ACTING INTERNSHIP

Course Name:

Obstetrics & Gynecology Acting Internship (with an emphasis on High Risk Obstetrics)

Course Number:

OBGY D615

Faculty Course Director:

Sharon Keiser, M.D.

Institution:

Greenville Hospital System University Medical Center

Location:

Greenville Memorial Hospital
701 Grove Road
Greenville, SC 29605

Course Offered:

All periods

Duration:

4 weeks

Number of Students

1-2 per rotation

Students Report to:

UME Program Coordinator

Email:

obgynume@ghs.org

Phone:

864-455-5524

Fax:

864-455-3095

Address:

Department of Obstetrics and Gynecology
GreenvilleHospitalSystemUniversityMedicalCenter
890 W. Faris Road, Ste 470
Greenville, SC29605

Visiting Students:

Accepts visiting students

Scheduled through:

Natalie Carey, Visiting Student Coordinator

Email:

ncarey@ghs.org

Phone:

864-455-5494

Fax:

864-455-5234

Format for the Elective: Clinical Participation

Description:

This Acting Internship is offered to students who have satisfactorily completed their third year clinical rotations. The purpose of this course is to provide the learner with an intensive exposure to high-risk obstetrical care in an inpatient setting. Students will be exposed to a breadth of medical and obstetrical complications and fetal conditions. The student will be expected to function at the level of a PGY-1 resident, participating in clinical experiences in the Antepartum Ward and Labor and Delivery, as well as in the outpatient OB clinic under the direct supervision of resident and attending MFM physicians.

Course Objectives:

  1. To gain competency in the evaluation and management of medical complications during pregnancy
    1. Diabetes
    2. Chronic hypertension
    3. Asthma
    4. Renal disease
    5. Thyroid disorders
  2. To gain competency in the evaluation and management of obstetrical complications during pregnancy
    1. Preeclampsia-eclampsia syndrome
    2. Preterm labor
    3. Preterm premature rupture of membranes
    4. Third trimester bleeding
  3. To gain competency in the evaluation and management of fetal complications during pregnancy
    1. Fetal growth abnormalities
    2. Isoimmunization
    3. Congenital infections

Instructional Methodology:

Clinical Settings: Most clinical activities for this course are performed with the Inpatient Obstetrical Teaching Service (OBTS) and are conducted in the Greenville Memorial Hospital (GMH) campus.  There are 2 main venues for clinical activities during this course: Inpatient High-Risk Ward and Labor & Delivery.

In the event that 2 students are scheduled for the AI during the same rotation month, each student will be assigned to the outpatient OB clinic for 2 weeks of the rotation.

Duty Hours: Patient care responsibilities typically commence at 6:00 AM and conclude at 6:30 PM (Monday - Friday). The time to commence work rounds on these days will be determined by the PGY-4 OB Chief resident on a daily basis and will be based on patient volume. The student will have overnight on-call responsibilities on Monday and Thursday nights, and will conclude duties by 10:00 am the following day.

Patient Care Responsibilities (Antepartum Inpatient Ward): Students will perform daily work rounds on antepartum patients as a member of the High-Risk resident team. The PGY-4 OB Chief resident will assign patients to the student to manage.  The student will be assigned a minimum of 2 and no more than 4 patients to manage. Students should contribute to the care of their assigned patients by performing daily rounds, writing progress notes in the medical record, writing orders, interpreting laboratory and imaging studies, and under the PGY-4 OB Chief Resident and faculty.

Patient Care Responsibilities (Labor & Delivery): Students are expected to continue to provide care for assigned patients in Labor & Delivery should the patient be transferred to that setting. Students should contribute to the care of their assigned patients by performing intrapartum assessments, writing progress notes in the medical record, writing orders, and participating in the delivery under the direct supervision of residents and faculty. Once an assigned patient has delivered, the student should continue following this patient through the duration of her postpartum course.

Patient Care Responsibilities (Outpatient OB Clinic):  Students will be responsible for  seeing high-risk patients at the outpatient OB clinic.  Students will be expected to present all patients for whom he/she provided care to the attending physician.  Students will be expected to attend Morning Report with the L&D team each morning unless there is a conference at the OB Clinic on that day.

Teaching Rounds: Morning Report with the L&D and MFM Attendings of the week is conducted daily (Monday - Friday) at 7:30 am. The student should be prepared to present all patients for whom he/she provided care. The student will also perform walk-rounds with the MFM Attending each Saturday morning.

Conference Responsibilities: In addition to learning activities related to direct-patient care, students will participate in the following didactic conferences:

  • Grand Rounds (1st and 3rd Wednesday mornings)
  • Morbidity & Mortality Conference (2nd and 4th Wednesday mornings)