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  • Objectives

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  • By the end of the clerkship, the student should be able to:

    1. Perform a gynecologic and obstetric history and physical examination properly, including:
      • The following aspects of history:
        • chief complaint
        • history of present illness
        • past obstetrical history
        • past gynecologic history
        • contraceptive history
        • sexual history
        • past medical history
        • past surgical history
        • family history
        • social history
      • Including special emphasis on the following components of general physical examination:
        • Breasts
        • Abdomen
        • Pelvis
    2. Demonstrate the correct techniques for obtaining cervical cytology and Cervical cultures for gonorrhea and chlamydia.
    3. Describe the anatomy, physiology, endocrinology and pathology of the female reproduction organs.
    4. Discuss the physiology and endocrinology of pregnancy and the clinical and laboratory methods of diagnosing early pregnancy.
    5. Identify and discuss the components of antepartum care in normal obstetric patients including proper preparation for childbirth.
    6. Demonstrate a basic knowledge of the biophysical and biochemical assessment of the fetus during the antepartum/intrapartum periods by being able to interpret fetal heart rate strips.
    7. Demonstrate the basic ability to manage labor and delivery in normal obstetric patients and evaluate the newborn as well as manage the puerperium.
    8. Diagnose and discuss the management of common complications of pregnancy including hemorrhage, preeclampsia and diabetes.
    9. List and discuss the indications, contraindications and complications of currently used contraceptive methods.
    10. Identify and discuss the roles and functions of different members of the health care team(nurses-midwifes and other nurse, nutritionists, social workers, physician assistants, anesthesiologists, pathologists, cytologists, other physician specialist, laboratory technicians, radiologic and sonographic technicians, aides and others).
    11. Identify clinical manifestations of common sexually transmissible infections and outline diagnostic methodologies and treatment.
      • Provide a comprehensive assessment and initiate an appropriate course of management of the following conditions:
        • Preterm labor
        • Abnormal labor and delivery
        • Intrauterine fetal denuse
        • Breast disorders such as mastitis, breast abscess and breast mass
        • Pelvic and adnexal masses
        • Pelvic relaxation and urinary incontinence
        • Menopause
        • Amenorrhea and abnormal uterine bleeding
        • Virilization and hirsutism
        • Common infections of the vulva and vulva dystrophies
        • Neoplastic diseases of the vulva, cervix, endometrium and ovaries