Handbook > Electives > Ob-Gyn > ACE- A.I. in Maternal- Fetal Medicine

Electives - Obstetrics and Gynecology

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ACE - A. I. in Maternal-Fetal Medicine

Elective Number: 1901

Rotation Supervisors: Dr. Annelee Boyle

Designated Signer: Tammy Lull, Steele Wing OMS 3737; 924-9930; tl5s@virginia.edu

Duration: 4 weeks

Available: Rotations 1-12

Report to: Dr. Boyle

Time to Report: 7:45 am

Place to Report: Maternal-Fetal Care Center - 3rd floor Battle Building

Typical day: 7:45 am - 5:15 pm

Attendance: A student may not take time off during an ACE.

Number of students per rotation: 1

Course Description: The Acting Internship in Maternal-Fetal Medicine is designed to introduce the student to the diagnosis and management of maternal medical problems as well as disorders of fetal growth and development. This is an ambulatory rotation that does not include nights or weekends. The student will work directly on a daily basis with the attending physicians of the MFM division as well as the resident assigned to the MFM service. At the end of the rotation, the student will give an oral presentation on a topic of their choosing. The learning objectives are:

Knowledge:

  • Ultrasound
    • List indications for ultrasound in pregnancy
    • Define the components of a complete US in each trimester
    • Explain the components, detection rates and screen positive rates for genetic screening tests
    • Discuss the timing, indications and complication rates for amniocentesis and CVS
  • Diabetes
    • Define the types of diabetes in pregnancy
    • Describe the pathophysiology of gestational diabetes
    • List risk factors for gestational diabetes
    • Explain the management of a patient with gestational and pre-gestational diabetes
    • List the maternal and fetal complications associated with gestational diabetes
  • Preeclampsia-eclampsia
    • Define the types of hypertension in pregnancy
    • Describe the pathophysiology of preeclampsia-eclampsia
    • List risk factors of preeclampsia
    • Recognize the signs and symptoms to diagnose preeclampsia-eclampsia
    • Explain the management of a patient with preeclampsia-eclampsia
    • List the maternal and fetal complications associated with preeclampsia-eclampsia
  • Preterm labor
    • Identify the modifiable and non-modifiable risk factors and causes for preterm labor
    • Describe the signs and symptoms of preterm labor
    • Describe the initial management of preterm labor
    • List the indications and contradictions of medications used in preterm labor
    • List the adverse outcomes associated with preterm birth
    • Describe the management of a patient who has had a prior spontaneous preterm birth in a subsequent pregnancy
  • Preterm premature rupture of membranes
    • List the history, physical findings, and diagnostic methods to confirm rupture of membranes
    • Identify risk factors for premature rupture of membranes
    • Describe the risks and benefits of expectant management versus immediate delivery, based on gestational age
    • Describe the methods to monitor maternal and fetal status during expectant management

Skills:

  • Take a complete initial OB history including past medical, surgical, obstetrical, gynecological, family and social histories and review of systems
  • Perform complete physical exam including breast and pelvic
  • Develop initial plan of care including labs and imaging for patients with high risk pregnancies (e.g. patients with diabetes, hypertension, history of prior preterm birth and other maternal and fetal complications of pregnancy)
  • Demonstrate ultrasound skills: presentation, placental location, fetal heart motion, amniotic fluid volume, basic measurements (CRL, BPD, HC, AC, FL)
  • Demonstrate ability to identify basic fetal anatomy (BPD view, 4 chamber view of fetal heart, stomach, kidneys, bladder)
  • VISITING MEDICAL STUDENTS: Completing a visiting student rotation does not guarantee an interview for residency.