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OBSTETRICS AND GYNECOLOGY REQUIRED CLERKSHIP OBGY701 COURSE SYLLABUS

Course Identifier: OBGY701 Number of Credit Hours: 7.5

Type of Elective: X Clinical Non-clinical / Research Basic Science

Clerkship Site(s): UTMC, Toledo and Flower Hospitals, Parkway Surgical Center, Riverside,

Community Hospitals and Private Practice Offices

Faculty Teachers: Various Preceptors

Length of Clerkship: 5 weeks

Blocks Available: All Number of Students per Block: 18

Prerequisites: Successful completion of years 1 and 2 in medical school.

The Mission of the College of Medicine and Life Sciences is to improve the human condition. We do this

by providing a world-class education for you (the next generation of physician and scientists), by

creating knowledge that is translated into cutting edge clinical practice and research.

Contact Information

Clerkship Director

Catherine Van Hook, MD

Catherine.vanhook@utoledo.edu

Clerkship Coordinator

Tammy Brittian

Tammy.brittian@utoledo.edu

Clerkship Office: 2142 N. Cove Blvd, Toledo Hospital,

3rd Floor Legacy Bldg., MS 1194 Toledo, OH 43606

Phone: 419-291-3122 Fax: 419-291-2621

Course Description

This course is the required obstetrics and gynecology clerkship for 3rd year medical students. During

this course, students will encounter pregnant patients during their antepartum, intrapartum, and

postpartum care. Ambulatory time will provide students with participation in office obstetrics and

gynecology, including prenatal care, contraception, and preventive medicine. Inpatient

gynecology/gynecologic oncology places the student on the inpatient team, providing surgical,

postoperative, and non-surgical inpatient care. Case based learning and simulations will augment the

clinical experience.

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This course follows the Third-Year Medical Student Academic Calendar, for key dates please

follow this link:

https://www.utoledo.edu/med/md/curriculum/curriculum3/pdfs/M3%202021-

2022%20Clerkship%20Dates%20FINAL120320%20posted%20120820.pdf

Rotation Overview

The Obstetrics and Gynecology clerkship is designed as a combination of clinical learning experiences as

well as didactics in the form of case-based learning and simulations. The goals of the clerkship are:

1. To provide opportunities that will help students develop knowledge, skills, attitudes, and

principles that are essential to the ObGyn physician.

2. To provide a representative sample of the range of common problems and their presentations

encountered in Obstetrics and Gynecology.

3. To use community-centered clinical experiences as authentic contexts for students’ mastery of

the competencies of Obstetrics and Gynecology.

4. To provide integration of obstetrical and gynecological content in the M3 curriculum.

ObGyn physicians provide comprehensive and continuing health care to females, regardless of age or the

nature or presentation of the problems encountered. Students will have opportunities to apply their

clinical knowledge and skills to a wide and diverse range of patient problems and presentations. They

will incorporate medical, psychosocial, and preventive aspects into the differential diagnoses and

management plans. Case based learning, simulations, and use of provided online quiz modules will

supplement the clinical component of this clerkship.

Educational Program Objectives and related Competencies

Core

Comp Clerkship Objective Instructional Method Outcome Measure

1 PC-2,

PB-3

Perform an accurate breast

examination in a sensitive

manner.

Instruction utilizing

Gynecologic Teaching

Assistants. During the

limitations of SARS – CoV-2

environment, in person

simulations will be conducted

via video-based models.

Evaluation would be done via

simulation with task trainer

models and taped. Patient Care

in Inpatient and Outpatient

Settings

Clinical Competency

Evaluation. Breast

and Pelvic exam

evaluation

2 PC-2,

PB-3

Perform an accurate pelvic

examination in a sensitive

manner.

Instruction utilizing

Gynecologic Teaching

Assistants. During the

limitations of SARS – CoV-2

environment, in person

simulations will be conducted

via video-based models.

Evaluation would be done via

simulation with task trainer

models and taped. Patient Care

in Inpatient and Outpatient

Settings

Clinical Competency

Evaluation. Breast

and Pelvic exam

evaluation

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Core

Comp Clerkship Objective Instructional Method Outcome Measure

3 PC-1,

PC-3

Obtain a pertinent obstetric

and gynecologic history for all

patient encounters

Case Based Learning Sessions,

Orientation, Clinical

Experience

Clinical Competency

Evaluation, Portfolio

notes, OSCE

4 MK-1,

PC-4

Document a pertinent obstetric

and/or gynecologic exam for

all patient encounters

Orientation Education

Session, Patient Care in

Inpatient and Outpatient

Settings

Clinical Competency

Evaluation, Portfolio

Note

5 MK-1,

MK-2,

MK-3,

MK-4,

MK-5,

MK-6,

PC-3,

PC-7,

PC-8

Present a differential diagnosis

and treatment plan for patients

with common obstetrical or

gynecologic concerns based on

the history, physical exam and

lab and diagnostic study

results (i.e., Abnormal Uterine

Bleeding, 3rd trimester

bleeding, vaginal discharge)

Case Based Learning Sessions,

Patient Care in Inpatient and

Outpatient Settings

Clinical Competency

Evaluation, Portfolio

Note, NBME

6 MK-1,

MK-2,

MK-3,

MK-4,

MK-5,

MK-6

Explain how the normal

physiologic changes in

pregnancy effect the

presentation and management

of medical diagnoses in

pregnancy (i.e., hypertension,

diabetes, anemia)

Case Based Learning Sessions,

Patient Care in Inpatient and

Outpatient Settings

Clinical Competency

Evaluation, NBME

7 MK-1,

MK-2,

MK-3,

MK-4,

MK-5,

MK-6,

MK-8,

PC-3,

PC-7,

PC-8

Present the evaluation,

differential diagnosis and

treatment plan for a patient

presenting with pelvic pain.

Case Based Learning Sessions,

Patient Care in Inpatient and

Outpatient Settings

Clinical Competency

Evaluation, NBME

8 MK-6,

PC-3,

PC-5,

PC-7,

PBL-6

Provide contraceptive

counseling that is

individualized to the patient's

contraceptive needs.

Case Based Learning Sessions,

Role Play

NBME

9 PB-1

PB-2

PB-3

PB-4

PB-5

PB-6

PB-7

PB-8

Demonstrate professional

behaviors in all interactions.

Patient Care in Inpatient and

Outpatient Settings, Classroom

and Simulation Settings

Clinical Competency

Evaluation

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Required Activities

Each student will be provided a day-to-day schedule for their clinical rotations. Our AHEC and Riverside

students will be provided their schedules from their clinical sites. There are additional sessions required

of all students during the Obstetrics and Gynecology Clerkship. These sessions are required unless

otherwise stated. Please note that these sessions take precedence over any scheduled activities at all

clerkship sites. Also note that the day of the week is subject to change depending on university holidays.

In the SARS – CoV2 environment most of these will be by web-based platform.

1. Clerkship first and second days of orientation/lectures (TTH 2nd floor Legacy, Academic

Classrooms and TTH ObGyn Simulation Room, see schedule as locations may vary)

a. first and second days of the rotation

i Monday or Tuesday (First Day – web-based via BlackBoard Collaborate)

ii Tuesday or Wednesday (Second Day – partially web-based and on-site sessions

(see schedule for more details)

2. Case Based Learning (CBL) sessions (web-based until further notice, check schedule for

location, dates, and times)

a. These are mandatory for all students including AHEC and Riverside.

i If a session is missed the corresponding worksheet must be completed and turned

into the Clerkship Coordinator with 5 days of the missed session.

b. First and second day of the rotation during orientation and second, third Thursday

mornings and fourth Friday afternoons of the rotation.

i If the second Thursday falls on a Grand Rounds day (the second Thursday of the

Month) those 2 hours will be made up in an evening session that same week

ii The fourth Friday afternoon following OSCE, Breast and Pelvic (see schedule)

1 If OSCE, Breast and Pelvic evaluations fall on a Monday CBL’s will be

schedule either the fourth Thursday am or Friday pm. (see schedule)

c. Will be scheduled with consideration for other educational activities.

d. Completion of APGO uWise Modules and turning in the quizzes with > 70% that

correlate to CBL topics.

e. AHEC and Riverside students will be required to attend via Blackboard Collaborative.

3. ObGyn Grand Rounds and M&M Conferences (location: Zoom meeting)

a. 8:30am Second Thursday morning of each month (additional information sent by

Clerkship Coordinator)

b. Riverside and AHEC students are required to attend.

4. Tumor Board (Location: Teleconference) while on Gyn/GynOnc Inpatient service

a. Every Tuesday morning at 7:00 am

i Call in: 419-291-2663

ii Conference ID: 7155805

b. AHEC and Riverside students are not required to attend this meeting. They should

however attend Tumor Board if their site holds them.

5. Mid-Clerkship Evaluation with Clerkship Director (Virtually via BlackBoard Collaborate)

a. The third week of the rotation (see schedule)

6. OSCE and Breast and Pelvic Evaluations– see schedule)

a. OSCE located at the Hillebrand Center on the Health Science Campus

b. Breast and Pelvic located at Lloyd A. Jacobs Interprofessional Immersive Simulation

Center (IISC).

c. Friday mornings the 4th week of the rotation or Monday mornings the fifth (see schedule)

d. AHEC and Riverside students are excused from their clinical sites.

7. Debriefing with UT ObGyn faculty – (virtual via BlackBoard Collaborate)

a. Last day of the rotation following NBME (see schedule for specific day/time).

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8. NBME Exam

a. Last Friday morning of the clerkship (additional information sent by Testing Center)

Required Clinical Experiences

During the Obstetrics and Gynecology Clerkship, students are required to evaluate patients in the

following diagnostic categories representing the common problems seen in a ObGyn practice setting.

This provides the core of the ObGyn experiences. Patients may be seen in ambulatory, outpatient, or

inpatient settings. Students are required to keep their logs up to date and the logs will be monitored

weekly to ensure adequate experiences. If multiple problems are addressed with one patient at a given

encounter, then up to 2-3 appropriate diagnostic categories can be entered for that patient. Students will

use the 5 Level of Involvement checklist in Med Ed to determine if a patient encounter meets the

minimum level of involvement to count towards this requirement.

Level of involvement:

In addition to seeing patients in the diagnostic categories listed below, how the students are engaged in

the encounter is also an important factor in helping students achieve the objectives for this clerkship.

Level of involvement is likely to include various types of interactions with patients and the health care

team and should be monitored to ensure a complete experience. Levels of involvement will be indicated

for logged patient encounters. The logs will be reviewed mid-block to ensure that students have a range

of experiences in both in-patient and/or out-patient settings.

Level of Involvement during patient encounters will be logged using the following categories (* 5

minimum Levels of Involvement):

• Independently gathered history information*

• Observed patient interview

• Independently performed physical exam*

• Observed physical exam

• Presented patient case*

• Wrote patient note

• Opportunity to discuss laboratory or test results

• Opportunity to offer and discuss differential diagnosis*

• Opportunity to offer and discuss management options*

• Observed procedure

• Performed procedure

It is the student’s responsibility to see and log at least one case in each diagnostic category; please

contact the Clerkship Director if you are having difficulty finding patients in certain categories.

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Obstetrics and Gynecology Clerkship

5 – Levels of Involvement

Independently

Gathered

History

Information

Independently

Performed

Physical/MSE

Presented

Patient

Case

Opportunity to

Offer and

Discuss ddx

Opportunity to

Offer and

Discuss

Management

Options

Cli

nic

al E

xp

erie

nce

s

Dia

gn

osi

s C

ateg

ory

Required #

Complication of

Pregnancy (OB,

Medical, Fetal)

1 X X X X X

Uterine contractions 1 X X X X X

Prenatal care 1 X X X X X

Abnormal uterine

bleeding 1 X X X X X

Vaginal discharge 1 X X X X X

Pelvic pain 1 X X X X X

Post-operative care of

Gyn patient 1 X X X X X

Postpartum care 1 X X X X X

Ob

serv

ed

(log

lo

cati

on O

R)

Delivery (vaginal or

cesarean) 1

Hysterectomy (any

route) 1

Pro

ced

ure

s

Perform a fundal

height measurement 1

Obtain fetal heart tones 1

Interpret Fetal Tracing 1

Perform pelvic exam 1

*i.e., hypertension, diabetes, asthma, anemia

**i.e., placental, abnormal labor, hyperemesis, fetal anomaly

If the student is unsure of the appropriate category for a given diagnosis, they can discuss it with their

preceptor or with the Clerkship Director.

Students are required to use RocketMed, the electronic, web-based database, to keep a log that documents

the types of patients seen and the level of responsibility. Procedures must also be logged. Students are

expected to log in to the RocketMed portal, https://rocketmed.utoledo.edu/, for each patient they

encounter, and two to three diagnoses can be entered for each patient. Once the required cases have been

entered (i.e., one per diagnostic category required), students are expected to log at least one procedure or

diagnosis category per day. Students are encouraged to log cases that are particularly interesting or

educational. All seven procedures and/or diagnosis categories for the week can be entered on Sunday.

The expectation is that by Monday morning of each week the cases will be updated.

Clinical Rotation Sites:

There are three possible clinical rotations students may be placed in.

1. UTMC/ProMedica Toledo Hospital

a. Ambulatory week at area community physicians’ offices

i. ProMedica Sun Forest ObGyn

ii. ProMedica Maumee ObGyn

iii. ProMedica Flower ObGyn

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iv. ProMedica Perrysburg

v. ProMedica Center for Health Services (CHS)

vi. ProMedica Tecumseh ObGyn

vii. ProMedica Bay Park ObGyn

viii. UTMC – Community Care Clinic

ix. Compassionate Care of Toledo

b. Ob In Patient Week

i. ProMedica Toledo Hospital

c. Gyn / GynOnc Week

i. ProMedica Toledo Hospital

d. Hodge Podge Week

i. ProMedica Toledo Hospital

2. Riverside Methodist Hospital, Columbus Ohio

a. Students are housed at a local hotel or can stay with family or friends in the area

3. AHEC (housing placement for sites great than 1 hour/60 miles from UTMC)

a. ProMedica Fremont (1 week of Ambulatory)

b. ProMedica Defiance (1 week of Ambulatory)

c. Van Wert (entire 5-week rotation)

d. Bellevue (entire 5-week rotation)

e. Bryan (entire 5-week rotation)

f. Lima (1 week of Ambulatory)

Educational Resources, Textbooks and Other Materials

Textbook: Beckmann and Ling’s Eighth Edition is the recommended textbook. The department has

copies available to loan. Please contact the Clerkship Coordinator to arrange to borrow.

Another recommended textbook is Hacker and Moore’s Essentials of Obstetrics and Gynecology 6th

Edition. This is available online via Mulford Library https://www.clinicalkey.com/#!/browse/book/3-

s2.0-C20120069153.

Other Resources

There are a number of quality online resources on a variety of clinical aspects of the common problems

seen by an ObGyn physicians.

ACOG The American College of Obstructions and Gynecologists (ACOG) maintains an excellent

website (https://www.acog.org/ ) with educational resources.

APGO During the clerkship, you are provided a student membership access to the Associate of

Professors of Gynecology and Obstetrics (APGO) website:

(https://apgo.mycrowdwisdom.com/diweb/institution?guid=c0da0257-36bf-48d6-af3d-ea914a54125dT)

This website contains the uWise modules, worksheets and quizzes that will be used throughout the

ObGyn Clerkship. Reviewing these modules and completing the worksheets and quizzes will enhance

your understanding of these problems and your ability to apply the essential competencies of Obstetrics

and Gynecology to them. Students can register on the site for free; they must use the above link and their

University of Toledo email address. Registering on the site allows students access to a multiple-choice

board review 100 question test which, although not designed for preparing for the NMBE Obstetrics and

Gynecology Subject Exam, are successfully used by students across the country to help prepare for the

exam.

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UTCOMLS Library

https://libguides.utoledo.edu/md/obgyn

BlackBoard

Th following link:

https://blackboard.utdl.edu/webapps/blackboard/execute/modulepage/view?course_id=_222693_1&c

mp_tab_id=_500729_1&editMode=true&mode=cpview contains rotation-specific information,

assignments and announcements. If you have trouble accessing your account, contact BlackBoard

UToledo Online at 1-866-886-5336 or 419-530-8835 or send requests to UTLV@utoledo.edu.

Mid-Clerkship Feedback

During the 1st and 2nd weeks of the rotation students will be given formative feedback by their preceptor/s.

Preceptors will complete the Mid-Clerkship Formative Feedback Form (provided during orientation) and

review it with the student. The student is required to have two feedback forms completed by the mid-

clerkship evaluation (schedule provided during orientation and available on Blackboard), one observed

history form and the portfolio notes appropriate for the first half of the clerkship. The forms should be

uploaded to BlackBoard. It is the student’s responsibility to ensure they receive the completed signed

feedback forms from their preceptors. The Clerkship Director will review these forms, case log entry,

and other relevant materials with each student during their mid-clerkship evaluation. AHEC and

Riverside Mid Clerkship meetings will be held via phone with the Clerkship Director and onsite.

Grading

Calculation of grades is as follows:

Clinical Competence Score (Evaluations) 50%

Subject Exam 30%

Departmental Grade 20%

1. Clinical Competency Score (50%)

A composite clinical grade is based on clinical evaluations received from attendings, residents and

advanced practice practitioners with whom the student has worked with at the various clinical sites. The

evaluations are time weighted and use a 1-5 scale:

5 Significantly above expected competency

4 Above expected competency

3 At expected competency

2 Below expected competency

1 Significantly below expected competency

Students are not to discuss their evaluations with the preceptors. Students should direct all comments and

questions to the Clerkship Director.

24 or less points gained for clinical portion of the competence grade will result in a grade of Fail.

Failure due to poor clinical competence evaluation will require completion of the clerkship in its entirety.

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2. NBME Subject Examination (30%)

Students take the Subject Exam on the last day of the clerkship.

Students will take the NBME Subject Examination as a component of the overall grade in this course.

• Students must earn a minimum passing score of the 5th percentile based on the prior’s year

national performance date (<5th percentile is a failing score.)

• That percentile will be set based on the NBME entire academic year data.

• A score of less that the 5th percentile on the NBME Subject Exam will require remediation of

the examination and the final grade will be a DEFER until it is completed.

The Subject Exam is scheduled on the last day of the clerkship. The exam is multiple choice and is

created and administered electronically by the NBME. According to NBME protocol, all students must

start the exam at the same time; therefore, if you are late and the exam has started, you will be unable to

sit for the exam at that time. Students will need to reschedule the exam through the Office of Student

Affairs. For time and location, please refer to the Orientation Packet schedule.

Failure to achieve the 5th percentile will require the student to retake the subject examination and a grade

of DEFER will be assigned. A second attempt to complete the NBME subject examination must be

completed within one year from the first attempt. If the student achieves the 5th percentile or higher on

the second attempt a grade of PASS will be assigned. PASS is the highest grade that can be achieved

after a DEFER grade due to an initial failure to achieve the 5th percentile on the NBME Subject

Examination. A second failure of the NBME subject examination (See policy #10-04-00008-706)

requires a 5-week remedial clerkship to be completed.

The ObGyn Clerkship final grade scale is as follows:

• Minimum Passing score for the Obstetrics and Gynecology Subject Exam > 64

• Scale for Clerkship Final Grade: High Pass > 83, Honors > 89 This is subject to

change as we are waiting for AY2022 numbers from the Department of Medical

Education.

3. Departmental Grade (20%)

The Clerkship Educational Program is composed of the various components described earlier in the

handbook. Points are awarded for successful completion of the projects along the following guidelines:

OSCE - 4 points.

Students will have a history based OSCE focused on an ambulatory issue. You will be expected to gather

a focused history, discuss with the patient your thoughts and the next best step and conclude the visit in a

professional manner Each station will request some portion of expected tasks, forming a checklist for

proper completion of the station. Students receive credit for each expected task they do at each station

and this goes towards the raw OSCE score. NOTE: these “credits” are used to determine their raw OSCE

score and are not the same as the points used in calculation of the clerkship grade. The raw OSCE score

is then converted to a percentage of tasks completed and then to the points awarded.

Minimum passing score for the OSCE is 60% of the tasks required.

Provided scoring is available, this will be reviewed at the end of clerkship meeting with each student.

Review is for feedback only; no scoring alterations will be made.

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Breast and Pelvic Exam Evaluation - 4 points.

The breast and pelvic exams are evaluated based on the checklist provided at the beginning of the

clerkship and taught during orientation. The number of points awarded is based on the number of tasks

on the checklist accomplished.

Minimum passing score for the Breast and Pelvic Evaluation is 60% of tasks required.

Provided scoring is available, this will be reviewed at the end of clerkship meeting with each student.

Review is for feedback only; no scoring alterations will be made.

Contraceptive Counseling – 1 Point

This can be accomplished with role play with a provider (i.e., APN, CNM, Attending, or Resident) or

direct observation by a provider in the clinical arena. Role play is an interactive activity between student

and provider. A performance checklist is provided. Students should evaluate a patient’s eligibility for

different contraceptive options, discuss with the patient (resident or attending) the options available based

on the patient’s own context and preferences, risks/expectations/benefits and identify those methods

contraindicated (if any) for that patient. A form with specific scenarios is provided. Direct observation in

the clinical environment by a provider will be evaluated on the Contraceptive Counseling in the Clinical

Environment Card. The completed card or form will be uploaded to BlackBoard to be graded.

CBL/Orientation and Associated APGO Quiz Modules (total of 27) – 4 points

Students are required to attend all CBL’s and turn in quiz modules for each topic with > 70% score.

• Completed modules due by the Monday after at each of the CBL sessions.

o Tracked through uWise by coordinator.

• Number of points awarded will be percentage of quiz modules turned in with required score.

Completion of Logs and Assignment Cards – 2 points.

Student will be required to log their hours and required experiences in the RocketMed portal. They will

also have three assignments cards to complete.

Logs include:

• Hours

• Required Experiences

• Procedures (Log of exam card RocketMed under Procedures)

Assignment cards include:

• 1 Exam Card (Procedure)

• 1 HPI Card

• Contraceptive Counseling Card

All cards must be signed off by preceptor, which include faculty, resident, mid-wife and CNP. RN’s,

LPN’s or MA’s are not accepted signatures (except for interpretation of fetal tracing, obtaining fetal heart

tones).

All assignment cards must be turned in/submitted on BlackBoard no later than 5pm the day prior to the

student taking their NBME. Anything turned in after this will not receive credit.

All observed procedures (i.e., deliveries and hysterectomies) should be logged in the RocketMed portal.

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Completion of 12 non-CBL APGO Quiz Modules with ≥ 70% score – 2 points

Student will be required to complete 12 APGO Quiz modules that are not covered during the CBL

sessions. Highly recommended a minimum of three modules per week should be completed. This will

be tracked through uWise by the coordinator. All non-CBL quiz modules must be completed no later

than 5pm the day prior to the student taking their NBME. Anything turned in after this will not receive

credit.

Portfolio Notes – 3 points.

Students will be required to complete 3 portfolio notes. They must be 3 of the 7 listed below and only 1

from each category.

• Gyn Problem Focused, Office Visit

• Gyn Post-Op

• OB H&P

• D/C Summary

• Annual Well Woman Exam

• Post-Partum Note

• Antepartum Note

All notes must be edited/critiqued by preceptor (faculty, resident, midwife, APN) and signed. Any

corrections or suggestions must be made to the note/s. Students will then turn in both the original

marked-up note and a clean copy (original plus incorporated suggestions) to Blackboard making sure all

patient identifiers are removed. If no corrections are made by preceptor, student will turn in original with

preceptor/s signature. NO ASSIGNMENT WILL BE ACCEPTED WITH HIPPA IDENTIFIERS,

INCLUDING PATIENT INITIALS.

All notes must be turned in no later than 5 pm the day prior to the student taking their NBME. Anything

turned in after this will not receive credit.

Failure of the departmental educational program (< 9 points) requires a repeat of the component until it is

successfully passed. A grade of DEFER will be submitted to the Registrar’s Office pending successful

remediation of the failed component(s) of the departmental educational program.

A minimum of 10 accumulated points must be achieved for the Departmental Grade to pass the clerkship

When a student has remediated all failed components of the departmental educational program, a final

grade no higher than PASS will be submitted to the Registrar’s Office.

COMLS POLICIES

Students are responsible for following the UT Policies, but is not limited to:

• Clerkship Excused Absences

Students must submit an absence request form to the Clerkship Coordinator for all absences. Unexcused absences may result in a Professional Behavior Report.

• Learning Environment & Faculty Professionalism If there is a faculty or staff member who has demonstrated outstanding professionalism and contributed to your learning environment or has detracted from your experience, complete the Learning Environment Assessment and Event Report. This report is accessible from an icon in this course Black Board home page. All responses are anonymous. If it is indicated that the event is of

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a serious nature and warrants immediate follow up, please enter a contact name and phone number for follow-up.

• Student Professionalism

Medical Students are held to the highest standards of professionalism and have a number of professional responsibilities that they are obligated to uphold. Breach of a professionalism standard will result in a professionalism behavior report based on the institutional policy.

• Conflict of Interest – Separation of Roles

The health professionals who provide sensitive medical and healthcare services to medical students will have no involvement in the academic, professionalism, or disciplinary evaluation, promotion, or dismissal of students receiving those services. Inform the Coordinator of any such relationships within the department prior to the start of the clerkship.

• Assigned Education Hours

To ensure that there is an appropriate balance of assigned educational activities and self-directed learning, students’ scheduled activities should:

o Not exceed 80 hours per week, with no more than 30 consecutive hours,

o Have at least 24 consecutive hours (1 day) of non-scheduled time per week.

o Notify the clerkship coordinator if they are approaching 70 hrs/week.

• Blood Borne Pathogen Exposure Policy/Protocols

In the event of blood or body fluid exposure:

When at The University of Toledo Health Science Campus:

1. Flush area thoroughly for 15 minutes; wash with soap if applicable.

2. Notify supervising faculty member or preceptor.

3. Always report to UTMC Emergency Department for initial assessment of injury and exposure.

4. Immediately obtain and submit all lab results from both you and the primary source of contact to

Ruppert Health Center, Family Medicine.

5. Complete a UTMC employee injury report at utoledo.edu/depts/safety/Forms.html and send to

Safety and Health.

6. After hours/weekends, call UT Emergency Department at 419.383.3888 to address questions or

concerns.

7. Notify clerkship director of incident.

Whenever exposure occurs at a non-UTMC site:

Contact the supervisor or preceptor at site to find out individual protocol. Follow up treatment after

initial treatment may be obtained at occupational health which is located in the Emergency

Department of University of Toledo. Exposed medical student needs to bring appropriate records

from outside facility to avoid delays in treatment. Occupational health can be reached at 419-383-

5598. Also inform the clerkship office.

COMLS Policy Supervision of Medical Students

Excerpts from policy:

When performing any procedures or clinical activity which poses any risk to patient safety,

students must be directly supervised by a faculty member or resident or fellow at the hospital or other clinical facility.

In certain clinical situations, Advanced Practice Providers (APP) such as Physician Assistants, Nurse

Practitioners and Midwives may provide supervision, if noted to be within their scope of practice.

*Direct Observation/Supervision: the observing/supervising physician is physically present with the student and patient.

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**Indirect Observation/Supervision: with direct observation/supervision immediately available--

the supervising physician is either physically within the hospital or other site of patient care or is immediately available by a reliable and rapid method of communication to provide direct

observation.

Supervision of Medical Students

For the required Obstetrics and Gynecology Clerkship

Clinical Activity Direct* Indirect**

Obtain History Present Illness XX

Obtain PMH/PSH/FH/Social History XX

Perform Physical Exam

Non-Sensitive Area XX

Breast Exam XX

Pelvic Exam XX

Cervical Exam XX

Obtain cervical and/or vaginal specimen XX

Acquire fetal heart tones XX

Suturing/Knot tying XX

Participate in delivery or other procedure XX

Obtain surgical consent XX

Other activities at discretion of supervising provider based on their direct knowledge of

student’s ability.

XX

History and physical findings determined by the student must be evaluated by the supervising provider.

Students can place orders but cannot sign orders.

AMERICANS WITH DISABILITIES ACT • Policy Statement on Non‐Discrimination on the Basis of Disability (ADA)

The University is an equal opportunity educational institution. Please read The University’s Policy

Statement on Nondiscrimination on the Basis of Disability American with Disability Act

Compliance. Students can find this policy along with other university policies listed by audience on

the University Policy webpage.

• Academic Accommodations

The University of Toledo embraces the inclusion of students with disabilities. We are committed to

ensuring equal opportunity and seamless access for full participation in all courses. For students who

have an accommodations memo from Student Disability Services, students are invited to correspond

with staff as soon as possible so that we can communicate confidentially about implementing

accommodations in this course. For students who have not established affiliation with Student

Disability Services and are experiencing disability access barriers or are interested in a referral to

healthcare resources for a potential disability or would like information regarding eligibility for

academic accommodations, please contact the Student Disability Services Office by calling

419.530.4981 or sending an email to StudentDisability@utoledo.edu.

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• Academic and Support Services

Please follow this link to view a comprehensive list of Student Academic and Support Services (http://www.utoledo.edu/studentaffairs/departments.html) available to you as a student

(please refer to the face-to-face syllabus guidelines for more guidance/details).

• Safety and Health services for UT students

Please use the following link to view a comprehensive list Campus Health and Safety Services

available to you as a student.

• Inclusive Classroom Statement

In this class, we will work together to develop a learning community that is inclusive and respectful.

Our diversity may be reflected by differences in race, culture, age, religion, sexual orientation,

gender identity/expression, socioeconomic background, and a myriad of other social identities and

life experiences. We will encourage and appreciate expressions of different ideas, opinions, and

beliefs so that conversations and interactions that could potentially be divisive turn, instead, into

opportunities for intellectual and personal development.

Note: This syllabus is subject to change