•  Introduction to Clerkship
•  General Schedule
•  Clinical Responsibilities
•  Orientation
•  Evaluation Forms

•  Text
•  Evaluation
•  Requirements
•  Informational Websites
•  Note Templates
•  Presentations
•  Spanish for Medical Students

•  Inova Fairfax Hospital (IFH)
•  GW Hospital
•  Holy Cross Hospital

•  ACOG
•  GWU
•  SMFM
•  OB/Gyn Residency

Call | Patient Care | Attire | Clinic | Operating Room/Surgery
Antepartum Service | ID Badge | Parking | Food
Important Phone Numbers | Student Objectives
Medical Student Schedule | Fairfax Hospital Web Site

1. Please identify yourself as the students on call to the on call residents, either by pager, calling or in person.
   
2. Two students on call each day (1 Ob/1Gyn)
   
3. Wear student pagers
   
4. 
   

   Ob student on call:	Gyn student on call:
   shadow Ob resident on call	shadow Gyn resident on call
   write H&P’s on laboring pts	write H&Ps on ED consults or admits
   deliver patients with Ob resident	should not be in schedule OR cases
   round on postpartum patients	involved in add-on or emergency cases
   involved in Cesarean sections	back up for Ob duties
   	round on admitted or post-op pts

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1. Always introduce yourself.
   
2. You will round on all patients you were directly involved with, within reasonable learning
   limits. Please inform your resident if you feel your patient load is excessive.
   
3. Rounding should be done by 6:30am M-F, 8:30am Sat/Sun, unless otherwise specified.
   
4. If there is a question or concern regarding a patient’s physical exam findings, lab/diagnostic
   test results, etc., please discuss them first with the resident (page them if you do not see them).
   
5. Make yourself part of the health care team.

Please wear professional attire. IFH hospital provides clean scrubs. IFH scrubs must be worn if you are scheduled for an OR case or are on call. They can be worn in the clinic if you are scheduled for a case that day or are on GYN call. Scrubs are located across the hall from the residents’3rd floor call room. Please do not wear scrubs from other hospitals or from home (OSHA guideline).

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1. It is located on the 1st floor in the Original building (follow the signs).
   
2. Clinic begins Monday and Wednesday at 9am, other days at 8:30am.
   
3. Patients are to be seen and then presented to a resident, except on Mondays (high-risk clinic) where you will see the patients with the residents.

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1. Or located on the 3rd floor in the Women’s and Children’s Building (same floor as L&D).
   
2. See daily schedule in residents’ call room for daily assignments.
   
3. Introduce yourself to the patient (in pre-op holding) about 15-20 minutes before the surgery; familiarize yourself with the patient’s history, reason for surgery, past Ob/Gyn history, surgeries, etc. Do a brief H&P if there is not one on the chart.
   
4. Upon entering the surgical area, wear only scrubs (no lab coats please), put on cap, mask, eye protection (even if you wear glasses) and booties. These can be found by the main OR desk and board.
   
5. Upon entering the OR (Rooms A-E), please write your name on the dry erase board and introduce yourself to the circulating nurse, the scrub nurse, etc. Ask the scrub nurse if a gown needs to be pulled for you. You will also need to pull gloves for yourself and give them to the scrub nurse in a sterile manner. Ask if you need help.
   
6. Observe and learn to help with the pre-op and post-operative patient preparations, i.e., transferring the patient, placing compression stockings, attaching arm boards, stirrups, cleaning the patient post op, etc.
   
7. Write the Brief Op note and round on your patients while in the hospital.

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1. Located on the 6th floor (6S).
   
2. There will be 2 students per week on the team.
   
3. You will follow 1-2 patients daily and know their history, hospital course, antepartum management, etc., in detail.
   
4. You will round on your AP patients by 6:30am, unless otherwise specified by the resident. There is a 24˚ shift Saturday/Sunday.
   
5. AP rounds: Monday and Wednesday at 9:15am, other days at 8:15am in the 6th floor conference room.
   
6. Discuss events, management, etc with the resident assigned to the patient.
   
7. Shadow AP resident on day-call 1-2x per week.
   
8. Student Objectives

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Medical Staff office located in the Tower Building. Fill out appropriate forms for computer codes, Confidentiality Form Student registration card, and then bring ID form to Safety and Security in Original Building, located on 2nd floor.

Must park at 8110 Gatehouse Rd, Falls Church, VA 22042 - Inova Health System.

Garage top deck. Shuttle starts at 5:00 AM to 12:30 AM in front of fountain.

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The Ob/Gyn Department on Mondays and Wednesdays provides complimentary lunch for the residents and staff in the classroom near the clinic. Students are invited and welcomed. However, please wait for all patients to be seen in the clinic in the morning, and/or for all residents and staff to be present prior to eating. Juice and sandwiches are also available at lunchtime in the lounge for the on call team or students/residents operating, in between long OR cases. Please respect your hard working peers, residents and attending physicians by not abusing this privilege.
Meal tickets are provided to students.

Antepartum Rotation
Reference: Hacker and Moore
Advanced reading: Creasy

• How to perform a comprehensive history and physical exam on an antepartum patient.
• Learning to read and interpret fetal strips
• Learn the basics of ultrasound and fetal surveillance/testing.
• Learn the screening, diagnosis and management of diabetes in pregnancy
• Learn the diagnosis and management of preeclampsia
• Learn the definition and management of incompetent cervix
• Learn the etiology of bleeding in 2 nd and 3 rd trimester bleeding
• Learn the diagnosis and management of preterm labor (i.e. the different tocolytics and the use of betamethasone)

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Gyn Oncology Rotation
References: Hacker and Moore, Netter’s, www.cancer.gov

• Learn how to do a comprehensive H&P and write daily progress notes
• Learn how to perform a bimanual exam under anesthesia
• Learn how to tie a square knot
• Learn how to diagnose and manage post-menopausal bleeding
• Learn how to screen for cervical, uterine, ovarian cancer (pap smear, endometrial biopsy, CA-125)
• Learn how to do basic staging and treatment for cervix, uterine and ovarian cancer
• Learn basic pelvic anatomy for hysterectomy, oophrectomy

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Day/Night Float
References: Hacker and Moore

• Learn how to perform an obstetrical history and physical
• Learn how to exam and manage a laboring patients
• Learn the cardinal movements of labor
• Learn the stages of labor and the Friedman’s labor curve
• Learn how to read a fetal strip
• Learn about obstetric emergencies(shoulder dystocia, postpartum hemorrhage, abruption, cord prolapse)
• Learn appropriate post-partum care and contraception

Medical Student Schedule

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