OG225.02 REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY

OG225.02 REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY

Advanced Clinical Clerkship Location: CHS 2007-2008 Revised: 1/4/07

STUDENT EXPERIENCES CLOSE CONTACT WITH: X FULL-TIME FACULTY X CLINICAL FACULTY X FELLOWS X RESIDENTS X INTERNS X OTHER: Nurses

5% 95%

90% 10%

COMMON PROBLEMS/DISEASES 1. Infertility 2. Ovulatory Dysfuction 3. Menopause 4. Androgen Excess 5. Menstrual Disorders 6. Contraception 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

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247

ON-CALL SCHEDULE & WEEKEND ACTIVITIES: None

ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS:

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.

2007-2008 ROTATIONS BEGIN WEEKS: 2, 5, 8, 11, 14, 17, 20, 27, 30, 33, 36, 39, 42, 45, 48

DURATION:

STUDENTS / PERIOD: max 1 min 1

AVAILABLE FOR EXTERNS: Yes

PREREQUISITES: Medicine, Surgery and Ob/Gyn

REPORT TO: 24-126 CHS at 8:30 a.m.

STUDENT COORDINATOR: Wayne Hasby (310) 825-9945

E-MAIL: [email protected] FAX:

SUPPORTING FACULTY: All faculty in Reproductive Endocrinology & Infertility

COURSE CHAIR: PHONE #: T.C. Jackson Wu, M.D., Ph.D. (310) 825-9945

COURSE OBJECTIVES (in order of importance)

PHONE #:

1. To gain an understanding of the basic concepts involved in reproductive endocrinology and infertility.

2. To gain insight info on the pathophysiologic processes in-volved in reproductive endocrinology and infertility.

3. To gain knowledge in the management of patients with various reproductive endocrinology disorders.

4. To gain exposure to the various aspects of the assisted repro-ductive technologies including ultrasound, in vitro fertilization, ovulation induction, and intrauterine insemination.

5. To provide an introduction to the in vitro fertilization and an-drology laboratories.

6. To become actively involved in conferences including oral presentations, case and group discussions.

7. To provide an opportunity for research in both basic science and clinical projects.

UCLA IVF & Ovulation Induction Clinic



Combined Endocrine

Conference



IVF Meeting

Surgeries with Dr. Wu

Reproductive Endocrine Clinic with

REI attending

Case Presentation

UCLA Reproductive En-docrine Clinic

Olive View Med. Ctr. REI Case Presentation

Reproductive Endo-

crine Clinic w/ Dr. Wu

12:00 Case Statistics

1:30 - Grand Rounds

2:30

Resident Lecture

INPATIENT: OUTPATIENT: CONSULTATION: PRIMARY CARE:

DURATION: 3 weeks

E-MAIL: FAX:

OG257.01 REPRODUCTIVE HEALTH ELECTIVE

Advanced Clinical Clerkship Location: CHS 2007-2008 Revised: 12/1/06

STUDENT EXPERIENCES CLOSE CONTACT WITH: X FULL-TIME FACULTY X CLINICAL FACULTY FELLOWS X RESIDENTS X INTERNS X OTHER: Clinical Staff

10% 90%

50% 50%

COMMON PROBLEMS/DISEASES 1. Pregnancy options counseling 2. Contraception counseling 3. STI intervention/counseling 4. Pre and post-natal care 5. Abortion, medical and surgical 6. Basic OB/Gyn ultrasound 7. Management of cervical pathology 8. Breast exam 9. Pap and pelvic exam

APPROXIMATE # OF PATIENTS EVALUATED EACH WEEK BY STUDENT: 30 - 45




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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).

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

2007-2008 ROTATIONS BEGIN WEEKS: By Arrangement

DURATION:



PREREQUISITES: OB/Gyn

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



SUPPORTING FACULTY: Dr. Ram Parataneni, MD, MPH

COURSE CHAIR: PHONE #: Angela Chen, M.D., M.P.H. (310) 206-3306


PHONE #:

1. Gain an understanding of the common reproductive health issues women face.

2. Describe current methods of contraception 3. Describe current methods of pregnancy termination 4. Appreciation of basic OB/Gyn ultrasound 5. Perform basic reproductive health exams 6. Perform sexually transmitted infections screening on men and

women

Family planning clinic Family planning clinic Operating room or high-risk obstetrics Operating room OB/Gyn Clinic

Family planning clinic Family planning clinic OB/Gyn clinic OB/Gyn clinic Grand rounds

M&M Didactic lecture


DURATION: 3 weeks

E-MAIL: FAX:

OG280.01 FUNDAMENTAL ULTRASOUND FOR OB

Advanced Clinical Clerkship Location: CS 2007-2008 Revised: 5/11/07

STUDENT EXPERIENCES CLOSE CONTACT WITH: X FULL-TIME FACULTY X CLINICAL FACULTY X FELLOWS X RESIDENTS X INTERNS X OTHER: (Nurses, sonographers)

25% 75%

100%

0%

COMMON PROBLEMS/DISEASES 1. Fetal viability 2. Estimated gestational age 3. Estimated gestational weight 4. Placentia previa 5. Ectopic pregnancy 6. R/O pelvic mass 7. Fetal aneuploidy 8. Multiple gestations





AM

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249

ON-CALL SCHEDULE & WEEKEND ACTIVITIES: N/A


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.


DURATION:


AVAILABLE FOR EXTERNS: No

PREREQUISITES: OB/GYN, Medicine, and Family Medicine

REPORT TO: Cedars-Sinai Medical Center, 8700 Beverly Blvd, Suite 3622, 3rd Floor, South Tower at 9:00 a.m.

STUDENT COORDINATOR: Fay Shapiro (310) 423-7417


SUPPORTING FACULTY: Drs. J. Williams, III, D. Krakow and K. Gregory, M.P.H.

COURSE CHAIR: PHONE #: Kimberly Gregory, M.D., M.P.H. (310) 425-5420


PHONE #:

At the completion of this course the participant should have knowl-edge of: 1. Normal fetal anatomy. 2. Fetal biometry. 3. Pelvic anatomy. 4. Basic principles and instrumentation of ultrasound physics. 5. Biological effects and safety precautions for use of diagnostic

ultrasound. 6. Proper fundamental maintenance and use of equipment.

9:00 – 4:00 Ultrasound & Prenatal

Diagnosis

4:00 – 6:00 Clinical Pathology Con-

ference


Diagnosis

7:15 Stats

8:00

Grand Rounds


Diagnosis


Diagnosis

7:30 – 9:00 Combined OB/NICU

Conference (alternative weeks)

9:00 – 5:00

Ultrasound & Prenatal Diagnosis


DURATION: 3 weeks

E-MAIL: FAX:

OG322.01 HIGH RISK OBSTETRICS

Subinternship Location: CS 2007-2008 Revised: 5/11/07

STUDENT EXPERIENCES CLOSE CONTACT WITH: X FULL-TIME FACULTY X CLINICAL FACULTY X FELLOWS X RESIDENTS X INTERNS X OTHER: Clinical Nurses

80% 20%

20% 80%

COMMON PROBLEMS/DISEASES 1. Diabetes Mellitus in pregnancy 2. Hypertensive disorders in pregnancy 3. Premature labor and rupture of Mem-

brane. 4. Placental and fetal growth problems 5. Multiple gestation 6. Infectious diseases in pregnancy 7. Autoimmune disease in pregnancy 8. Cardiovascular & pulmonary





AM

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250

ON-CALL SCHEDULE & WEEKEND ACTIVITIES: Night call every fourth night. Inpatient rounds on the weekends are expected. ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS:

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.


DURATION:



PREREQUISITES: Core Clerkships in Ob-Gyn, Medicine, and Surgery

REPORT TO: Cedars-Sinai Medical Center, 8700 Beverly Blvd, Suite 3622, 3rd Floor, South Tower at 9:00 a.m.

STUDENT COORDINATOR:

SUPPORTING FACULTY: All Obstetrical Faculty

COURSE CHAIR: PHONE #: John Williams, III, M.D. (310) 423-5715


PHONE #:

1. Increase understanding of the effect of pregnancy on normal female physiology.

2. Gain insight into the pathophysiologic processes of pregnancy. 3. Become an active member of the obstetrical team by partici-

pating in all aspects of patient care evaluation, orders, proce-dures, and management planning including the management of high risk pregnancies.

4. Become proficient in the oral presentation of patients with multiple problems.

5. Gain experience in establishing a plan of management for major prenatal and intrapartum high risk conditions.

6. Gain experience in the Antenatal Testing Unit and ultrasound in the evaluation of the high risk fetus.

7:00 L & D Rounds

8:00

Maternal-Fetal Care Unit

7:00 L & D Rounds

8:00

Labor/Delivery and Ma-ternal-Fetal Care Unit

6:45 - L & D Rounds

7:15 M&M Stats

8:00 Grand Rounds

9:00 Multidisciplinary

Conference

7:00 - L & D Rounds

7:30 - Fetal Monitoring Conference

9:00 - Maternal-Fetal

Care Unit

7:00 L & D Rounds

7:30

Neonatal-MFM Confer-ence (every other week)

12:00 Pre-Clinic Conference

1:00 High Risk OB Clinic

6:00 Rounds

1:00 Antenatal Testing

6:00

Rounds

1:00 Labor/Delivery

MFCU

1:00 OB/Peds/Med ID

Conference

6:00 Rounds

12:00 Gyn-Onc Conference

1:00 Labor/Delivery

6:00 Rounds


DURATION: 3 weeks

E-MAIL: FAX:

Fay Shapiro (310) 423-7417



Subinternship Location: CHS 2007-2008 Revised: 1/17/07

STUDENT EXPERIENCES CLOSE CONTACT WITH: X FULL-TIME FACULTY CLINICAL FACULTY X FELLOWS X RESIDENTS X INTERNS X OTHER: Clin. nurse, dietician, Social

Worker, Specialist

15% 85%

0%

100%

COMMON PROBLEMS/DISEASES 1. Hypertensive disorders in pregnancy 2. Premature labor rupture of membranes 3. Cardiovas.and pulmonary disease 4. Diabetes mellitus in pregnancy 5. Urinary tract infections in pregnancy. 6. Autoimmune disorders complicating

pregnancies 7. Abnormal fetal growth and postdate

disease 8. Multiple gestation and Rh disease





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PM

251

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.


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.


DURATION:



PREREQUISITES: Core Clerkships in Ob/Gyn, Surgery, Inter-nal Medicine and Pediatrics

REPORT TO: Ob/Gyn Dept. Off., Rm. 24-126 CHS at 8:30 a.m.


E-MAIL: [email protected] FAX: (310) 206-7186

SUPPORTING FACULTY: Maternal-Fetal Medicine Faculty and Fellows

COURSE CHAIR: PHONE #: Khalil Tabsh, M.D. (310) 825-9945


PHONE #:

1. Gain appreciation for impact of pregnancy on normal physiol-ogy.

2. Increase understanding of various pathophysiologic processes in pregnancy.

3. Observe firsthand the effect of pregnancy on many common medical and surgical problems.

4. Gain experience in evaluating and managing high-risk obstet-ric patients in both the inpatient and outpatient settings.

5. Evaluate and write admission orders for pregnancies compli-cated by hypertension, diabetes, recurrent urinary tract infec-tious, incompetent cervix and premature labor.

6. Develop continuing management and treatment plans for these same patients.

7. Understand rationale for management of pregnancy compli-cated by diabetes.

8. Learn team care approach in management of high-risk pa-tients working with nurses, dietitians and social workers.

9. Observe and participate in new approaches to fetal diagnosis and therapy.

10. Gain experience in the presentation of conferences.

See your own patients

OB Ward Rounds

High-Risk Rounds

High-Risk Clinic


OB Ward Rounds (2-West)

High-Risk Rounds

Labor and Delivery

OB Ward Rounds

Labor and Delivery

Fetal Heart Rate Monitoring Conf.



High-Risk Rounds

Ultrasound or High Risk Clinic



High-Risk Rounds

Labor and Delivery

Ward Work or Labor and Delivery

Maternal – Fetal Medi-

cine Conference

Perinatal Conference

Ultrasound or Labor and Delivery

Grand Rounds

Dept. Conference 24-132 CHS


DURATION: 3 weeks

E-MAIL: FAX:


Subinternship Location: HARBOR 2007-2008 Revised: 12/5/06

STUDENT EXPERIENCES CLOSE CONTACT WITH: X FULL-TIME FACULTY CLINICAL FACULTY X FELLOWS X RESIDENTS X INTERNS X OTHER: Nurse Midwives & Nurse

Practitioners

30% 70%

0%

100%

COMMON PROBLEMS/DISEASES 1. Premature labor & rupture of membranes 2. Hypertensive disorders in pregnancy 3. Diabetes mellitus in pregnancy 4. Cardiovascular &pulmonary disease in preg-

nancy 5. Infectious disease in pregnancy 6. Third trimester bleeding 7. Abnormal fetal growth & postdates pregnancy 8. Multiple gestation





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PM

252


ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: The student will be assigned to follow high-risk pregnancies in the antepartum service.

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.

2007-2008 ROTATIONS BEGIN WEEKS: 5, 11, 17, 20, 27, 30, 33, 36, 39, 42, 45, 48

DURATION:



PREREQUISITES: Core clerkships in Ob/Gyn, Medicine, Sur-gery and Pediatrics

REPORT TO: Antonia Enriquez 7W12 on the first day of the rotation at 8:00 am.

STUDENT COORDINATOR: Antonia Enriquez (310) 222-2997


SUPPORTING FACULTY: Drs. C. Archie, R. Eden, S. Kjos, M. Ross, and L. Yonekura

COURSE CHAIR: PHONE #: Marie H. Beall (310) 222-3565


PHONE #:

1. Increase understanding of maternal and fetal physiology. 2. Diagnosis and management of pregnant patients with medical

and obstetrical complications during the antepartum, intrapar-tum, and postpartum periods.

3. Understanding the impact of pathologic conditions on the course of pregnancy and the effect of pregnancy on certain disease processes.

4. Knowledge of fetal and maternal antepartum assessment and surveillance in high risk pregnancies.

5. Improve skills in clinical diagnosis and the use of laboratory tests and procedures in perinatal medicine.

6. Oral presentations and group discussions. 7. Library research of pertinent literature dealing with perinatal

problems

7:00 - OB Rounds

8:00 – 9:30 OB M&M Conference

9:30 – 10:30 Grand Rounds

7:00 - OB Rounds

8:00 - Residents Conference

Labor & Delivery

7:00 - OB Rounds

8:00 - Residents Conference

Special OB Clinic

7:00 - OB Rounds

Fetal Assessment Clinic

7:00 - OB Rounds

Research Time

Ultrasound Clinic Labor & Delivery Fetal Assessment Clinic Special OB Clinic Special OB Clinic


DURATION: 3 weeks

E-MAIL: FAX:


Subinternship Location: OVH 2007-2008 Revised: 11/27/06

STUDENT EXPERIENCES CLOSE CONTACT WITH: X FULL-TIME FACULTY CLINICAL FACULTY X FELLOWS X RESIDENTS X INTERNS OTHER:

50% 50%

70% 30%

COMMON PROBLEMS/DISEASES 1. Pregnancy induced hypertension 2. Post datism 3. Gestational diabetes 4. Third trimester bleeding 5. Premature labor 6. Intrauterine growth retardation 7. Genetic counseling/amniocentesis 8. Multiple gestations





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253

ON-CALL SCHEDULE & WEEKEND ACTIVITIES: Every fourth night. ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS:

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.


DURATION:



PREREQUISITES: OB/GYN, Medicine, Surgery

REPORT TO: OB/GYN Office, Rm. #2B163 at 8 a.m., 1st day of rotation.

STUDENT COORDINATOR: Jonna Meloni (818) 364-3222


SUPPORTING FACULTY: All Ob/Gyn faculty

COURSE CHAIR: PHONE #: Jeostna Grover, M.D. (818) 364-3222


PHONE #:

1. Know the definition of risk factors for pregnancy. 2. Improve knowledge of physiopathology of pregnancy. 3. Diagnose and evaluate disorders of pregnancy. 4. Management of high risk patients in out- and in-patient depart-

ments. 5. Interpretation of intrapartum fetal monitor strips, intrauterine

pressure monitoring. 6. Learn basic ultrasound skills. 7. Enhance presentation skills. 8. Interpretation of NST, BPP Doppler study. 9. Genetics – Learn about genetic screening tests, indications of

genetic counseling.

Ward Rounds Labor and Delivery High Risk OB Clinic

Ward Rounds Labor and Delivery

Genetics & Ultrasound

Ward Rounds Labor and Delivery

High Risk OB Clinic

Ward Rounds

Labor & Delivery

Genetics & Ultrasound

Grand Rounds OBG Stats. Confer-

ence

M & M Conferences

Labor and Delivery Genetics & Ultrasound

Antenatal Testing

Ultrasound Antenatal Testing/Genetic

Counseling

Labor & Delivery

Antenatal Testing

Prepare Presentation OB Triage


DURATION: 3 weeks

E-MAIL: FAX:

OG340.02 GYNECOLOGIC ONCOLOGY

Subinternship Location: CS 2007-2008 Revised: 12/6/07

STUDENT EXPERIENCES CLOSE CONTACT WITH: X FULL-TIME FACULTY X CLINICAL FACULTY X FELLOWS X RESIDENTS X INTERNS X OTHER: Ancillary staff

80% 20%

50% 50%

COMMON PROBLEMS/DISEASES 1. Ovarian cancer 2. Cervical cancer 3. Endometrial cancer 4. Bowel obstruction 5. Vulva cancer, 6. Chemotherapy 7. Radiation therapy





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254

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:

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.

2007-2008 ROTATIONS BEGIN WEEKS: 2, 5, 8, 11, 14, 17, 20, 27, 30, 33, 36, 39, 42, 45

DURATION:



PREREQUISITES: Core Clerkships in Ob-Gyn, Medicine and Surgery

REPORT TO:

STUDENT COORDINATOR:

SUPPORTING FACULTY: Christine Walsh, M.D., Ronald S. Leuchter, M.D., Beth Y. Kar-lan M.D., Andrew J. Li, M.D.

COURSE CHAIR: PHONE #: Ilana Cass, M.D. (310) 423-3599


PHONE #:

1. To become familiar with the diagnosis, staging, and manage-ment of gynecologic malignancies.

2. To understand the pathophysiologic process in the clinical and histologic settings of the major gynecologic malignancies.

3. To actively participate on the oncology team in all aspects of primary patient care, admission, evaluation, orders, surgery, and management.

4. To become proficient in the written and oral presentation of patients with multiple problems.

5. To become familiar with historical and current concepts of cancer therapy; surgery, chemo, radiation, and most impor-tantly—prevention.

6. To improve knowledge of pelvic anatomy by observing radical surgery.

6:30 - Ward Rounds

7:30 - Surgery Oncology Clinic (CCC)

6:30 - Ward Rounds 8:00 - Pathology

Conference 9:00 - Oncology Clinic

(CCC)

6:30 - Ward Rounds

7:15 - M&M Conference

8:00 - Grand Rounds

9:00 - Surgery

6:30 - Ward Rounds

7:30 - Surgery

6:30 - Ward Rounds

7:30 - Surgery

Surgery

5:00 Ward Rounds

4:00 - Chemotherapy Rounds

5:00 - Ward Rounds

Surgery

5:00 - Ward Rounds

5:30 - Didactic Conference

Surgery 12:30 - Gyn Oncology

Conference 5:00 - Ward Rounds 6:30 - Journal Club

(1/mo)

Surgery

5:00 Ward Rounds


DURATION: 3 weeks

E-MAIL: FAX:

Fay Shapiro (310) 423-7417


OG340.03 GYNECOLOGICAL ONCOLOGY

Subinternship Location: HARBOR 2007-2008 Revised: 12/5/06

STUDENT EXPERIENCES CLOSE CONTACT WITH: X FULL-TIME FACULTY CLINICAL FACULTY FELLOWS X RESIDENTS X INTERNS X OTHER: Nurse practicioners

70% 30%

10% 90%

COMMON PROBLEMS/DISEASES 1. Ovarian cancer 2. Cervical cancer 3. Uterine cancer 4. Gestational trophoblastic disease 5. Vaginal/vulvar cancer 6. Gynecologic premalignant disease 7. Surgical techniques/complications 8. Palliative/end-of-life care


TOTAL # OF PATIENTS EVALUATED EACH WEEK BY ENTIRE SERVICE: 80 - 100



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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.

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.


DURATION:



PREREQUISITES: Medicine, Obstetrics and Gynecology, Surgery

REPORT TO: Antonia Enriquez 7W12 at 8:00 a.m.



SUPPORTING FACULTY:

COURSE CHAIR: PHONE #: Samuel Im, M.D. (310) 222-2997


PHONE #:

1. Develop a fundamental knowledge base in gynecologic pre-malignant and malignant disease.

2. Diagnosis and management of gynecologic oncology patients during initial presentation, perioperative periods, and follow up.

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 skills specific to the gynecologic cancer patient through history and physical examination, choice of diagnostic studies, devel-opment of differential diagnoses, development of management plans, and follow-up care.

5. Development of the doctor-patient relationship with particular 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 of oncologic surgery, and techniques for improving exposure and for repairing injuries of bowel, bladder, and ureters.

7. Exposure to the fundamentals of radiation oncology as they apply to gynecologic cancer patient.

8. Exposure to the fundamentals of chemotherapy pharmacology and administration as they apply to gynecologic cancer pa-tient.

7:00 - Attending Ward Rounds

8:00 - 10:00 - M&M/Grand Rounds

11:00 – 12:00 Tumor Board

7:00 Attending Ward Rounds

Operating Room

7:00 Attending Ward Rounds

Patient Care

7:00 Attending Ward

Rounds

Patient Care

7:00 Attending Ward

Rounds

Operating Room

1:00 – 5:00 Tumor Clinic

1:00 – 5:00 Patient Care

1:00 – 5:00 Research Time

1:00 – 5:00 Abnormal Cytology

Clinic 1:00 – 5:00

Research Time


DURATION: 3 weeks

E-MAIL: FAX:

OG350.04 ADVANCED GYNECOLOGY AND OBSTETRICS


STUDENT EXPERIENCES CLOSE CONTACT WITH: X FULL-TIME FACULTY CLINICAL FACULTY X FELLOWS X RESIDENTS X INTERNS X OTHER: Nurse practicioners

50% 50%

90% 10%

COMMON PROBLEMS/DISEASES 1. Cervical dysphasia/cancer 2. Gynecologic malignancies (uterine, ovarian,,

peritoneal) 3. Urinary incontinence 4. Pelvic organ prolapse 5. Abnormal uterine bleeding





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256

ON-CALL SCHEDULE & WEEKEND ACTIVITIES:


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.


DURATION:



PREREQUISITES: Core clerkship in OB/GYN, Medicine, Sur-gery

REPORT TO: OB/GYN Office, Rm. #2B163 at 8 a.m., first day of rotation.



SUPPORTING FACULTY: All OB/GYN faculty

COURSE CHAIR: PHONE #: Christopher Tarnay, M.D. (818) 364-3222


PHONE #:

1. Improve outpatient GYN clinical skills. 2. Improve surgical skills in the operating room. 3. Enhance formal presentation skills on rounds and confer-

ences. 4. Experience in Gyn Oncology. 5. Experience in Urogynecology and Reconstructive Pelvic Sur-

gery. 6. Evaluate gynecologic problems in the emergency room. 7. Develop the ability to do a comprehensive pelvic examination

of both the pregnant and non-pregnant patient.

Gynecology Service & Rounds (3 wks)

Gyn O.R.

Structured Study

Gynecology Service & Rounds (3 wks) or Urogy-

necology clinic

Gyn Onc OR


Labor and Delivery

Urogyn Clinic

Colposcopy Conf.


E.R. Coverage GYN OR (Oncology)

Urogyn OR

Gynecology Svc & Rounds (3 wks)

8:00 Grand Rounds Statistic

9:00 OBG Stats Conf. M&M Conference

GYN Rounds

Labor and Delivery ER Coverage

GYN Oncology Clinic 12:00 Gyn. Preop

OB Triage GYN Clinic

GYN Clinic OB Triage GYN Clnic


DURATION: 3 weeks

E-MAIL: FAX:

OG351.02 AMBULATORY OBSTETRICS AND GYNECOLOGY


STUDENT EXPERIENCES CLOSE CONTACT WITH: X FULL-TIME FACULTY CLINICAL FACULTY X FELLOWS X RESIDENTS X INTERNS X OTHER: Nurse practicioners

0% 100%

80% 20%

COMMON PROBLEMS/DISEASES 1. Gestational diabetes 2. Hypertensive disorders of pregnancy 3. Infectious diseases of pregnancy 4. Abnormal uterine bleeding 5. Menopause 6. Abnormal cervical smears 7. Endocrine disorders 8. Pelvic pain





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257

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.

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.


DURATION:



PREREQUISITES: OB/GYN, Medicine, Surgery

REPORT TO: OB/GYN Office, Rm. #2B163 Olive View Hospi-tal at 8 a.m., first day of rotation.



SUPPORTING FACULTY: All OB/GYN faculty

COURSE CHAIR: PHONE #: Rita Oregon, M.D. (818) 364-3222


PHONE #:

1. Independent evaluation and management of normal and com-plicated OB-GYN patients in an outpatient setting.

2. Develop extensive knowledge of disease processes such as: gestational diabetes, pregnancy induced hypertension, post dates pregnancy, pelvic inflammatory disease, abnormal 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.

4. Acquire skills in areas such as: colposcopy, cervical/endometrial biopsy, cryotherapy.

5. Medical judgment, analysis of laboratory results. 6. Interpretation of sonographic and radiologic tests. 7. Use and interpretation of antenatal tests.

High Risk Obstetrics Clinic

High Risk Obstetrics Conference

General Gynecology

Clinic

High Risk Obstetrics and Colposcopy Clinic

Colposcopy Conference

High Risk Obstetrics Clinic

Grand Rounds

OBG-Stats Confer-ence

Pre-op Conference

GYN Oncology Clinic

General Gynecology Clinic




DURATION: 3 weeks

E-MAIL: FAX:

No Clinic

Special Projects May Be Arranged

OG357.01 AMBULATORY WOMEN’S HEALTH ELECTIVE: OB/GYN PERSPECTIVE

Subinternship Location: HARBOR/ASSOC 2007-2008 Revised: 12/5/06

STUDENT EXPERIENCES CLOSE CONTACT WITH: X FULL-TIME FACULTY X CLINICAL FACULTY X FELLOWS X RESIDENTS X INTERNS X OTHER: Gyn nurse practitioners

0% 100%

60% 40%

COMMON PROBLEMS/DISEASES 1. Abnormal vaginal bleeding 2. Chronic Pelvic pain 3. Early pregnancy complications 4. Climacteric 5. Sexually transmitted infections 6. Contraception 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



AM

PM

258

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.

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.


DURATION:



PREREQUISITES: Family Medicine, Inpatient Medicine, Out-patient Medicine, Pediatrics, Ob/Gyn, and Surgery

REPORT TO: Antonia Enriquez, 7W12 at 8:00 a.m. on the first day of the rotation.



SUPPORTING FACULTY: Drs. A. Nelson, L. Betson, M. Hong, O. Khorram, J. Marshall, R. Mohajer, B. Weiss, and R. Runic

COURSE CHAIR: PHONE #: Griselda Gutierrez, M.D. (310) 222-8233


PHONE #:

1. Enhance diagnostic and management clinical skills in ambula-tory Ob/Gyn care, especially in the sites where women seek episodic care.

2. Understand the concept of population-based medical care. 3. Appreciate the social issues and barriers in accessing care for

women who are medically uninsured or under-insured, and/or living in under-served communities.

4. Develop skills in assessing social contexts of illnesses and disease.

5. Apply Ob/Gyn skills in the broader context of women's health. 6. Develop specific clinical skills, including vaginal microscopy,

transvaginal ultrasound and refinement of skills in the pelvic and breast examinations.

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.

8. Exposure to abortion service (optional).

8:00 – 9:30 OB M&M Conference

9:30 – 10:30 Grand Rounds

Gynecology Urgent Care

1 Week Family Planning Clinic

N-28

2 Weeks Chronic Pelvic Pain Clinic

8:00 Residents Conference

Hysteroscopy or Urgent

Care

Gynecology Urgent Care/Abnormal

Cytology (procedure)

Gynecology Urgent

Care

Gynecology Urgent Care Urogynecology Clinic Gynecology Urgent

Care

Abnormal Cytology Clinic

(Evaluation)


DURATION: 3 weeks

E-MAIL: FAX:

Reproductive Endocri-nology Clinic

OG440.01 GYNECOLOGIC ONCOLOGY

Subinternship Location: CHS 2007-2008 Revised: 1/9/07

STUDENT EXPERIENCES CLOSE CONTACT WITH: X FULL-TIME FACULTY CLINICAL FACULTY X FELLOWS X RESIDENTS X INTERNS OTHER:

60% 40%

10% 90%

COMMON PROBLEMS/DISEASES 1. Cervical cancer 2. Ovarian cancer 3. Vulvar cancer 4. Endometrial cancer 5. Trophoblastic disease 6. Miscellaneous gynecologic cancers





AM

PM

259

ON-CALL SCHEDULE & WEEKEND ACTIVITIES:


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.


DURATION:



PREREQUISITES: Core Clerkships in Ob/Gyn, Surgery, and Internal Medicine

REPORT TO: Wayne Hasby in Rm. 24-126 CHS, Dept. Ob/Gyn, UCLA Med. Cntr., 8:30 a.m. first day



SUPPORTING FACULTY: Gynecologic Oncology Faculty and Fellows

COURSE CHAIR: PHONE #: Robin Farias-Eisner, MD, PhD (310) 825-9945


PHONE #:

1. To provide a comprehensive fourth-year elective experience in Gynecologic Oncology.

2. To instruct in the fundamentals of diagnosis and management of patients with gynecologic malignancies.

3. To instruct in the fundamentals of pelvic surgery as it relates to these malignancies.

7:30 - Rounds

8:00 - Operating Room or Clinic

6:30 - Rounds

7:30 - Operating Room

7:30 - Rounds


6:30 - Rounds


6:30 - Rounds

7:30 - COLPO Conference

8:00 - Clinic

12:15 - Tumor Board

5:00 - Rounds

Operating Room

5:00 - Rounds

Operating Room or Clinic

12:00 Gyn/Onc Lecture

5:00 - Rounds


DURATION: 3 weeks

E-MAIL: FAX:

12:00 - Dept. Case Conf.

1:30 - Grand Rds

2:30 - Lecture

3:30 - Pre-Op Conf.

5:00 - Rounds

OG452.01 INPATIENT GYNECOLOGY

Subinternship/Inpatient Location: CHS 2007-2008 Revised: 1/8/07

STUDENT EXPERIENCES CLOSE CONTACT WITH: X FULL-TIME FACULTY X CLINICAL FACULTY X FELLOWS X RESIDENTS X INTERNS X OTHER: Nurse practicioners

100% 0%

10% 90%

COMMON PROBLEMS/DISEASES 1. Leiomyomata uterii 2. Adenomyosis 3. Endometriosis 4. Benign adnexal masses 5. Symptomatic pelvic relaxation 6. Genuine stress urinary incontinence 7. Pelvic inflammatory disease 8. Chronic pelvic pain





AM

PM

260

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.

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.


DURATION:



PREREQUISITES: Core clerkships in Ob/Gyn, Surgery I, and Internal Medicine

REPORT TO: Wayne Hasby in Rm. 24-126 CHS, Dept. Ob/Gyn, UCLA Med. Cntr., 8:30 a.m. first day



SUPPORTING FACULTY: Faculty, Division of Gynecology Dept. of Obstetrics and Gyne-cology, UCLA, CHS

COURSE CHAIR: PHONE #: Robin Farias-Eisner, MD, PhD (310) 825-9945


PHONE #:

1. To master the fundamentals of the management of the dis-eases leading to admission to an inpatient gynecology service.

2. To be able to complete a thorough pre-operative history and physical and develop an appropriate differential diagnosis and management pathway for patients presenting with disease include in objective

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

4. To be able to perform post operative evaluation and appropri-ate intervention for patients undergoing management of dis-eases included in objective

* 6:30 AM Rounds

7:30

Operating Room

* 6:30 AM Rounds

7:30

Operating Room

* 6:30 AM Rounds

8:30

Operating Room

* 6:30 AM Rounds

7:30

Operating Room

* 6:30 - AM Rounds

7:30 - O. R.

12:00 - Case-Statistics Conf. 24-

132 CHS

1:30 - Grand Rounds

2:30 - Gyn/Onc Lec.

3:30 - Preop Conf

*5:00 - Attending Rounds

* 5 00 Attending Rounds

* 5 00 Attending Rounds

12:30 Ultrasound Conf.

24-132 CHS

* 5:00 Grand Rounds

12:00 Gyn/Onc Conference

* 5:00

Attending Rounds


DURATION: 3 weeks

E-MAIL: FAX:

Health & Medicine

OG225.02 REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY