UNM FAMILY MEDICINE RESIDENCY

ROTATION OBJECTIVES

Women's Health 

GOALS

The goal of the Ambulatory Gynecology rotation is to provide learning opportunities that will enable residents to develop or refine the knowledge, skills, and attitudes necessary to:

1. Understand of the normal growth and development, diseases of the female reproductive tract, reproductive physiology, physiology of menopause, and pelvic floor dysfunction.

2. Understand clinical guidelines for the diagnosis and management of common gynecological conditions.

3. Perform a core set of clinical gynecological procedures with confidence and skill.

4. Participate in the management of gynecological/surgical emergencies, preoperative care, some assisting in surgery; and postoperative care.

OBJECTIVES

PATIENT CARE OBJECTIVES

The resident demonstrates the ability to:

• obtain, document and report developmentally, age and specialty appropriate history

• perform, document and report developmentally, age and specialty appropriate physical examination

• generate an appropriate differential diagnosis

• make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment

• develop and carry out patient management plans

• counsel and educate patients and their families in a clear, respectful and culturally conscious manner

• use information technology to support patient care decisions and patient education

MEDICAL KNOWLEDGE OBJECTIVES

Upon completion of the rotation, residents will demonstrate:

Understanding of the national, state and local clinical guidelines for the diagnosis and management of gynecological conditions, including:

• Normal female growth and development

• Disease prevention/health promotion and periodic health evaluation in women

• Physiology of the menstrual cycle

• Abnormal uterine bleeding

• Gynecological problems of children

• Infectious diseases of the female reproductive tract

• Breast health and breast disease

• Sexual Assault

• Domestic violence

• Pelvic Pain

• Benign and malignant neoplasm of the female reproductive tract

• Menopause and geriatric gynecology

• Indications for surgical intervention

• Cervical lesions and abnormal cytology

• Urinary Incontinence

• Diagnose Pregnancy (ectopic and intrauterine)

• Infertility

PRACTICE-BASED LEARNING AND IMPROVEMENT OBJECTIVES

The resident:

• recognizes his/her own strengths and limitations

• asks questions as an engaged, critical learner

• locates, appraises, and assimilates evidence from scientific studies related to their patients’ health problems

• uses information technology to manage information, access on-line medical information, and support their own education

INTERPERSONAL AND COMMUNICATION SKILLS OBJECTIVES

The resident:

• makes organized and effective oral presentations

• elicits and provides information using effective listening, nonverbal, explanatory, questioning, and writing skills

• communicates with the patient, family and members of the healthcare team in a timely, developmentally and culturally appropriate manner

• works effectively and respectfully with others as a member or leader of a health care team or other professional group

PROFESSIONALISM OBJECTIVES

The resident:

• accepts responsibility for patient care

• never misrepresents patient care information

• consistently performs in a punctual, reliable and collegial manner

• demonstrates dress, hygiene and manner of speech that consistently reflect appropriate standards

• demonstrates a commitment to excellence and on-going professional development

• demonstrates sensitivity and responsiveness towards patients’ , colleagues’ and team members’ gender, age, culture, disabilities, ethnicity and sexual orientation.

SYSTEMS-BASED PRACTICE OBJECTIVES

The resident:

• practices cost-effective health care and resource allocation that does not compromise quality of care

• advocates for quality patient care and assist patients in dealing with system complexities to minimize discomfort or confusion

• recognizes that the patient is part of greater system and provides care in a manner that supports continuity.

PROCEDURAL SKILLS

Upon completion of the rotation, residents will:

1. Demonstrate proficiency in performing the following techniques and procedures

• Breast exam

• Vaginal exam

• Counseling and prescribing birth control

• Microscopic diagnosis of urine and vaginal smears

• Injectable long-term contraceptives and counseling

• Options Counselling

2. Demonstrate understanding of the following techniques and procedures:

• Ultrasound

• Insertion and removal of IUDs and Norplant devices

• Colposcopy & Biopsy

• Cryosurgery/cautery of benign disease

• Endometrial biopsy

• Bartholin cyst I&D

• Diaphragm fitting