max 1 min 1 8. Exposure to the fundamentals of chemotherapy pharmacology and administration as they apply to gynecologic cancer pa- DURATION: 3 weeks tient. 2007-2008 ROTATIONS BEGIN WEEKS: 2, 5, 8, 11, 14, 17, 20, 27, 30, 33, 36, 39, 42, 45, 48 DESCRIPTION: This comprehensive subinternship is designed to provide in-depth exposure to Gynecologic Oncology for fourth-year students. This rotation is appropriate for students wishing to evaluate the residency program, those interested in Ob/Gyn or Gyn Oncology as a career choice, those interested in other surgical specialties who desire additional exposure to this patient population and set of procedures, those inter- ested in Medical Oncology, and those interested in Geriatrics and/or Palliative Care for the terminally ill. The student will act at the level of an intern. Subject material covered will include gestational trophoblastic disease, vulvar neoplasms, cervical disease and neoplasia, uterine neo- plasms, ovarian neoplasms, chemotherapeutic principles, complicated perioperative/ postoperative care, and palliative care. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 70% CLOSE CONTACT WITH: 1. Ovarian cancer OUTPATIENT: 30% X FULL-TIME FACULTY 2. Cervical cancer CLINICAL FACULTY 3. Uterine cancer CONSULTATION: 10% FELLOWS 4. Gestational trophoblastic disease PRIMARY CARE: 90% X RESIDENTS 5. Vaginal/vulvar cancer X INTERNS 6. Gynecologic premalignant disease X OTHER: Nurse practicioners 7. Surgical techniques/complications 8. Palliative/end-of-life care APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT: 15 TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE: 80 - 100 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 7:00 - Attending Ward Rounds 7:00 7:00 7:00 7:00 Attending Ward Attending Ward 8:00 - 10:00 - M&M/ Attending Ward Rounds Attending Ward Rounds AM Rounds Rounds Grand Rounds 11:00 – 12:00 Operating Room Patient Care Patient Care Operating Room Tumor Board 1:00 – 5:00 1:00 – 5:00 1:00 – 5:00 1:00 – 5:00 1:00 – 5:00 PM Abnormal Cytology Tumor Clinic Patient Care Research Time Research Time Clinic ON-CALL SCHEDULE & WEEKEND ACTIVITIES: There will be no night call, but the student is required to participate in weekend rounds for 2 to 3 weekends. ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: The weekly schedule will vary depending on the operative sched- ule. Also, the student will be responsible for one presentation at the M&M conference and case presentations at Tumor Board. 255
  10. 10. OG350.04 ADVANCED GYNECOLOGY AND OBSTETRICS 2007-2008 Subinternship Location: OVH Revised: 11/29/06 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Christopher Tarnay, M.D. (818) 364-3222 1. Improve outpatient GYN clinical skills. FAX: 2. Improve surgical skills in the operating room. E-MAIL: 3. Enhance formal presentation skills on rounds and confer- ences. SUPPORTING FACULTY: All OB/GYN faculty 4. Experience in Gyn Oncology. 5. Experience in Urogynecology and Reconstructive Pelvic Sur- gery. STUDENT COORDINATOR: PHONE #: 6. Evaluate gynecologic problems in the emergency room. Jonna Meloni (818) 364-3222 7. Develop the ability to do a comprehensive pelvic examination of both the pregnant and non-pregnant patient. FAX: E-MAIL: jmeloni@ladhs.org REPORT TO: OB/GYN Office, Rm. #2B163 at 8 a.m., first day of rotation. PREREQUISITES: Core clerkship in OB/GYN, Medicine, Sur- gery AVAILABLE FOR EXTERNS: No STUDENTS / PERIOD: max 1 min 1 DURATION: 3 weeks 2007-2008 ROTATIONS BEGIN WEEKS: 2, 5, 8, 11, 14, 17, 20, 27, 30, 33, 36, 39, 42, 45, 48 DESCRIPTION: This is a rotation for students who wish to deepen their knowledge of gynecology and particularly gynecologic surgery. This rotation will be in depth but broad experience on the gynecology service at our institution. The 4th year student will work both with Gynecologic Oncology service as well as with the Urogynecology service. Covering both specialty clinics and working with the team in the operating room, the student will improve their clinical diagnostic and therapeutic skills. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 50% CLOSE CONTACT WITH: 1. Cervical dysphasia/cancer OUTPATIENT: 50% X FULL-TIME FACULTY 2. Gynecologic malignancies (uterine, ovarian,, CLINICAL FACULTY peritoneal) CONSULTATION: 90% X FELLOWS 3. Urinary incontinence PRIMARY CARE: 10% X RESIDENTS 4. Pelvic organ prolapse X INTERNS 5. Abnormal uterine bleeding X OTHER: Nurse practicioners APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT: 38 TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE: 375 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday Gynecology Service & Gynecology Service & Gynecology Service & Gynecology Service & Gynecology Svc & Rounds (3 wks) Rounds (3 wks) Rounds (3 wks) Rounds (3 wks) or Urogy- Rounds (3 wks) AM necology clinic Labor and Delivery E.R. Coverage Gyn O.R. 8:00 Grand Rounds Urogyn Clinic GYN OR (Oncology) Statistic Gyn Onc OR Colposcopy Conf. Urogyn OR Structured Study 9:00 OBG Stats Conf. M&M Conference 12:00 Gyn. Preop GYN Rounds GYN Clinic PM GYN Oncology Clinic OB Triage GYN Clnic OB Triage Labor and Delivery GYN Clinic ER Coverage ON-CALL SCHEDULE & WEEKEND ACTIVITIES: ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 256
  11. 11. OG351.02 AMBULATORY OBSTETRICS AND GYNECOLOGY 2007-2008 Subinternship Location: OVH Revised: 12/21/06 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Rita Oregon, M.D. (818) 364-3222 1. Independent evaluation and management of normal and com- plicated OB-GYN patients in an outpatient setting. FAX: E-MAIL: 2. Develop extensive knowledge of disease processes such as: gestational diabetes, pregnancy induced hypertension, post SUPPORTING FACULTY: dates pregnancy, pelvic inflammatory disease, abnormal All OB/GYN faculty cervical smears, pelvic masses, abnormal uterine bleeding, etc. 3. Enhance formal and informal presentation skills: all patients seen by student will be presented and discussed with faculty. STUDENT COORDINATOR: PHONE #: Jonna Meloni (818) 364-3222 4. Acquire skills in areas such as: colposcopy, cervical/ endometrial biopsy, cryotherapy. FAX: E-MAIL: jmeloni@ladhs.org 5. Medical judgment, analysis of laboratory results. 6. Interpretation of sonographic and radiologic tests. REPORT TO: OB/GYN Office, Rm. #2B163 Olive View Hospi- tal at 8 a.m., first day of rotation. 7. Use and interpretation of antenatal tests. PREREQUISITES: OB/GYN, Medicine, Surgery AVAILABLE FOR EXTERNS: No STUDENTS / PERIOD: max 1 min 1 DURATION: 3 weeks 2007-2008 ROTATIONS BEGIN WEEKS: 2, 5, 8, 11, 14, 17, 20, 27, 30, 33, 36, 39, 42, 45, 48 DESCRIPTION: The student will be part of a team of ten providers divided among faculty, residents, and fellows in a busy, high-risk refer- ral outpatient division. The patients represent a variety of complicated obstetrical and gynecological conditions. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 0% CLOSE CONTACT WITH: 1. Gestational diabetes OUTPATIENT: 100% X FULL-TIME FACULTY 2. Hypertensive disorders of pregnancy CLINICAL FACULTY 3. Infectious diseases of pregnancy CONSULTATION: 80% X FELLOWS 4. Abnormal uterine bleeding PRIMARY CARE: 20% X RESIDENTS 5. Menopause X INTERNS 6. Abnormal cervical smears X OTHER: Nurse practicioners 7. Endocrine disorders 8. Pelvic pain APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT: 11 TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE: 88 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday Grand Rounds High Risk Obstetrics High Risk Obstetrics Conference High Risk Obstetrics and Colposcopy Clinic High Risk Obstetrics OBG-Stats Confer- AM Clinic Clinic ence General Gynecology Colposcopy Conference Clinic Pre-op Conference No Clinic GYN Oncology General Gynecology General Gynecology General Gynecology PM Clinic Clinic Clinic Clinic Special Projects May Be Arranged ON-CALL SCHEDULE & WEEKEND ACTIVITIES: None required, but flexible if desired. ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: Students will be required to prepare a presentation on an OB/GYN topic at the end of the rotation, to be given to the clinic team. 257
  12. 12. OG357.01 AMBULATORY WOMEN’S HEALTH ELECTIVE: OB/GYN PERSPECTIVE 2007-2008 Subinternship Location: HARBOR/ASSOC Revised: 12/5/06 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Griselda Gutierrez, M.D. (310) 222-8233 1. Enhance diagnostic and management clinical skills in ambula- tory Ob/Gyn care, especially in the sites where women seek FAX: episodic care. E-MAIL: 2. Understand the concept of population-based medical care. SUPPORTING FACULTY: 3. Appreciate the social issues and barriers in accessing care for Drs. A. Nelson, L. Betson, M. Hong, O. Khorram, J. Marshall, women who are medically uninsured or under-insured, and/or R. Mohajer, B. Weiss, and R. Runic living in under-served communities. 4. Develop skills in assessing social contexts of illnesses and STUDENT COORDINATOR: PHONE #: disease. Antonia Enriquez (310) 222-2997 5. Apply Ob/Gyn skills in the broader context of women's health. FAX: 6. Develop specific clinical skills, including vaginal microscopy, E-MAIL: aenriquez@obgyn.humc.edu transvaginal ultrasound and refinement of skills in the pelvic and breast examinations. REPORT TO: Antonia Enriquez, 7W12 at 8:00 a.m. on the first day of the rotation. 7. Improve management of specific clinical issues, including: acute bleeding and pain, contraception, infertility, hormonal management menopause and perimenopause, sexually trans- mitted infections and preventive health care. PREREQUISITES: Family Medicine, Inpatient Medicine, Out- patient Medicine, Pediatrics, Ob/Gyn, and Surgery 8. Exposure to abortion service (optional). AVAILABLE FOR EXTERNS: Yes STUDENTS / PERIOD: max 1 min 1 DURATION: 3 weeks 2007-2008 ROTATIONS BEGIN WEEKS: By Arrangement DESCRIPTION: This elective is for students who are interested in a broader view of women’s health. The goal is to direct the students’ attention to issues in women’s health (such as barriers to access to care) by caring for women who have only episodic access (Urgent Care Clinic) or access through special categorical programs (Family Planning). The full range of ages of women, from reproductive through menopausal aged women, will be cared for. Students will have primary responsibility for the assessment of the patient and the development of management plans. Students will have ongoing daily contact with faculty, fellows, and residents, and will be expected to contribute to the weekly formal didactic sessions. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 0% CLOSE CONTACT WITH: 1. Abnormal vaginal bleeding OUTPATIENT: 100% X FULL-TIME FACULTY 2. Chronic Pelvic pain X CLINICAL FACULTY 3. Early pregnancy complications CONSULTATION: 60% X FELLOWS 4. Climacteric PRIMARY CARE: 40% X RESIDENTS 5. Sexually transmitted infections X INTERNS 6. Contraception X OTHER: Gyn nurse practitioners 7. Infertility 8. Abnormal pap smears 9. Urogynecology 10. Vulvovaginal Complaints APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT: up to 30 TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE: >=25 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 8:00 – 9:30 1 Week OB M&M Conference 8:00 Family Planning Clinic Residents Conference Gynecology Urgent 9:30 – 10:30 N-28 AM Care/Abnormal Gynecology Urgent Grand Rounds Hysteroscopy or Urgent Cytology (procedure) Care Gynecology Urgent 2 Weeks Care Care Chronic Pelvic Pain Clinic Abnormal Cytology Gynecology Urgent Gynecology Urgent Reproductive Endocri- PM Urogynecology Clinic Clinic Care Care nology Clinic (Evaluation) ON-CALL SCHEDULE & WEEKEND ACTIVITIES: None. ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: This elective will be conducted in different clinical sites at Harbor/ UCLA Med. Ctr. (Gynecologic Urgent Care and the Women's Health Care Clinic). During the last week of the rotation each student will give a presentation on the unique health issues faced by an underserved population such as that seen at Harbor-UCLA Medical Center. 258
  13. 13. OG440.01 GYNECOLOGIC ONCOLOGY 2007-2008 Subinternship Location: CHS Revised: 1/9/07 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Robin Farias-Eisner, MD, PhD (310) 825-9945 1. To provide a comprehensive fourth-year elective experience in Gynecologic Oncology. FAX: E-MAIL: 2. To instruct in the fundamentals of diagnosis and management of patients with gynecologic malignancies. SUPPORTING FACULTY: 3. To instruct in the fundamentals of pelvic surgery as it relates to Gynecologic Oncology Faculty and Fellows these malignancies. STUDENT COORDINATOR: PHONE #: Wayne Hasby (310) 825-9945 FAX: E-MAIL: WHasby@mednet.ucla.edu REPORT TO: Wayne Hasby in Rm. 24-126 CHS, Dept. Ob/ Gyn, UCLA Med. Cntr., 8:30 a.m. first day PREREQUISITES: Core Clerkships in Ob/Gyn, Surgery, and Internal Medicine AVAILABLE FOR EXTERNS: Yes STUDENTS / PERIOD: max 1 min 1 DURATION: 3 weeks 2007-2008 ROTATIONS BEGIN WEEKS: 2, 5, 8, 11, 14, 17, 20, 27, 30, 33, 36, 39, 42, 45 DESCRIPTION: This course is a sub-internship in gynecologic oncology. It is a predominantly inpatient experience which focuses on the complex surgical and medical aspects of women with gynecologic cancer. A considerable amount of time is spent in the operating room and on pre and post-operative care. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 60% CLOSE CONTACT WITH: 1. Cervical cancer OUTPATIENT: 40% X FULL-TIME FACULTY 2. Ovarian cancer CLINICAL FACULTY 3. Vulvar cancer CONSULTATION: 10% X FELLOWS 4. Endometrial cancer PRIMARY CARE: 90% X RESIDENTS 5. Trophoblastic disease X INTERNS 6. Miscellaneous gynecologic cancers OTHER: APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT: 5 TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE: 25 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 6:30 - Rounds 7:30 - Rounds 6:30 - Rounds 7:30 - Rounds 6:30 - Rounds 7:30 - COLPO AM 8:00 - Operating Room Conference 7:30 - Operating Room 8:30 - Operating Room 7:30 - Operating Room or Clinic 8:00 - Clinic 12:00 - Dept. Case Conf. 12:00 12:15 - Tumor Board Operating Room 1:30 - Grand Rds Operating Room or Gyn/Onc Lecture PM Clinic 2:30 - Lecture 5:00 - Rounds 5:00 - Rounds 5:00 - Rounds 3:30 - Pre-Op Conf. 5:00 - Rounds ON-CALL SCHEDULE & WEEKEND ACTIVITIES: ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 259
  14. 14. OG452.01 INPATIENT GYNECOLOGY 2007-2008 Subinternship/Inpatient Location: CHS Revised: 1/8/07 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Robin Farias-Eisner, MD, PhD (310) 825-9945 1. To master the fundamentals of the management of the dis- eases leading to admission to an inpatient gynecology service. FAX: E-MAIL: 2. To be able to complete a thorough pre-operative history and physical and develop an appropriate differential diagnosis and SUPPORTING FACULTY: management pathway for patients presenting with disease Faculty, Division of Gynecology Dept. of Obstetrics and Gyne- include in objective cology, UCLA, CHS 3. To be able to describe the performance of the commonly performed surgical procedures employed in the management of patients presenting with the diseases included in objective STUDENT COORDINATOR: PHONE #: Wayne Hasby (310) 825-9945 4. To be able to perform post operative evaluation and appropri- ate intervention for patients undergoing management of dis- FAX: eases included in objective E-MAIL: WHasby@mednet.ucla.edu REPORT TO: Wayne Hasby in Rm. 24-126 CHS, Dept. Ob/ Gyn, UCLA Med. Cntr., 8:30 a.m. first day PREREQUISITES: Core clerkships in Ob/Gyn, Surgery I, and Internal Medicine AVAILABLE FOR EXTERNS: Yes STUDENTS / PERIOD: max 1 min 1 DURATION: 3 weeks 2007-2008 ROTATIONS BEGIN WEEKS: 2, 5, 8, 11, 14, 17, 20, 27, 30, 33, 36, 39, 42, 45 DESCRIPTION: With changes in how health care is supplied and renewed educational focus on ambulatory care, many undergraduate students are not exposed to the complexities or the subtleties of Inpatient Gynecologic Care. This elective is specifically for the student who desires intense exposure to a busy operative Gynecologic Inpatient Service. Because of the high surgical volume and the patient mix at this world-renowned tertiary referral center, the student will have the opportunity to observe the full range of operative gynecologic procedures performed for the management of benign disease processes, as well as participate in the care of numerous patients under- going such procedures. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 100% CLOSE CONTACT WITH: 1. Leiomyomata uterii OUTPATIENT: 0% X FULL-TIME FACULTY 2. Adenomyosis X CLINICAL FACULTY 3. Endometriosis CONSULTATION: 10% X FELLOWS 4. Benign adnexal masses PRIMARY CARE: 90% X RESIDENTS 5. Symptomatic pelvic relaxation X INTERNS 6. Genuine stress urinary incontinence X OTHER: Nurse practicioners 7. Pelvic inflammatory disease 8. Chronic pelvic pain APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT: 8 TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE: 11 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday * 6:30 * 6:30 * 6:30 * 6:30 AM Rounds AM Rounds AM Rounds AM Rounds * 6:30 - AM Rounds AM 7:30 - O. R. 7:30 7:30 8:30 7:30 12:00 - Case- Operating Room Operating Room Operating Room Operating Room Statistics Conf. 24- 132 CHS 1:30 - Grand Rounds 12:30 2:30 - Gyn/Onc Lec. 12:00 Ultrasound Conf. Gyn/Onc Conference 3:30 - Preop Conf * 5 00 * 5 00 24-132 CHS PM *5:00 - Attending Attending Rounds Attending Rounds * 5:00 Rounds * 5:00 Attending Rounds Grand Rounds ON-CALL SCHEDULE & WEEKEND ACTIVITIES: * Times may vary ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: Student will be required to participate in weekend inpatient rounds. Usual time 7:30 – 8:30 a.m. 260

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