Description of the Gyn Oncology Rotation
Students assigned to the Gyn Oncology service will participate with the residents, fellows, and faculty in work rounds, teaching rounds, inpatient and outpatient evaluation of patient referrals, preoperative and postoperative evaluation and management as well as assist in the operating suites.
In addition, students will attend the high volume weekly colposcopy clinic on Friday AM, gaining additional experience in the performance of pap smears and the management of abnormal pap smears. Pelvic exams should be performed only with the supervising M.D. present.
There are several Gyn Oncology specific conferences that all students on this service are expected to attend. These are listed on the Gyn Oncology Schedule
Students should arrive in the morning at a time appropriate for them to accomplish their clinical responsibilities as outlined below. Reading about the patients and their conditions will aid the student in performing their clinical responsibilities more efficiently and effectively, and thus minimize how early patients are woken up. After surgery and afternoon work rounds with the residents are completed, students are free to leave. Students should check out with residents and leave prior to 5 pm.
On this rotation, medical students are expected to:
- Be responsible for rounding on 3 patients per day, preferably patients for whom they participated in surgery.
- Complete rounds and progress notes on their patients by 5:45 a.m. when they will round first with the Resident Team, followed by Fellow Rounds every weekday at 6:30 am. Weekend rounding time will be determined by the fellows and residents. See Gyn Onc progress note template/ IMAPCT note per team.
- Present their patients during formal Faculty Teaching Rounds every day. Formal presentations should be concise and in a narrative form, including relevant history and exam, hospital course, surgical course, as well as the management of relevant medical/surgical complications and specific staging criteria for the gynecologic malignancy.
- Follow-up any labs or tests performed during the day on their patients and communicate the results to the residents/fellows.
- Know general diagnosis, staging, and management for the major gynecologic cancers (Ovarian, Endometrial, Cervical, GTD, and Vulvar).
- Understand the pre-operative assessment of all patients, especially for high risk patients. These most commonly include patients with co-morbidities such as obesity, heart disease and advanced age.
- Describe the management of common post-operative complications such as sepsis, pulmonary embolus, small bowel obstruction, and ileus.
- Scrub and assist in surgeries. An understanding of pelvic and abdominal anatomy is both essential and enhanced by this experience.
- Attend colposcopy clinic where students will perform speculum exams, pap smears, and assist in colposcopy under direct supervision by the fellow.
Remember to complete “Diagnoses and Procedures” log daily at http://www.e-value.net.
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