Handbook > Electives > Ob-Gyn > ACE- A.I. in Gynecologic Oncology

Electives - Obstetrics and Gynecology


ACE - A. I. in Gynecologic Oncology

Elective Number: 1904

Rotation Supervisors: Drs. Susan Modesitt

Coordinator: Tammy Lull, tl5s@virginia.edu; Steele Wing OMS 3737

Available: Rotations 1-11

Duration: 4 weeks

Report to: Dr. Susan Modesitt or page the GynOnc Fellow

Time to Report: 6:30am (1st day of rotation)

Place to Report: Typically the 8N physicians work room, but page GynOnc Fellow for location

Typical day: 5:30 am - 7:00 pm

Attendance: Attendance at elective activities is mandatory. A student may not take time off during an ACE.

  • Anyone who is ill or has a personal or family emergency must contact Student Affairs and the Attending on Service.

Number of students per rotation: 1 (exceptions occasionally made) 

Course Description: An acting internship in Gynecologic Oncology. The AI will work directly with and will be supervised by the Attendings in Gynecologic Oncology. They will also work directly with the fellows, residents and third-year medical students.

The AI will be a member of the team and will both manage inpatients and go to the gynecologic oncology outpatient clinics in the cancer center. Generally would be split with 2-3 days in clinic and 2-3 days in the OR depending on the schedule for the week. AI’s are expected to follow the patients they operate on throughout that patient’s hospital course. There will be weekend rounds, but no night or weekend call.

Goals and objectives:
Learning objectives-knowledge base
1. Describe appropriate preoperative evaluation for gynecologic oncology patients.
a. Name the components of preoperative work up for sleep apnea and for women with cardiac disease
b. Identify preoperative blood work needed for both routine and complex patients

2. Learn appropriate postoperative management for gynecologic oncology patients.
a. Describe the components of the ERAS protocol

3. Assess outpatient gynecologic oncology patients
a. Define the aspects of a benign versus malignant mass
b. Describe main chemotherapies in gynecologic oncology as well as CBC parameters to get chemotherapy
c. Identify need for imaging or bloodwork in follow-up of gynecologic oncology patients who are in remission.

4. Demonstrate effective mentoring for the third-year medical students in their educational experience.

5. Identify the main clinical issues with their assigned patient and to present to the attendings and fellows and to explain the rationale for plan of care by using clinical knowledge supplemented by literature review as needed.

Learning objectives-procedural skills.
1. Perform a good pelvic exam including speculum exam

2. Demonstrate effective function as an operative assistant for gynecologic oncology cases including opening and closing abdominal incisions.

3. Demonstrate a two handed square knot

4. Demonstrate basic suture skill with supervision

Required: Make a 5 minute presentation on a Gyn Onc case or topic during the last week of the rotation. The topic must be approved by either Dr. Modesitt or one of the Gyn Onc Fellows.

VISITING MEDICAL STUDENTS: Completing a visiting student rotation does not guarantee an interview for residency.