Additional OB Training Guidelines

Learning goals and objectives for additional elective obstetrics training

Family Medicine Residents in good standing my request additional elective training in obstetrics to augment the required core obstetrics curriculum. Learning goals for additional obstetrics training include:

• Diagnosis and management of labor
• Evaluation and management of P/PROM
• Diagnosis and management of preterm labor
• Recognition and management of labor pain
• Recognition and management of vaginal bleeding in pregnancy
• Diagnosis and management of pre-eclampsia
• Facility with Intrapartum fetal monitoring
• Performance of intrapartum ultrasound for determination of presentation and AFI
• Indications for and methods of induction including foley bulb insertion, misoprostol, prostaglandin and pitocin use.
• Facility with intrapartum procedures including fetal scalp electrode placement, intrauterine pressure transducers, amniotomy, vacuum placement, laceration repair, and normal vaginal deliveries.
• Postpartum care
• Assistance at cesarean section
• Care of the newborn, including recognition and management of common newborn problems
• Circumcision
• Appropriate use of consultations

Core required reading includes:

• Ratcliffe et.al. Family Practice Obstetrics, 2nd ed., 2003
• ALSO course syllabus, 2003
• AAFP Maternity and Gynecology suggested core curricular guidelines
• ACOG Technical Bulletin 54, VBAC
• Seeking and Giving Consultations, in Ethics in Obstetrics and Gynecology, 2nd edition, ACOG 2004

Evaluation of the resident performing additional obstetrics training will be performed by designated educational supervisors for the training experience.