Obstetrics / Gynecology (OBGY)
OBGY G700 - Obstetrics and Gynecology Clerkship (6 Credits)
The Obstetrics & Gynecology Clerkship is designed to be a comprehensive educational experience that fulfills the learning objectives recommended by the Association of Professors of Gynecology and Obstetrics. The goal of the clerkship is to introduce medical students to the unique aspects of the medical care of women. In the process they are exposed to the specific type of practice encompassing OB/GYN. The curriculum draws upon three sources of learning: Direct Patient Care, Structured Didactics, and Self-Directed Study. Learning obtained through direct patient care is divided into the following clinical venues: Community-based preceptors, Inpatient obstetrics, Gynecologic surgery, and Ambulatory OBGYN. All clinical experiences involve participation in direct patient care under the supervision of resident staff and faculty. Primary modes of instruction include teaching rounds, lectures, and conferences. The conclusion of the clerkship will include assessments via the Obstetrics and Gynecology NBME subject examination, an Objective Structured Clinical Evaluation (OSCE), an Objective Structured Assessment of Technical Skills (OSAT), and Oral Examination.
OBGY G701 - Clerkship Completion (0 Credits)
This course allows completion of required M-III Clerkships where normal enrollment for those courses crosses academic years. It is valued at zero credits to reflect enrollment, but all graded material is taken into account in the G700 clerkship grade. Successful completion of required hours results in a passing grade.
OBGY G702 - Obstetrics & Gynecology Clinical Skills Remediation (1-8 Credits)
This course is assigned to students who are required to remediate their clinical performance in a given clerkship / AI / elective (M3 or M4 year). Enrollment in this course will allow students to receive a clinical schedule and capture clinical performance evaluations for their required remediation in a clinical department.
OBGY G710 - Urogynecology Elective (2 Credits)
Experience will be offered in both an ambulatory office-based setting an inpatient hospital-based setting under the direct supervision of resident and attending physicians. The student will be actively engaged in the evaluation and management of urogynecologic conditions and the intraoperative and perioperative care of patients undergoing urogynecologic surgical procedures.
OBGY G715 - High Risk Obstetrics Elective (2 Credits)
Students will be exposed to a breadth of medical and obstetrical complications and fetal conditions. The student will participate in clinical experiences in the Antepartum Ward and Labor and Delivery. Students might also be assigned to the outpatient OB clinic under the direct supervision of resident and attending MFM physicians for a small minority of their rotation time.
OBGY G720 - Gynecology Oncology Elective (2 Credits)
This four week elective in Gynecologic Oncology is offered to students who have satisfactorily completed their third year clinical rotations. Experience will be offered in an inpatient hospital-based setting under the direct supervision of resident and attending physicians. The student will be actively engaged in intraoperative and perioperative care of patients undergoing gynecologic oncology surgical procedures.
OBGY G725 - Inpatient Obstetrics (2 Credits)
This course is for students considering/planning to go into Obstetrics and Gynecology. It is reserved for students who have already completed their core clerkship. They will have a focused two week time frame on the inpatient obstetrics units. This will give opportunity to reinforce knowledge gained in the prior clerkship, as well as gain additional medical knowledge and technical skill specific to the care of the obstetric patient.
All clinical activities for the Inpatient Obstetrics Teaching Service (OBTS) block are conducted in Greenville Memorial Hospital. The three main venues for clinical activities are:
Labor and Delivery
Obstetrical Triage
Mother-Baby Inpatient Ward
Patient Care Responsibilities (Labor & Delivery): Each morning or evening, students will be assigned one or more patients. 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 (Obstetrical Triage): Each morning, students may be assigned the responsibility of evaluating patients. 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.
Patient Care Responsibilities (Mother & Baby Inpatient Ward): Students who are assigned to the OBTS day team should attend daily work rounds on postpartum patients with the resident team. The resident will assign patients to each student 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.
OBGY G730 - Inpatient Obstetrics Interprofessional Elective (2 Credits)
The medical student who is considering or planning to pursue a career in OB/Gyn will participate within each aspect of the obstetric team. This will include aspects that are essential for excellence in patient care as well as patient satisfaction. Specific examples include:
Signout/handoffs
Discharge planning
Team rounds/care plans
Skill sets specific to each area (scrubbing, maintenance of sterility, foley insertion, blood draw)
Interprofessional communication
Midwifery care
The student will be exposed to the roles and responsibilities of each respective area. This will lead to an improved awareness and appreciation for each member of the healthcare team. This also includes specific differences and appropriate roles, for example midwifery versus obstetrician differences, and the benefits of each. They will enhance their understanding and improve their practice of medicine by focusing on communication, knowledge, skills, and attitudes within the team.
Additionally, they will review literature regarding important aspects of interprofessional education and team based learning. They will provide examples of issues that could be improved to provide better team based, patient centered care. Additionally, they will provide a potential plan to address these issues that they identify.
OBGY G735 - Inpatient Obstetrics Night Float (2 Credits)
This course is for students considering/planning to go into Obstetrics and Gynecology. It is reserved for students who have already completed their core clerkship. They will have a focused two week time frame on the inpatient obstetrics units. This will give opportunity to reinforce knowledge gained in the prior clerkship, as well as gain additional medical knowledge and technical skill specific to the care of the obstetric patient.
All clinical activities for the Inpatient Obstetrics Teaching Service (OBTS) block are conducted in Greenville Memorial Hospital. The three main venues for clinical activities are:
Labor and Delivery
Obstetrical Triage
Mother-Baby Inpatient Ward
Patient Care Responsibilities (Labor & Delivery): Each evening, students will be assigned one or more patients. 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.
OBGY G740 - Reproductive Endocrinology and Infertility Elective (2 Credits)
This is an outpatient rotation focused on exposing students to disorders of reproductive endocrinology and infertility. There will be opportunities to participate in new patient evaluations (frequent diagnoses include infertility, PCOS, fibroids, endometriosis, and amenorrhea), clinical procedures, and outpatient surgeries. Students will work primarily one-on-one with faculty, though there will be a resident on service at all times. Attendance at and participation in departmental and division conferences is expected. Grading will be on a pass/fail basis.
OBGY G800 - High Risk Obstetrics Acting Internship (4 Credits)
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.
OBGY G801 - Gynecologic Oncology Acting Internship (4 Credits)
This four week Acting Internship in Gynecologic Oncology is offered to students who have satisfactorily completed their third year clinical rotations. Experience will be offered in an inpatient hospital-based setting under the direct supervision of resident and attending physicians. The student will perform the preoperative evaluation, attend surgery, and follow the patient postoperatively. Management will be discussed with the faculty at daily beside teaching rounds. The students will present their patients and be expected to provide a discussion of management options.
At the end of the four weeks, the student will be expected to present a peer-reviewed publication in journal club format to the department of Obstetrics and Gynecology. The publication is to be chosen in conjunction with the course director.
OBGY G810 - Longitudinal Obstetrical Antenatal Care Elective (4 Credits)
This longitudinal elective is offered to students who have satisfactorily completed their third year core clinical rotations. The elective has a unique longitudinal design that allows students to follow patients throughout the duration of their pregnancy, and ideally manage the labor and perform the delivery.
The student will participate in the Centering Pregnancy group prenatal care model. He or she will help facilitate a group of 9-12 low-risk gravidas. The student will participate in a total of ten 2-hour group prenatal sessions. The visits begin at 14-16 weeks, and then occur at 20, 24, 28, 30, 32, 34, 36, 38, and 40 weeks.
Along with the preceptor, the student will perform clinical assessments and provide patient education during each 2 hour group visit. Students will also have the opportunity to be “first-call” for each patient’s delivery. The student will manage the patient’s labor, conduct the delivery and provide postpartum care and counseling.
Due to the longitudinal nature of this elective, the student must commit to making him or herself available for the fixed schedule of prenatal visits. Students do not have to commit to be available for the delivery, but it is strongly encouraged.
OBGY G815 - Gynecologic Oncology (4 Credits)
This four week elective in Gynecologic Oncology is offered to students who have satisfactorily completed their third year clinical rotations. Experience will be offered in an inpatient hospital-based setting under the direct supervision of resident and attending physicians. The student will be actively engaged in intraoperative and perioperative care of patients undergoing gynecologic oncology surgical procedures.
OBGY G820 - Reproductive Endocrinology and Infertility (4 Credits)
This elective is offered to students who have satisfactorily completed their third year clinical rotations. This elective provides a mentored, in-depth clinical experience in the evaluation and management of hormone related disorders at all stages of life. The rotation is conducted in the Division of Reproductive Endocrinology and Infertility (REI) under the direct supervision of attending physicians. Students will participate in clinical evaluations and procedures in the ambulatory setting, assist in surgical procedures, observe assisted reproductive technologies, and attend didactic teaching sessions.
OBGY G825 - Urogynecology (4 Credits)
This rotation is primarily an outpatient experience with some exposure to the operating room and postoperative care. The bulk of the student’s time will be spent in clinic seeing patients alongside the Urogyn faculty and residents. Students will see a wide variety of patients with complex pelvic floor disorders. The majority of patients will have prolapse and/or urinary incontinence. On average, students will be in the operating room 1-2 days per week assisting with surgical repairs. Students will follow patients postoperatively until discharge. The student will also participate in the weekly OB/GYN didactic sessions on Wednesday and (occasionally) Friday mornings.
OBGY G830 - Community Focus in Obstetrics and Gynecology (2 Credits)
This 2-week elective is available to students who have satisfactorily completed their third year clinical rotations and who have expressed an interest in pursuing OBGYN as a career. It will be the responsibility of the student to seek and obtain approval from a USC-SOM approved OBGYN preceptor for the 2 week elective. The elective may not overlap with the M3 rotation.
The purpose of this elective is to provide a real-world experience to students in the community setting. Students will be mostly exposed routine obstetrical care, annual gynecologic examinations, benign gynecologic surgery, and occasional labor and delivery experiences. However, the latter will not be an expectation of the elective. The student will be expected to take call as requested by the community preceptor with whom they choose to work.
Students are expected to attend all operations and procedures in accordance with your preceptor and participate in overnight call in accordance with preceptor schedule.
OBGY G899 - Obstetrics and Gynecology Away Rotation (4 Credits)
The student will complete an intensive study of Obstetrics and Gynecology at another hospital or practice. This course must be approved through the VSAS application service or office of the M3/M4 Director.