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July 2012 Night Obstetrics Elective Rotation Objectives

Timecourse: This is a one month elective rotation. The resident will present on the

following evenings for rounds/triaging patients: Sunday, Monday, Tuesday, Friday. Theresident will have two sessions of clinic all day on Thursdays.

Site: Labor and elivery, !S" Lebanon

#lective Supervising $ttending: r. %oger "ine

&b'ectives include:

A Medical Knowledge

1. Normal Labor and Delivery

2. Intrapartum Analgesia and Anesthesia

. !omplicated Labor and Deliveryi. Dystociaii. Meconium stained "luidiii. #etal distressiv. Abnormal presentationv. $houlder dystociavi. !ord prolapsevii. Maternal conditions% including& pregnancy'induced hypertension% preeclampsia%eclampsia% chorioamnionitis% bleeding such as placenta previa% placentalabruption% and postpartum hemorrhage.viii. rd and (th degree lacerations

i). *etained placenta). Multiple gestations)i. #etal anomalies

(. Indications "or !onsultations and +perative Intervention

,. -ostpartum care

. -rocedural $/ills ' -ractice ased Learning '*esidents are e)pected to be able to per"orm the"ollowing s/ills.

1. Dating and si0ing o" the normal pregnancy.

2. Management o" Ist trimester bleeding. *is/ assessment o" the pregnancy(. Normal vaginal delivery including episiotomy and rd degree vaginal repairs. AmniotomyArti"icial rupture o" membranes3. -lacement o" "etal scalp electrode,. -lacement o" intrauterine pressure catheter4. Interpretation o" "etal heart rate and uterine pressure monitor5. Interpretation o" nitra0ine and "erning test16. Local anesthetic techni7ues including pudendal bloc/11. Manual removal o" the placenta

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12. !ervical *ipening with prostaglandins12. -itocin inductions and augmentations o" labor1. +rdering and interpretation o" non'stress tests1(. Management o" 8A!s 9vaginal deliveries a"ter cesarean section:1. !ircumcision13. Assisting at !'sections

Labor and Delivery;his is your primary area o" responsibility. Deliveries always ta/e precedence over outpatientclinics or any other duties. -atients you will deliver are ealth !enter ?ateway patients.;he ealth !enter Attendings will supervise deliveries o" their ?ateway patients.@ou should be available at labor and delivery "rom &6 -M to ,&66 AM on your scheduled days o"your rotation. 9Again% deliveries ta/e precedence over any other activities. I" there is a con"lict% callthe outpatient area involved and advise the attending there that you have a delivering patient.:@our responsibilities at labor and delivery include assessment o" patients as they present 9whichincludes triaging: and management o" labor and delivery. ;o e""ectively participate in themanagement o" labor% a progress note should be written in the chart o" any patient in labor atleast every two hours% and more o"ten i" clinically indicated. ;he resident will also be available toparticipate in any !'$ections overnight with the ! attendings.

Outpatient Clinic

;he resident will be scheduled to have one "ull day o" outpatient clinic wee/ly which will be

;hursdays.

Evaluation

+n completion o" the one month elective the resident will present written "orms to the !

attendings "or evaluations.