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Ongoing Experiences Over the 4 Years of the Residency:
Psychosocial Issues in Ob/Gyn:- Understand the psychological changes of pregnancy and the post-partum period.
- Recognize the importance of pregnancy in the context of female development, and the discuss the concept of parenthood.
- Recognize the importance of the psychological impact of breastfeeding.
- Manage the psychological aspects of the pregnancies of medically and mentally ill patients, and patients with adverse obstetrical outcomes.
- Recognize and discuss common psychiatric disorders across the female life cycle, including post-partum affective disorders
- Understand the development of the female adolescent: puberty, sex education, birth control, pregnancy.
- Develop the skills for communicating with adolescents.
- Demonstrate a sensitivity to and understanding of cross-cultural issues in the care of Ob/Gyn patients
- Address the psychological needs of gay and bisexual women
- Address psychological issues of sexuality, sexual function, taking a sexual history, and sex therapy.
- Understand the importance of the issue of domestic violence, be able to discuss it with patients and provide appropriate support
- Understand the importance of the issue of substance abuse, be able to discuss it with patients and provide appropriate support
- Manage patients taking psychotropic drugs and understand their properties/risks/side effects, including during pregnancy.
- Recognize the importance of countertransference to patients, medical personnel etc, and understand how a physician's personal views on controversial issues can affect the doctor-patient relationship
- Evaluate the psychological issues related to abortion, pregnancy loss, selective reduction
- Recognize and discuss psychological issues related to assisted reproductive technologies and adoption
- Develop skills for coping with patients with personality and anxiety disorders
- Manage PMS
- Manage the psychological issues related to menopause, hysterectomy
- Understand and recognize patients with eating disorders, and disorders of body image
- Recognize and discuss the psychological issues related to aging
- Understand and discuss the psychological issues involved with patients with
gynecologic cancers and dying patients
Medical Ethics:
- Understand the importance of patient confidentiality
- Demonstrate the ability to perform self-evaluation and improvement
- Work collegially with all members of the health care team
- Demonstrate an understanding of basic ethical concepts in medicine such as autonomy, beneficence, justice, futility, and nonmaleficence, and apply these concepts to Ob/Gyn.
- Discuss the importance of advanced directives, informed consent, consent
from minors, durable power of attorney and emergency care and apply them to
patient care situations
Practice/Career Management:
- Develop career goals
- Develop an understanding of managed care and its application to different practice situations
- Understand how patient care and other professional practices affect other health care professionals, the health care organization and the larger society.
- Appreciate the need for accurate coding and billing of medical conditions/procedures and begin to understand coding/billing systems
- Recognize methods for controlling health care costs and allocating resources without compromising quality of care
- Participate in risk assessment and quality improvement, evaluation/implementation
- Advocate for quality patient care
- Recognize stress/substance abuse in colleagues and intervene appropriately
- Understand legal issues with respect to record keeping, medical malpractice, and legal contracts.
- Find a job in the field of obstetrics and gynecology suited to individual goals
- Achieve a score that is no lower than 1 standard deviation below the mean
(for the year of training) on the annual CREOG in-service examination. (Residents
with scores lower than 2 standard deviations below the mean are subject to
academic probation at the discretion of the program director.)