Obstetrics, Gynecology & Reproductive Sciences

The general OB/GYN department of the Gallup Indian Medical Center (GIMC) in New Mexico offers a subinternship in Obstetrics and Gynecology to Fourth-Year Yale Medical Students. This center provides OB/GYN health care to a growing underserved population. There are no residents at GIMC and, therefore, the student gains first-assistant experience during this rotation. The center has 20,000 outpatient visits, 750 deliveries and 400 surgical cases per year. Bedside rounds, hands-on teaching, formal and informal lectures, and weekly conferences (High-risk OB/GYN M&M, C-Section review) are integrated into this extramural elective. Students also experience an immersion into the Navajo culture during the rotation. Student evaluation is based on clinical performance, participation at rounds, and a final case-based presentation. Night Call is approximately every 4-5 nights.

Length of Rotation: 4 weeks (maximum- 2 students)

Scheduling Restriction: Not offered 07/14/14-08/08/14

Student's Class Level: 4th, 5th year

Prerequisite: Obstetrics, Gynecology, and Reproductive Sciences 103, Core Ob/Gyn Clerkship, or equivalent.  Obstetrics, Gynecology, and Reproductive Sciences 103, Core Ob/Gyn Clerkship, or equivalent.  Students are responsible for the cost of travel, lodging and miscellaneous expenses. The recommended text for this elective is Danforth’s Obstetrics & Gynecology.

Accept Visiting Students: no

Learning Objectives:

  1. History skills. Gather the important information that is needed for the Ob/Gyn history and complete a history in the medical record for at least 10 patients.
  2. Physical examination skills. Complete a pertinent physical examination, pelvic and breast, on at least 10 patients. The student should demonstrate the ability to perform this pertinent physical examination while being observed by at least one attending or resident.
  3. Knowledge/diagnostic and treatment skills: Know about common pediatric critical care conditions.
  4. Procedural skills. Assist in cesarean sections on at least 5 patients.
  5. Attitude: Demonstrate professional responsibility in working as a team member with other members of the _ Ob/Gyn care team, patients and families.
  6. Career/context: Know the training/career pathway for Ob/Gyn.
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The purpose of the oncology elective is to enhance the student’s knowledge of the diagnosis and management of women with gynecologic malignancies. The elective is offered to one student at a time for four weeks. The student is exposed to all modalities of treatment for gynecologic malignancies including radical gynecological surgery, chemotherapy, and radiation therapy. The student is expected to be an integral part of the team in the management of the patients admitted to the service. The student admits patients and takes part in their care throughout the elective period. The student is assigned to the operating room, especially to assist the patient whom he or she has evaluated. In addition to operating room exposure, extensive experience is gained in the post-operative management of these patients. In the ambulatory setting, the student is exposed to the outpatient management of cancer, chemotherapy and colposcopy. On a weekly basis, students will attend divisional teaching sessions as well as the multi-discipline tumor conference. There is no night call on this elective. The recommended text for this elective is Clinical Gynecologic Oncology (DiSaia). 

Length of Rotation: 4 weeks (maximum- 1 student)

Scheduling Restriction: N/A

Student's Class Level: 4th, 5th year only

Prerequisite: Core Ob/Gyn Clerkship

Accept Visiting Students: yes

Learning Objectives:

  1. History skills. Gather the important information that is needed for the Gyn/oncology history and complete a history in the medical record for at least 5 patients.
  2. Physical examination skills. Complete a pertinent physical examination for the evaluation of gynecologic cancers on at least 5 patients. The student should demonstrate the ability to perform this pertinent physical examination while being observed by at least one attending or resident.
  3. Knowledge/diagnostic and treatment skills: Know about common gynecologic oncology conditions.
  4. Procedural skills. Observe procedures, such as cervical colonization, colposcopy/LEEP, hysterectomy, hysteroscopy, and laparoscopy.
  5. Attitude: Demonstrate professional responsibility in working as a team member with other members of the Gyn/Oncology care team, patients and families.
  6. Career/context: Know the training/career pathway for Gyn/Oncology.
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The Maternal Fetal Medicine Division of the Department of Obstetrics, Gynecology, and Reproductive Sciences offers a four-week High-Risk Obstetrics elective for Fourth-Year medical students. The student will function as a Sub-Intern and team member in the care of high-risk obstetrical patients at Yale New Haven Hospital. In addition to inpatient duties, the student will attend the outpatient clinic once a week. Students will also participate in prenatal ultrasound sessions and Labor and Delivery activities. Students are expected to work two weekend days of their choice during the rotation. Numerous didactic conferences are held during the rotation. It is recommended that students use the text, William’s Obstetrics (Cunningham) to prepare for this experience and for research during the rotation. The evaluation of the student will be based on clinical performance, participation at rounds and their presentation of one evidence-based case review to members of the MFM Division.

Length of Rotation: 4 weeks (maximum- 1 student)

Scheduling Restriction: N/A

Student's Class Level: 4th year only

Prerequisite: Core Ob/Gyn Clerkship

Accept Visiting Students: yes

Learning Objectives:

  1. History skills. Gather the important information that is needed for the pregnancy history and complete a history in the medical record for at least 5 patients.
  2. Physical examination skills. Complete a pertinent physical examination for the evaluation of high-risk pregnant patients. The student should demonstrate the ability to perform this pertinent physical examination while being observed by at least one attending or resident.
  3. Knowledge/diagnostic and treatment skills: Know about common Maternal-Fetal Medicine conditions.
  4. Procedural skills. Observe and assist in common procedures: ultrasound and caesarean sections.
  5. Attitude: Demonstrate professional responsibility in working as a team member with other members of the MFM care team, patients and families.
  6. Career/context: Know the training/career pathway for MFM.
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The Reproductive Endocrine and Infertility (REI) division offers a Subinternship to students. In addition to gaining knowledge of human reproductive endocrine function, students are introduced to disruptions in physiology and function, which can lead to endocrinological and infertility disorders. Common problems seen in REI practice include female and male infertility, recurrent pregnancy loss, polycystic ovarian syndrome, anovulation, amenorrhea, endometriosis, chronic pelvic pain, abnormal uterine bleeding, and uterine leiomyomas. Exposure to Advanced Reproductive Technologies (ART) is integrated into this elective. In addition to clinical activities in the office and the hospital, students will have the opportunity to attend division conferences. Evaluation will be based on clinical performance in the office and the operating room, and an evidence-based presentation on an REI topic of interest. Recommended text: Clinical Gynecologic Endocrinology & Infertility (Speroff)

Length of Rotation: 4 weeks (maximum - 1 student)

Scheduling Restriction: N/A

Student's Class Level: 4th, 5th year only

Prerequisite: Core Ob/Gyn Clerkship

Accept Visiting Students: yes

Learning Objectives:

  1. History skills. Gather the important information that is needed for the reproductive endocrine history and complete a history in the medical record for at least 5 patients.
  2. Physical examination skills. Complete a pertinent physical examination for the evaluation of reproductive endocrine disorders on at least 5 patients. The student should demonstrate the ability to perform this pertinent physical examination while being observed by at least one attending or resident.
  3. Knowledge/diagnostic and treatment skills: Know about common reproductive endocrine conditions.
  4. Procedural skills. Observe and assist in common procedures performed: Hysterosalpingography, sonohysterography, transvaginal ultrasonography, laparoscopy, hysteroscopy, oocyte retrieval and embryo transfer.
  5. Attitude: Demonstrate professional responsibility in working as a team member with other members of the REI care team, patients and families.
  6. Career/context: Know the training/career pathway for REI.
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This two-week elective OR four-week sub-internship provides hands on experience in family planning in diverse clinical settings. Family planning clinics provide resources to enable couples to determine whether, when, and how often to have children, with special consideration to birth spacing and maternal and child health. The student will be exposed to contraceptive counseling and options counseling (abortion, adoption, parenthood). Contraceptive counseling and care includes insertion of long-acting reversible contraceptive methods (LARC, IUDs and implants). In addition, the student will participate in first trimester ultrasound, medical and surgical abortions, medical and surgical management of early pregnancy failures and intrauterine fetal demise. Clinical settings include outpatient visits and operating room experience at Yale New Haven Hospital, Planned Parenthood in New Haven and at a free standing women’s clinic in Bridgeport.  

Evaluation will be based on clinical performance in patient encounters and procedures, and an evidence-based presentation on a family planning topic.  

During this rotation, it is necessary to travel back and forth between YNHH and Summit Medical Center (3787 Main Street, Bridgeport) and Planned Parenthood in New Haven (345 Whitney Avenue, New Haven).  

The student is expected to be an active participant in all aspects of patient care.

Length of Rotation: 2 or 4 weeks (maximum - 1 student)

Scheduling Restriction: N/A

Student's Class Level: 4th, 5th year

Prerequisite: Core Ob/Gyn Clerkship

Accept Visiting Students: yes

Learning Objectives:

  1. History skills. Gather the important information that is needed for the Ob/Gyn history and complete a history in the medical record for at least 10 patients.
  2. Physical examination skills. Complete a pertinent physical examination for the evaluation of pregnancy on at least 10 patients. The student should demonstrate the ability to perform this pertinent physical examination while being observed by at least one attending or resident.
  3. Knowledge/diagnostic and treatment skills: Pregnancy termination and contraceptive counseling.
  4. Attitude: Demonstrate professional responsibility in working as a team member with other members of the Family Planning care team, patients and families.
  5. Career/context: Know the training/career pathway for Family Planning.
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During this four-week elective, the students will actively participate in an Ob/Gyn team-centered learning environment at a community hospital.

Length of Rotation: 4 weeks (maximum-2 students)

Scheduling Restriction: N/A

Student's Class Level: 3rd, 4th, 5th year

Prerequisite: Core Ob/Gyn Clerkship

Accept Visiting Students:yes

Learning Objectives:

  1. History skills. Gather the important information that is needed for the Ob/Gyn history and complete a history in the medical record for at least 10 patients.
  2. Physical examination skills. Complete a pertinent physical examination - pelvic and breast on at least 10 patients. The student should demonstrate the ability to perform this pertinent physical examination while being observed by at least one attending or resident.
  3. Knowledge/diagnostic and treatment skills: Know about common conditions afflicting both obstetrical and gynecologic patients.
  4. Procedural skills. Become proficient in obtaining and performing pap smears, STD screenings, and breast/pelvic examination in the Gyn Setting. Becomes proficient in evaluating the laboring patient, performing a routine vaginal delivery and is able to assist in the performance of a cesarean delivery.
  5. Attitude: Demonstrate professional responsibility in working as a team member with other members of the Ob/Gyn care team, patients and families.
  6. Career/context: Know the training/career pathway for Ob/Gyn.

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The Department of Obstetrics, Gynecology and Reproductive Sciences is pleased to offer an outpatient elective experience, which may be done as a two week or four week block. This elective is geared to students who seek a broader exposure to ambulatory care in the field of obstetrics and gynecology. The elective aims to provide a broad exposure to outpatient gynecologic issues, such as contraception, menstrual abnormalities, pelvic pain, vaginitis and sexually transmitted disease, infertility, disorders of urinary continence, screening for gynecologic malignancies, and management of menopausal symptoms that are commonly encountered in the ambulatory setting. The student will also have the opportunity to participate in the prenatal care of pregnant women, in order to gain a deeper understanding of the changes in maternal physiology throughout gestation, prenatal diagnosis, genetic counseling, and the outpatient management of the pregnant woman and her fetus. The student’s time can be distributed, based on the student's preferences and schedule permitting, among Yale-New Haven Hospital Women’s Center, the Yale Urogynecology practice, the Yale Gynecologic Oncology Colposcopy Clinic, the Yale Maternal-Fetal Medicine practice, the Yale Reproductive Endocrinology and Infertility practice and the private community office setting.

Length of Rotation: 2 or 4 weeks (maximum - 1 student)

Scheduling Restriction: N/A

Student's Class Level: 4th, 5th year

Prerequisite: Core Ob/Gyn Clerkship

Accept Visiting Students: no

Learning Objectives:

  1. History skills. Gather the important information that is needed for the Ob/Gyn history and complete a history in the medical record for at least 10 patients.
  2. Physical examination skills. Complete a pertinent physical examination- pelvic and breast on at least 10 patients. The student should demonstrate the ability to perform this pertinent physical examination while being observed by at least one attending or resident.
  3. Knowledge/diagnostic and treatment skills: Know about common pediatric critical care conditions.
  4. Procedural skills. Observe and assist in pap smears and other common GYN office procedures.
  5. Attitude: Demonstrate professional responsibility in working as a team member with other members of the Ob/Gyn care team, patients and families.
  6. Career/context: Know the training/career pathway for Ob/Gyn.

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