Obstetrics and Gynecology, Obstetric Ultrasound (Minnesota)

Description

This elective rotation is designed for the fourth-year medical student who is seriously interested in pursuing a career in obstetrics and gynecology. This rotation should provide an experience comparable to a month of obstetric sonography, during which you function under the supervision of the maternal-fetal medicine sonographic consultant.

This rotation provides an intense experience in prenatal diagnostic techniques for evaluation of aneuploidy, birth defects and fetal well-being. Much of the teaching is one-on-one with the consultant.

Specific goals

  1. Learn to participate as an integral part of the high-risk obstetrical ultrasound service
  2. Refine history taking and sonographic skills
  3. Formulate a detailed differential diagnosis base on sonographic findings
  4. Acquire techniques for screening and diagnostic evaluation of aneuploidy and birth defects
  5. Learn the best management of common sonographic problems encountered during pregnancy
  6. Understand the management of complications resulting from invasive testing procedures
  7. Learn the development of an ongoing help plan for complicated obstetrical patients

Relational goals

  1. Demonstrate the close working relationship between the maternal-fetal medicine provider and other consultative and ancillary services
  2. Comprehend how clinical research trials are integrated into clinical practice
  3. Understand the Mayo Clinic Fetal Diagnostic and Therapeutic Center approved by the American Institute of Ultrasound in Medicine

Activity outline

Clinical

  • Understand the principles and physics of obstetric ultrasound
  • Describe the use of ultrasound to establish dating criteria in pregnancy
  • Understand and begin to use ultrasound to find the structures reported on first trimester through third trimester obstetric examinations
  • Understand the normal anatomy that can be seen on obstetric ultrasound
  • Understand the sonographic findings and implications of the more commonly noted fetal anomalies seen during an obstetric ultrasound
  • Understand the sonographic markers used for evaluation of aneuploidy
  • Understand the components of fetal well-being noted by ultrasound
  • Understand the utility of Doppler assessment and its uses during pregnancy
  • Participate in the evaluation of inpatient and outpatient ultrasound consultations with the attending physician
  • Perform history and physical examinations, radiologic and laboratory review along with plan development on assigned patients on the ultrasound service
  • Review work-ups with the appropriate consultant and perform and document an appropriate history and physical on all assigned patients
  • Review literature appropriate for the obstetrical, medical or surgical conditions of the patient and baby
  • Learn obstetrical procedures for prenatal diagnosis and antepartum intervention
  • Acquire procedural skills through use of the amniocentesis and percutaneous umbilical blood sampling (PUBS) trainers
  • Be available for all procedures performed by the service
  • Review appropriate laboratory and pathology

Miscellaneous

  • Attend and participate in all obstetrical conferences and morning rounds
  • Present cases and papers to peers for educational purposes
  • Maintain good communication with the consultant senior or chief residents, patients and family members to discuss progress and problems
  • At all times, maintain the highest standards of integrity, efficiency and dependability while on the service
  • Absences should be scheduled prior to the rotation

Method of evaluation

The maternal-fetal medicine consultants evaluate the student's performance of the listed learning objectives. They provide formative verbal feedback to the student halfway through the rotation, and summative feedback and evaluation, both verbal and written, at the end. The course director, Dr. Kristi S. Borowski, collates the written evaluations and provides a summary for the student.

May 04, 2017