OB/GYN Hospitalist Fellowship Curriculum

Our curriculum will provide you the knowledge and expertise you need to successfully practice as an Ob/Gyn hospitalist. You will meet the following learning objectives in this program

Obstetrical and Gynecological Emergencies:

• Obtain expert knowledge in the management of obstetrical and gynecological emergencies including but not limited to: antepartum and postpartum hemorrhage, shoulder dystocia, cord prolapse, uterine rupture, ectopic pregnancy, 1^st trimester hemorrhage, ovarian torsion, amniotic fluid embolism and maternal critical care.
• Morbidly adherent placenta – Be a member of the Morbidly Adherent Placenta Team to obtain knowledge and surgical skills for the management of the morbidly adherent placenta.

Obstetrical Triage:

• Learn to appropriately triage, evaluate and manage obstetrical and gynecological patients presenting for care.

Labor Management:  Obtain expert knowledge and skills in the following areas

• Induction of labor
  • indications for inductions
  • Methods of induction
• Labor abnormalities
• • Disorders of Arrest and Protractionii. Management of abnormal FHTs
  • Management of the third stage of labor
• Vaginal laceration and episiotomy repairs

 Operative Deliveries:

• Forceps and Vacuum deliveries
  • Obtain expert knowledge and skills in forceps and vacuum deliveries
    1. Learn indications, contraindications, risks and benefits
    2. Demonstrate proper technique in the utilization of forceps and vacuums
• Cesarean Delivery
  • Demonstrate proper technique for cesarean delivery and teach cesarean delivery to residents
  • Perform cesarean hysterectomy

Quality Initiatives and Patient Safety:

• Participate in daily safety briefings
• Attend and present at quality assurance meetings

Simulation

• Participate in all obstetrical simulations
• Complete simulation instructor course and lead obstetric simulations

Antepartum Care

• Obtain expert knowledge in the management of maternal and fetal complications in pregnancy, including but not limited to PTL, PPROM, pre-eclampsia, abnormal placentation, fetal growth restriction, fetal anomalies, maternal co-morbidities
  • (CHTN, DM, plus other medical problems) and other conditions as encountered.
• Obtain skills in U/S to complement the management of normal pregnancy and complications of pregnancy such as cervical length measurement and fetal Doppler analysis.

Education

• Lead labor and delivery board rounds
• Participate in resident education
  • Journal club
  • Resident didactics
• Lead Medical student triage rotation

The fellow will be evaluated by faculty, nursing staff, residents and students during their clinical and non-clinical rotations.  The core competencies will be evaluated: patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism and systems-based practice.  Learners will also evaluate the fellow's teaching skills.  The fellow will also evaluate the program and provide feedback for program improvement.

A certificate of completion will be provided at the end of the fellowship if the program goal and learning objectives are met and there are no serious deficiencies in the core competencies.