Obstetrics and Gynecology
Obstetrics & Gynecology Acting Internship: OBGN-445
Department: Obstetrics and Gynecology
Instructor: Michael Moxley, M.D
Contact: Barbara Swanson
Phone: 202-444-8207
Location: Virginia Hospital Center
Duration: Four Weeks
Max Students: 1-2 students/ block
Description: The Acting Internship in Women’s Health at VHC is designed to introduce the senior student to what is involved with the specialty of providing comprehensive women’s health care at the level of an intern. The student will work directly on a daily basis under the direct supervision of the attending physicians and residents on service at VHC. They will also have an assigned faculty sponsor. At the end of the rotation, the student will give an oral presentation on a topic approved by the sponsor.
Two weeks will be spent primarily involving obstetrics; the remaining portion will be devoted to gynecology and ambulatory care.
Labor and Delivery Service Expectations: Responsibilities will include assistance with post-partum rounds, evaluation of post-partum fever and bleeding, triage of laboring patients, performance of normal vaginal deliveries, assistance in operative vaginal and cesarean deliveries, and helping teach third year medical students. Students will present patients at rounds and attend the department educational conferences.
Gynecology/Ambulatory Service: Responsibilities will include helping with morning rounds, assisting in major and minor cases, performing in-patient and emergency room gynecology consults under supervision of a resident and attending, attend all department educational conferences. Topics and objectives will include: perform a thorough history and physical on gynecology patients; evaluate patients in the emergency room for first trimester bleeding, pelvic pain, pelvic inflammatory disease, and other concerns for which gynecology is consulted; evaluate for post-operative complications such as fever, bleeding, gastrointestinal dysfunction, respiratory distress, and urinary symptoms; assist with gynecologic surgeries; learn appropriate indications, relevant anatomy and techniques of surgical procedures. Spend two sessions per week in the ambulatory setting, working with the resident and attending staff.
Examples of details of learning objectives:
1. Know indications for ultrasound in pregnancy
2. Know the components of a complete US in each trimester
3. Know the components, detection rates and screen positive rates for genetic screening tests
4. Know the timing, indications and complication rates for amniocentesis and CVS
5. Know the prevalence of diabetes in pregnancy, risk factors for GDM, screening strategies for GDM, complications associated with PGDM.
6. Know the prevalence of hypertension in pregnancy, risk factors for preeclampsia, complications associated with hypertension.
7. Identify risk factors for preterm birth and know screening and surveillance strategies.
8. Demonstrate knowledge of the management of normal labor, and be conversant in operative obstetrics.
Examples of details of procedures:
1. Take a complete initial OB history including past medical and surgical, family and social and review of systems.
2. Perform complete physical exam including breast and pelvic.
3. Develop initial plan of care including labs and imaging for patients admitted to the hospital (e.g. patients with diabetes, hypertension, history of prior preterm birth and other maternal and fetal complications of pregnancy).
4. Demonstrate US skills: presentation, placental location, fetal heart motion, amniotic fluid volume, basic measurements (CRL, BPD, HC, AC, FL).
5. Demonstrate ability to identify basic fetal anatomy (BPD view, 4 chamber view of fetal heart, stomach, kidneys, and bladder).
Obstetrics & Gynecology Acting Internship: OBGN-446
Department: Obstetrics and Gynecology
Instructor: Veronica Gomez-Lobo, MD
Contact: Mary Nguyen
Phone: 202-877-8035
Location: MedStar Washington Hospital Center
Duration: Four Weeks
Max Students: 1 students/ block
Description: The Acting Internship in Ob/Gyn at MedStar Washington Hospital Center will consist of 2 weeks of Labor and Delivery Service and 2 weeks of Gynecology Service.
Labor and Delivery Service: The student will function as an intern under direct supervision of the resident and attending staff. Responsibilities will include: assist with post-partum rounds, evaluation of post-partum fever and bleeding, triage laboring patients, performance of normal vaginal deliveries, assist in cesarean deliveries, and help teach third year medical students. Students will be expected to present patients at sign out rounds and attend the department educational conferences. During this part of the rotation, the student will learn: to perform a thorough history and physical of laboring patients; learn to evaluate the normal and abnormal stages and phases of labor, including the interpretation of fetal heart tracings; learn to perform normal deliveries; learn to counsel post-partum patients about contraception and breastfeeding; begin to learn the steps of a cesarean section and the evaluation of post-partum complications such as fever and bleeding.
Gynecology: During the gynecology rotation, the student will act as a gynecology intern under direct supervision of residents and attending physicians. Responsibilities will include helping with morning rounds, assisting in major and minor cases. At times, the student will carry the consult beeper and will perform in-patient and emergency room gynecology consults under supervision of a resident and attending. The student will be expected to present patients to the attending physician rounder of the week and attend all department educational conferences. During this portion of the rotation, the student will learn: to perform a thorough history and physical on gynecology patients; evaluate patients in the emergency room for first trimester bleeding, pelvic pain, pelvic inflammatory disease, and other concerns for which gynecology is consulted; evaluate for post-operative complications such as fever, bleeding, gastrointestinal dysfunction, respiratory distress, and urinary symptoms; assist with minor and gynecologic surgeries; learn when surgery is appropriate; and learn the anatomy of the pelvis, the steps of a hysterectomy and the principles of good surgical technique.
Women’s Primary Care: OBGN-509
Department: Obstetrics and Gynecology
Instructor: Andrea Singer, MD
Contact: Barbara Swanson
Phone: 202-444-8207
Location: MedStar Georgetown University Hospital
Duration: Four Weeks
Max Students: 1 students/ block
Description: This elective is a four week elective strictly geared towards those students who are interested in women’s health in the outpatient setting. Frequent important issues addressed during this rotation are the primary care of women, osteoporosis, gynecological health, and menopause. The student works closely with Dr. Singer to establish a feasible and effective working schedule to effectively achieve the goals of the elective. Visiting students must submit a copy of USMLE Step 1 score of 200 or higher to VSAS when applying.
Acting Internship: Maternal-Fetal Medicine: OBGN-515
Department: Obstetrics and Gynecology
Instructor: Daphnie Drassinower, MD
Contact: Barbara Swanson
Phone: 202-444-8207
Location: MedStar Georgetown University Hospital
Duration: Four Weeks
Max Students: 1 students/ block
Description: The student rotating through this acting internship will serve as a junior house officer on the maternal fetal medicine service. The student will work under the direct supervision of senior ob/gyn residents and the maternal fetal medicine faculty. The student will help manage the pregnant patient with medical complications. In addition, the acting intern will acquire experience in screening/diagnostic ultrasound, antenatal testing and prenatal diagnosis. The student will take call with senior residents on the service. Visiting students must submit a copy of USMLE Step 1 score of 200 or higher to VSAS when applying.
Ultrasonography: OBGN-520
Department: Obstetrics and Gynecology
Instructor: Dimitry Zilberman, DO
Contact: Barbara Swanson
Phone: 202-444-8207
Location: MedStar Georgetown University Hospital
Reporting Time and Place: Students must contact Ms. Swanson at least 2 weeks prior to the start of the elective for instructions.
Duration: Four Weeks
Max Students: 1 students/ block
Description: The Prenatal Diagnostic Ultrasound Center (PDUC) third floor Gorman. The elective time will be spent with the MFM Division’s attendings and sonographers who perform imaging studies on obstetric and gynecological patients. The student will be exposed to a wide variety of clinical problems. The principles of diagnosis and management will be discussed in detail. Visiting students must submit a copy of USMLE Step 1 score of 200 or higher to VSAS when applying.