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SCAHEC ELECTIVE
| High-Risk Obstetrics
Elective |
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Faculty: |
Francis S. Nuthalapaty, M.D
- Course Director
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Institution: Greenville Memorial Hospital
Location: Greenville, South Carolina
Duration: 4 weeks
Course Offered: All periods
Number of Students: 1 per rotation
Students Report To: Molly Ostrowski, UME Program Coodinator,
EMAIL: mostrowski@ghs.org
PHONE: 864-455-8345 FAX: 864-455-3095 ADDRESS: Department
of Obstetrics & Gynecology Greenville Hospital System University
Medical Center 890 W. Faris Rd, Suite 470 Greenville, SC 29605
*Can be used as OB AI
Format for the Course: Clinical Participation
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Description:
This elective 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. Clinical experiences will occur in the Antepartum
Ward and Labor and Delivery the direct supervision of resident and
attending MFM physicians. |
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Course Objectives:
1. To gain competency in the
evaluation and management of medical complications during pregnancy
a. Diabetes
b. hronic
hypertension
c. Asthma
d. Renal disease
e. Thyroid disorders
2. To gain competency in the evaluation and management of
obstetrical complications during pregnancy
a. Preeclampsia-eclampsia syndrome
b. P reterm labor
Preterm premature rupture of membranes
Third trimester bleeding
To gain competency in the evaluation an d
management of fetal complications during pregnancy
Fetal growth abnormalities
Isoimmunization
Congential infections |
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Instructional Methodology:
Clinical Settings:
All 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 three main
venues for clinical activities during this course: Inpatient
High-Risk Ward, Labor & Delivery, and the Obstetrics Ambulatory
Care Clinic.
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 will be determined by the
PGY-3 High-Risk resident on a daily basis and will be based on
patient volume.
Patient Care Responsibilities (Antepartum
Inpatient Ward): Students should attend daily work rounds on
antepartum patients with the High-Risk resident team. The PGY-3
High-Risk resident will assign patients to the student to follow.
The student will be assigned a minum of 2 and no more than 4
patients to follow. Students should contribute to the care of their
assigned patients by performing daily rounds, writing progress notes
in the medical record, writing orders, and interpreting laboratory
and imaging studies as directed by the supervising residents 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. |
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Patient Care Responsibilities (OB Triage) :
Each morning, students may be assigned the responsibility of evaluating
patients in the OB Triage area. Students should contribute to the care of
these patients by performing assessments and formulating care plans under
the direct supervision of residents and faculty. When possible, once an
assigned patient is admitted for intrapartum management, the student
should continue following this patient through the duration of her
intrapartum and postpartum course.
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