Location: This course REQUIRES off-campus travel.
Elective contact: Kim Coombs, coombsk@wustl.edu; Rayna Mittler, mrayna@wustl.edu; Elizabeth Wanken, ewanken@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 2

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M45 ObGyn 810

OBGYN Reproductive Endocrinology & Infertility (Clinical Elective)

The student will participate (in the office and hospital) in the study and treatment of women with reproductive endocrine disorders and infertility. The student will attend and present in conferences, attend surgery, observe assisted reproductive technology procedures, have assigned reading and be an integral part of the reproductive endocrine service. Opportunities for clinical research projects in reproductive endocrinology are also available.

Student time distribution: Inpatient 10%; Outpatient 75%; Conferences/Lectures 15%; Primary Care 10%; Subspecialty Care 90%
Patients seen weekly: 75
On call/weekend responsibility: None

Med: VISP, WUSMEC

N/A

TBA

Keller

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Location: This course takes place on the WUSM medical campus.
Elective contacts: Kim Coombs, coombsk@wustl.edu; Rayna Mittler, mrayna@wustl.edu; Elizabeth Wanken, ewanken@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 1 (willing to consider a second student if faculty presence allows)

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M45 ObGyn 845

Outpatient Maternal-Fetal Medicine (Clinical Elective)

Students will see a variety of high risk obstetrical patients in the outpatient setting in the Center for Outpatient Health. The student will evaluate various types of reproductive-age patients with medical or obstetrical complications, including preconception consultations, prenatal care consultations and initial prenatal visits. The student will also see return patients to experience the continuity of prenatal care. Students will participate in antenatal testing and learn basic ultrasonography skills. In addition, the student will spend one week of the rotation on night shift in labor & delivery which will help acquaint the student with the residents and hospital. The student will be responsible for one presentation to be given to the OB teams at the end of the rotation. Students are provided independent study time to put together the presentation which should be in power point and on a topic of their choice, inspired by a patient-related clinical condition that piqued their interest during the block.

Student time distribution: Inpatient 25%; Outpatient 70%; Conferences/Lectures 5%; Subspecialty Care 100%
Patients seen weekly: 40
On-call/weekend responsibility: None

Med: VISP, WUSMEC

N/A

TBA

(None) /

Zofkie

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Desc:

Location: This course takes place on the WUSM medical campus.
Elective contacst: Kim Coombs, coombsk@wustl.edu; Rayna Mittler, mrayna@wustl.edu; Elizabeth Wanken, ewanken@wustl.edu
Rotation length: 4 weeks only
Enrollment limit per block: 1
Reporting information: Report to the OBGYN Office (Center for Outpatient Health, Seventh Floor), at 8:00 am on the first day.

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M45 ObGyn 856

OBGYN Ultrasound - Genetics (Clinical Elective)

Working with the attending physicians in the Ultrasound Units at the Center for Outpatient Health and the Center for Women's Wellness at Missouri Baptist Medical Center, the student will learn the principles and techniques of non-invasive screening for fetal disorders and observe the performance of invasive prenatal diagnostic procedures. The student will also learn the standards and guidelines for performance of the antepartum obstetrical ultrasound examination and female pelvic examination. Normal and abnormal fetal and gynecologic anatomy will be reviewed. Experience will be gained in pedigree analysis and familial risk factor assessment by working with genetic counselors. One day is spent in the Cytogenetics Laboratory observing the preparation of prenatal specimens for karyotype analysis. Opportunities for participation in clinical research are also available.

Student time distribution: Outpatient 90%; Conferences/Lectures 10%; Primary Care 30%; Subspecialty Care 70%
Patients seen weekly: 40
On call/weekend responsibility: None

Med: VISP, WUSMEC

N/A

TBA

Dicke

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Desc:

Location: This course REQUIRES off-campus travel.
Elective contacts: Kim Coombs, coombsk@wustl.edu; Rayna Mittler, mrayna@wustl.edu; Elizabeth Wanken, ewanken@wustl.edu
Rotation length: 2 weeks only
Enrollment limit per block: 1

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M45 ObGyn 910

Inpatient Maternal-Fetal Medicine Advanced Clinical Rotation (ACR)

This experience is designed to prepare you for a career in obstetrics and gynecology. The rotation is divided into 2-week blocks alternating with Labor & Delivery and Antepartum. Depending on the number of 4th year students during the rotation you may start on Labor & Delivery or Antepartum. You will be treated as an acting intern and will be expected to become a functioning member of the team.

The purpose of the Labor & Delivery segment is to allow you to participate in monitoring and delivery of patients in labor including spontaneous vaginal deliveries and cesarean sections. The team will be comprised of PGY1,2, 4, fellow, and attendings. You will participate in team rounds and board signout, perform histories & physical exams, and write admit orders/progress notes for co-signature. You will be taught how to perform cervical exams and to interpret fetal monitoring during labor.

During your antepartum block your primary team includes a PGY2, 4, fellow, and attending. You will learn how to diagnose, evaluate, and manage obstetric conditions including preterm labor, preterm pre-labor rupture of membrane, hypertensive disorders of pregnancy, diabetes, and fetal growth restriction. You will also be exposed to uncommon conditions and expected to generate appropriate differential diagnoses. You will round with the team, perform detailed histories & physical exams, write admit orders/ progress notes for cosignature, and assist with the interpretations of antepartum fetal testing. You will be introduced to basic ultrasonography skills.

The student will be responsible for one topical presentation to be given to the OB teams at the end of the rotation.

On your first day:

Antepartum: Students should report to board sign out at 8 am to listen to the night team's handoff. At the conclusion of board sign out you will meet the team on the antepartum floor to start rounds.
Labor & Delivery: Students should report to board sign out at 8 am to listen to the night team handoff. At the conclusion of board sign out you will be oriented by the team and assigned patient(s) for the day.

Student time distribution: Inpatient 100%; Conferences/Lectures 5%; Subspecialty Care 100%
Patients seen weekly: 20
On-call/weekend responsibility: Students on their Labor & Delivery rotation will be expected to participate in one Friday night call with the team during the first week of their rotation. Students on their Antepartum rotation will be expected to round on one Saturday during their rotation.

Attributes:

Med: VSEC, WUSMAC, WUSMEC

N/A

TBA

Rampersad

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999

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M45 ObGyn 915

Gynecologic Oncology Advanced Clinical Rotation (ACR)

This course is designed to prepare students for a career in Obstetrics and Gynecology. By the end of the ACR, students are expected to be functioning near the level of a matriculating intern and should be fully integrated with the team, which includes an attending and a fellow (who rotate weekly), a resident team (R4, 2 R3's, R2, R1, rotating every 6w), and often Phase 2 and Phase 1 students. The student will take part in the work-up of patients on the gynecology service prior to surgery and/or radiotherapy, assist in surgery, participate in rounds with residents/fellows/faculty, assist in managing the inpatient unit including writing notes and entering orders for MD co-signature, accompany chief residents/fellows/faculty on consultations, and attend gynecologic oncology clinics and conferences. Opportunities for clinical or basic research projects in gynecologic malignancy are also available. A 30-minute presentation to the division reviewing a topic in gynecologic oncology is required.
Student time distribution: Inpatient 80%, Outpatient 15%, Conferences/Lectures 5%; Subspecialty Care 100%
Patients seen weekly: 2 per day (10 per week), though may have continuity
On-call/weekend responsibility: Should round one day/weekend for two agreed-upon weekends of the rotation.

Med: WUSMEC

N/A

TBA

Hagemann

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999

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C	=	Credit (letter grade)
P	=	Pass/Fail
A	=	Audit
U	=	Satisfactory/Unsatisfactory
S	=	Special Audit
Q	=	ME Q (Medical School)
Please note: not all grade options assigned to a course are available to all students, based on prime school and/or division. Please contact the student support services area in your school or program with questions.