SOM Elective Brochure

Electives Type:  Clinical

Elective Title
Ob/Gyn Acting Internship in Austin
Course Number
Prerequisites: Successful completion of Year 2 
      Additional Requirements:
Successful completion of Ob/Gyn clerkship. C-Form & Letter of Interest submitted to Judy Terlik at
Responsible Faculty Director:
Alison Brooks-Heinzman, MD
Other Faculty:
Location to Report on First Day
Contact Judy Terlik at or 512-324-7860
Periods Offered
including Period 12 (June), including the holiday vacation Period 13 (Dec)
Maximum Enrollment

  1) Act as the primary physician (i.e. triage, admit, and develop management plans for the obstetric patient). 2) Develop a team based approach towards patient care 3) Demonstrate proficiency in routine obstetric procedures

  1) Provide and receive detailed patient signout. 2) Scrub in all deliveries and procedures. 3) Request input and communicate with appropriate team members (RN staff, Anesthesia, Pediatrics) 4) Interpret and document Fetal Heart tracings appropriately. 5) Gain experience with basic suturing (lacerations, skin closure).

Description of course activities
  1) Student will typically work labor and delivery shifts; this includes two weeks on a daily inpatient obstetrics service, one week of gynecology oncology service and one choice week spent on gynecology, urogynecology, ultrasound, resident clinics or a combination of those. 2) Student will be responsible for following patients; this includes pre-rounds, giving signout as well as receiving a signout for crosscoverage, and completing appropriate paperwork. 3) Student is expected to attend Resident lectures when possible. The lectures take place on Wednesdays from 8am-Noon; including Chapter Reviews, Path/Gyn conference, and either a Grand Rounds, Ethics Talk, or Journal Club. 4) Some experience in Office Gynecology and Surgery may also be available for those who are interested. 5) Shifts are 7a-7p. Students are expected to pre-round and write SOAP notes prior to their shift. In order to accommodate student requests for days off, on occasion, a 24 hour shift may be scheduled.

Type of students who would benefit from the course
 This rotation is geared towards students who are actively interested in pursuing a career in Obstetrics and Gynecology. To enroll, UTMB students should submit a C-Form and Letter of Interest to Judy Terlik at Visiting students are required to submit a Letter of Interest, Letter of Recommendation and test scores to apply for this rotation through the Visiting Student Application Service (VSAS). Select UTMB at Galveston as the host institution, and select OBGU-4030. ALL students must also submit a half to one page letter of Intent to Judy Terlik - In the letter, explain why you are choosing Ob/Gyn and why you want to do a rotation with the Austin program.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
  Day of Week AM PM
  Monday 7am-12pm 12pm-7pm
  Tuesday 7am-12pm 12pm-7pm
  Wednesday 8-12 Resident Lecture 12pm-7pm
  Thursday 7am-12pm 12pm-7pm
  Friday 7am-12pm 12pm-7pm
  Average number of patients seen per week: 15  
  Call Schedule:   none  

  Research Activities (please insert estimated schedule here)
  Activity Hours per Week
  Faculty contact time

  Self-directed study

  Data collection/analysis


Method of student evaluation
Check all that apply - complete appropriate section(s) only:
1.  Clinical Observation
  A. Where are students observed on this elective?
    Inpatient service   Ambulatory   Surgery   Standardized patients
Patients simulators   Other
  B. Frequency - How often are students observed clinically?
  C. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback

2.  Oral Presentation
  A. Audience - To whom does the student present?
    faculty and residents
  B. Frequency / duration of presentation(s)?
    Students will be expected to give a presentation on an Ob/Gyn topic of their choice the final week to the Clerkship Director.
  C. Format - What guidelines are set for the student's presentation?
    10 minute PowerPoint presentation, students choice of topic or patient case presentation, presented to faculty.
  D. Assessment - Who assesses the student's presentation performance?
    Self-assessment   Peer assessment   Faculty assessment
  E. Method of content selection
    Current cases  Student-selected topic   Assigned topic

3.  Written Assignment (H&P's, notes, papers, abstracts, etc.)
  A. Frequency of written assignment(s)?
    Daily SOAP notes and H&Ps
  B. Format - What guidelines are set for the student's written work?
  C. Length of written assignment(s)?
    Abstract   Annotated bibliography   1 - 2 page paper   3+ page paper
  D. Are recent references required?   No    If yes, how are they selected?
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
  F. Audience - Who assesses the studentís written performance?
    Peer Assessment     Faculty Assessment     Other

4.  Examination
    Oral   Written multiple choice   Written essay / short answer   OSCE

5.  Extra Course Activities
  What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?
    Journal Club (Students are invited to Journal club and are expected to read articles prior to meeting)

6.  Other Modes of Evaluation
  Please explain below.
    Evaluations are completed by the Course Director, Dr. Alison Brooks-Heinzman. They are based on composite evaluation and feedback from House Staff and Faculty, and may include feedback from RN staff as well as other services (Pediatrics/Anesthesia). The measuring stick for the course is performance at an intern level.
7.  If this course is an Acting Internship, please complete the following:
  A. Specify how the student will be given formative feedback on their clinical skills.
    Verbally after procedures and daily
B. List advanced clinical skills that a student will be assured an opportunity to practice.
    SVD, demonstration of suturing and knot-tying, assisting at C/S and gyn surgeries
C. List other advanced clinical skills that a student may be exposed to depending on clinical case availability.
    Involvement in advanced surgical cases
  D. How will the acting intern student have responsibilities similar to a PGY1 resident? How will their responsibilities differ?
    AI will be responsible for their own patients They will not be able to put orders in the computer
  E. How will this course help prepare a student enter an internship in this field or a related field?
    Will allow them to practice suturing, knot tying, diagnosing labor
  F. How will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
    Information will be gathered from residents and faculty and a face to face meeting will occur Will document deficiencies and provide an improvement plan
  G. Acting Internship students often seek letters of recommendation following their experience. How many different faculty are they likely to encounter during this course? What is the usual number of working days they can expect to encounter the same individual faculty member? Describe the degree of supervision and interaction with faculty vs. residents or other providers.
    Daily interaction with multiple faculty and residents with direct supervision