Resident Resources

Obstetrics Curriculum

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Medical Knowledge

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*Topics: 1st Third of Year*	*Text*
Prenatal Care	AFP 4/1/05 AFP 4/15/05
Maternal Physiology During Pregnancy
Fetal Teratogens/Drugs in Pregnancy	ACOG PB 92, 4/08
Nausea and Vomiting in Pregnancy	ACOG PB 52, 4/04 AFP 7/1/03
Urinary Tract Infections in Pregnancy	AFP 2/1/00
Anemia in Pregnancy	ACOG PB 95, 7/08
Asthma in Pregnancy	ACOG PB 90, 2/08
Screening for Fetal Chromosomal Abnormalities	ACOG PB 77, 1/07
Neural Tube Defects	ACOG PB 44, 7/03
Induction and Cervical Ripening	ACOG PB 107, 8/09
Labor Dystocia	ACOG PB 49, 12/03 AFP 6/1/07
OB Anesthesia	ACOG PB 36, 7/02 AFP 9/15/03
FHT Monitoring	ACOG PB 106, 7/09
Lactation	AFP 9/15/01
Postpartum care	AFP 12/15/09

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*Topics: 2nd Third of Year*	*Text*
1st Trimester Bleeding SAB Ectopic Molar	ACOG PB 53, 6/04 ACOG PB 94, 6/08
2nd and 3rd Trimester Bleeding Placenta Previa Abruptio Placentae Vasa Previa Uterine Rupture	AFP 4/15/07
Post Partum Hemorrhage	ACOG PB 76, 10/06
Growth Disorders Macrosomia IUGR	ACOG PB 22, 11/00 ACOG PB 12, 1/00
Amniotic Fluid disorders Polyhydramnios Oligohydramnios
Preterm Labor/Preterm Delivery	ACOG PB 31, 10/01 ACOG PB 43, 5/03 ACOG PB 38, 9/02
PROM and PPROM	ACOG PB 80, 4/07 AFP 2/15/06
Cervical Insufficiency	ACOG PB 48, 11/03
Multiple Gestation	ACOG 56 10/04
Antepartum Fetal Surveillance	ACOG PB 9, 10/99
Fetal Lung Maturity	ACOG PB 97, 9/08
VBAC	ACOG PB 54, 7/04
External Cephalic Version	ACOG PB 13, 2/00
Post-dates pregnancy	ACOG PB 55, 9/04 AFP 5/15/05
Intrapartum and Postpartum Fever
GBS management	AFP 3/1/03

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*Topics: 3rd Third of Year*	*Text*
HTN in Pregnancy Chronic HTN Preeclampsia HELLP Eclampsia	ACOG PB 29, 10/01 ACOG PB 33, 1/02
Diabetes in Pregnancy GDM DM1 and 2	ACOG PB 30, 9/01 ACOB PB 60, 3/05
Thyroid disease in Pregnancy	ACOG PB 37, 8/02
Cholestasis in Pregnancy
Hemoglobinopathies in Pregnancy	ACOG PB 78, 1/07
Thrombocytopenia in Pregnancy	ACOG PB 6, 9/99
Abnormal Pap smears in Pregnancy	ACOG PB 99, 12/08
Invasive Prenatal Testing for Aneuploidy	ACOG PB 102, 12/07
Recurrent Fetal Loss	ACOG PB 24, 2/01
Rh alloimmunization	ACOG PB 75, 8/06 ACOG PB 4, 5/99
Antiphospholipid Antibody Syndrome	ACOG PB 68,11/05
Thromboembolic disease	ACOG PB 19, 8/00 ACOG PB 84, 8/07
Infections in Pregnancy Viral-HIV, Hep B, C, HSV TORCH/Syphilis	ACOG PB 20, 9/00 ACOG PB 86, 10/07 ACOG PB 82, 6/07
Critical Care OB/maternal resuscitation	ACOG PB 100, 2/09 ALSO
Fetal demise	ACOG PB 102, 3/09

Other Amniotic Fluid Embolus Acute Fatty Liver of Pregnancy Surgery in Pregnancy

Patient Care

Print Intern Checklist

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*Topics: Skills*	*Text*
Cervical exam for dilation, effacement, station, and presenting part. Determine Bishop Score
Sterile speculum exam for vaginal bleeding or evaluation for ruptured membranes
Cut episiotomy	ACOG PB 71, 4/06
Repair 1st and 2nd degree perineal lacerations
Perform AROM
Insert IUPC
Place FSE
Amnioinfusion
Place cervical balloon catheter
Limited US for presentation, AFI, heart tones, placenta location	ACOG PB 101, 2/09
Triage evaluations and presentations to attendings
Labor and Antepartum admission history and physical write-ups and presentations
Normal spontaneous vaginal delivery
Manage Shoulder Dystocia	ACOG PB 40, 11/02 AFP 4/1/04 ALSO
Vacuum assisted delivery	ACOG PB 17, 6/00
C-section assist

Interpersonal and Communications Skills

Demonstrate clear communication with patient regarding their medical issues in a culturally sensitive manner

Demonstrate team oriented communication and foster working relationships with other member of the care team or specialist colleagues

Professionalism

Demonstrate a high degree of professional responsibility in managing patients with OB-related problems by referral coordination, direct management and follow up.

Demonstrate professional demeanor, attire and appearance in all settings.

A compassionate and holistic approach to the care of the obstetrical patient within the greater context of their family, home, employment and social support systems.

Recognition of the importance of the family physician in providing obstetrical care while understanding the limitations of this care and the need for further consultation as appropriate.

Utilization of self-directed learning toward further knowledge and competence in obstetrics.

Understanding the role of the obstetrical and perinatal consultant and the concept of shared care for high-risk pregnancies and conditions.

Thoroughly evaluates and triages or admits laboring and antepartum patients, including giving complete presentations to fellows and attendings.

Punctually attends daily rounds and conferences, and pre-rounda on all antepartum and post-partum patients.

Is able to work with the health-care team, including residents, fellows, attendings, and nursing staff, to ensure excellent care of patients.

Pays attention to detail in the care of antepartum patients (becomes the expert on each patient's history and current status) and is proactive in their management.

Practice-Based Learning

Assess the practice models on this rotations for evidence of practice-based learning and identify opportunities that would be appropriate for the this medical area.

Identify a learning opportunity within your clinic practice that could be studied to improve the care for patient with OB-related problems.

Systems-Based Practice

Learn how to access the appropriate services for patients with OB-related problems and the impact of utilization management for these patients.

Demonstrate understanding of the role of the PCP in the immediate and after-care of patients with OB-related diagnoses.

When an OB R1 calls in sick...

1st: The other R1's on the team are asked if they could cover the shift (if at all possible, the sick R1 should take one of the covering R1's shifts later in the month). Please make sure you request a shift swap in AMION so it is accurately reflected. Let the OB Chiefs know that a schedule change has been made; e-mail is fine.

2nd: Each program relies on its own goat system to staff the shift. Call your OB Chief to help you facilitate the coverage.

For First Hill residents:

If a day shift needs to be covered, the 1st Hill clinic goat will be asked to cover. If a night shift needs to be covered, the family medicine service goat will be asked to cover.

For Cherry Hill Residents:

There are 2 options, the first being that they exchange and the second that they use the "At Risk" R1

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