SCAHEC ELECTIVE

OBGY D672

UROGYNECOLOGY

 

Faculty:   Jeffrey Garris, M.D.

Institution: Greenville Memorial Hospital

Location: Greenville, South Carolina

Duration: 4 weeks

Course Offered: All periods

Number of Students: 2 per rotation

Students Report To: Molly Ostrowski, UME Program Coordinator. EMAIL: mostrowski@ghs.org   PHONE: 864-455-5524  FAX:  864-455-3095  ADDRESS: Department of Obstetrics & Gynecology  Greenville Hospital System University Medical Center  890 W. Faris Rd, Suite 470  Greenville, SC 29605

 Format for the Course:  Clinical Participation
 

Course Objectives:

Perform patient evaluations to differentiate between urinary incontinence types

Stress urinary incontinence

Urge urinary incontinence

Overflow urinary incontinence

Identify defects of the pelvic floor on physical exam

Cystocele

Rectocele

Vaginal vault/uterine prolapse

Participate in urodynamic evaluations

Determine the most appropriate behavioral, medical and surgical methods to treat incontinence and pelvic prolapse

Participate in the perioperative care of patients undergoing urogynecologic and pelvic floor surgical procedures

Participate in the conduct of urogynecologic and pelvic floor surgical procedures:

 

Instructional Methodology:

Clinical Settings: All clinical activities for the Urogynecology and Pelvic Surgery (UroGyn) elective are conducted in either the Memorial Medical Office Building (MMOB) or the Greenville Memorial Hospital. The three main venues for clinical activities are the ambulatory offices in the MMOB, the Gynecology Operating Room, and the Gynecology Inpatient Ward.

Duty Hours: Patient care responsibilities typically commence at 7:30 AM and conclude at 5:00 PM (Monday - Friday). The time to commence clinical activities will be determined by whether there are operative cases.

Patient Care Responsibilities (Ambulatory Office) : The student will see patients referred to the UroGyn clinic with the consent of the patient and with the appropriate supervision by the attending.  He or she will be involved in new patient visits. The student will participate in development of treatment plans on all new patients.

The student will participate/observe office procedures including urodynamics and ultrasounds. Other office procedures will also be available for student learning.

Patient Care Responsibilities (Operating Room): Students will have the opportunity to participate in the perioperative care of all patients undergoing surgery for urogynecologic and other pelvic conditions.

Students should prepare themselves for the OR by performing background reading on the disease condition, surgical procedure, and relevant anatomy. Students should be active participants and expect to engage in discussion of female anatomy and various basic procedures. Opportunities for surgical participation will be made available at the discretion of the senior resident and/or attending.

Patient Care Responsibilities (Inpatient Ward): Students will contribute to the care of their patients by performing daily rounds, writing progress notes in the medical record, writing orders and interpreting laboratory and imaging studies under the direct supervision of residents and faculty.

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

-Grand Rounds (Friday mornings)

-Resident Lecture Series (Friday mornings)

The student will prepare and present an Evidence-Based Journal Article review in the last week of the elective.

Call Responsibilities: None