» Family Medicine Residency

For Prospective Residents

PGYI Obstetrics
Cedars

Goals

The goals and objectives of the curriculum in Obstetrics are to learn the evaluation and management of normal labor and delivery and to be able to promptly identify patients at risk for obstetrical and medical complications that are best managed with consultation. Residents are expected to become knowledgeable with respect to antenatal risk management and appropriate perinatal referral, routine antenatal care, intrapartum assessment, non-operative vaginal deliveries and post-partum management

Objectives

Patient Care and Medical Knowledge

Residents will:

  1. Be able to perform an obstetrical history and physical examination either for the initiation of prenatal care or for the evaluation of the maternity patient presenting to labor & delivery
  2. Understand "normal" labor patterns for primiparous and multiparous patients and be able to differentiate these from dysfunctional labor patterns
  3. Have gained skill in evaluating acute obstetrical conditions such as vaginal bleeding, abdominal pain, preterm labor, postpartum hemorrhage and postpartum fevers
  4. Be aware of the general indications for induction of labor and/or its augmentation
  5. Be able to assist on C-sections
  6. Demonstrate proficiency in:
    1. Vaginal delivery
    2. Amniotomy
    3. Episiotomy
    4. Electronic fetal monitoring
    5. Pitocin induction
    6. Repair of obstetrical lacerations
    7. Management and diagnosis of hypertensive disorders of pregnancy
    8. Diagnosis and management of pre-term labor
    9. Basic obstetrical ultrasound
    10. Diagnosis and management of obstetric bleeding
    11. Outlet vacuum extraction
    12. Pudendal anesthesia

Practice-Based Learning and Improvement

  1. Be able to use the internet to access current literature about the obstetrical medical management
  2. Be able to critically evaluate literature about current obstetrical disease management
  3. Be able to work well in the context of the obstetrical care team
  4. Be able to implement changes in patient care based on new information obtained from Attending Rounds, clinical experience, review of the literature and other sources

Interpersonal Communication Skills

  1. Communicate effectively with patients
    1. Able to communicate in a manner understandable to the patient and the family of a pregnant patient regarding the delivery process or underlying obstetrical problem, treatment plan and prognosis
    2. Able to listen to and address the concerns of patients and their families
  2. Communicate effectively with colleagues
    1. Able to work efficiently in the context of an obstetrical care team in a busy obstetrical service
    2. Able to clearly communicate patient sign-out, both when giving and receiving sign-out
    3. Able to work efficiently with the support staff in the care of the pregnant patient

Professionalism

  1. Demonstrate cultural competency
  2. Demonstrate the ability to act in the best interests of the patients
    1. Respect for confidentiality
    2. Respect for patient autonomy
  3. Be professional in all aspects of patient care
    1. Accepts personal responsibility for patients
    2. Accepts feedback in all aspects of care, including the six core competencies
    3. Timeliness
    4. Appropriate attire

Systems-Based Practice

  1. Demonstrate understanding of the care of the obstetrical patient in the context of the current health care system in a busy obstetrical service
  2. Coordinate care with ancillary services to improve the healthcare of the pregnant patient and her newborn
  3. Assist patients in dealing with their pregnancy, labor, delivery and any complications of pregnancy

Logistics

Contacts

Jane Davis, MD (director) and Faye Shapiro (coordinator)
Cedars-Sinai Medical Center, Department of Obstetrics
(310) 423-7417

Location

Cedars-Sinai Medical Center
Department of Obstetrics
8700 Beverly Blvd Room 3622
Los Angeles, CA 90048

Additional Information

Hours: Average 2 weeks of days, average 2 weeks of nights

Days: Mon-Thurs 7AM-6PM, Fri 7AM-Sat 8AM

Nights:Mon-Thurs 6PM-7AM, Sun 8AM-Mon 7AM

Continuity Clinic: 2 clinics / rotation

  • On Days: Wed PM
  • Call: 1 day a week
  • Days: Friday
  • Nights: Sunday

Educational Half Day: You are not excused from OB Cedars to attend EHD

Suggested Reading

Chapter Chapter in Gabbe Chapter in Williams
Preconception and Prenatal Care 8 13
Labor and Delivery 14 16, 17
Intrapartum Fetal Evaluation 15 14
Obstetric Anesthesia 16 18
Postpartum Care 22 19, 35, 36
Obstetric Hemorrhage 18 21
Preterm Birth 25 37
Maternal Physiology of Pregnancy 5 9
Hypertension 30