IU Student Electives
OBSTETRICS & GYNECOLOGY

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93GO710	EXTERNSHIP OBSTETRICS AND GYNECOLOGY
Course Director: Dr. Hansell Other Faculty: Dr. Berry Dr. Cunningham Dr. Ferries-Rowe Dr. Haas Dr. Hathaway Dr. Kirkpatrick Dr. Lau Dr. Litwiller Dr. Meng Dr. Mikhail Dr. Nocon Dr. Schoon Dr. Stutsman	Description: Continued studies in the management of obstetrical and gynecological patients. Active participation with staff in the management of obstetric patients, both routine and many high risk maternal fetal cases. Continued studies in the management of patients with gynecologic problems. Student needs emphasizing either obstetrics or gynecology may be considered on an individual basis. Objectives: · Be able to provide OB care at an intern level. · Be able to do a delivery independently (obviously with supervision). · Be able to provide gyn care at an intern level.	Hospital(s): Wishard Hospital (IUMC)
		Availability: All year
		Number of units: 1-2 Full Time
		Max Students/Unit: 3
		Prerequisites: 3rd or 4th year status;  OB/GYN clerkship must be completed
		Course components: 90% Clinical; 10% Lecture
		Competency offered: None

93GO730	RESEARCH IN OBSTETRICS AND GYNECOLOGY
Course Director: Dr. David M. Haas Other Faculty: Dr. Berry Dr. Bigsby Dr. Cunningham Dr. Ferries-Rowe Dr. Golichowski Dr. Haas Dr. Hansell Dr. Hathaway Dr. Hollingsworth Dr. Kasper Dr. Kirkpatrick Dr. Kominiarek Dr. Lau Dr. Marcus Dr. Meng Dr. Mikhail Dr. Nocon Dr. Pell-Abernathy Dr. Raff Dr. Rothenberg Dr. Schilder Dr. Schoon Dr. Warner Dr. Xu	Description: NOTE: THIS COURSE DOES NOT PARTICIPATE IN THE INITIAL MATCH PROCESS. Individual research projects developed by the student with faculty supervision available in the following areas: Family Planning, Reproductive Biology, Oncology, Endocrinology, Psychosomatic Aspects Obstetrics and Gynecology, Urogynecology, Health Care and Medical Education, Care of High Risk OB Patient, and Ultrasound in OB/GYN. PRIOR PERMISSION OF SPONSOR AND COURSE DIRECTOR REQUIRED. Note: This course may be dropped/added within 15 days of the start date. TOP	Hospital(s): Indiana University Hospital, Wishard Memorial Hospital
		Availability: All year
		Number of units: 1-3 Full Time
		Max Students/Unit:  22 (1/faculty)
		Prerequisites: 3rd or 4th year status;  OB/GYN clerkship must be completed
		Course components:
		Competency offered: None

93GO750	GYNECOLOGIC ONCOLOGY
Course Director: Dr. J. Schilder Other Faculty: Dr. F. Stehman	Description: Continued studies in management of patients with gynecologic cancer. Active participation with attending and resident staff in the management of patients in the ward and in the operating suite, as well as the out-patient setting. The extern will perform the duties of acting intern. Weekly conferences include pathology, new patient, and radiation oncology. An oral presentation will be required. Opportunities are available in related clinical and basic research subjects. Objectives: Our elective seeks to prepare the 4th year student to: Be prepared to take complete histories and physicals, present patients, and organize an assessment and plan such that they may function efficiently as OB/Gyn residents in the future. Participate as an assistant in oncology surgery which gives them a chance to improve their understanding of anatomy which should optimize their performance as future OB/Gyn residents. Refine the student's ability to research clinically oriented topics, prepare and presentation and practice their public speaking skills. TOP	Hospital(s): University Hospital (IUMC)
		Availability: All year
		Number of units: 1 Full Time
		Max Students/Unit: 2
		Prerequisites: 3rd or 4th year status;  OB/GYN clerkship must be completed
		Course components: 90% Clinical; 10% Lecture
		Competency offered: IV: Lifelong Learning

93GO760	ULTRASOUND IN OBSTETRICS
Course Director: Dr. Jill Hollingsworth Other Faculty: Dr. Abernathy Dr. Belady Dr. Golichowski Dr. Platt	THIS ELECTIVE DOES NOT PARTICIPATE IN THE INITIAL COMPUTER SCHEDULING. Description: The objectives of this course are to teach the student the application of diagnostic ultrasound to the obstetric and gynecologic patient. He/she will learn the basic principles of ultrasound, as well as actual scanning techniques. Indirectly he/she will learn basic obstetrics and management decisions as well as management of common gynecologic disorders. One-on-one teaching with a senior staff obstetrician/gynecologist is offered on a frequent basis. TOP	Hospital(s): University Hospital & Primary Care Center (Indianapolis)
		Availability: All year
		Number of units: 1-2 Full Time
		Max Students/Unit: 2
		Prerequisites: 3rd or 4th year status;  OB/GYN clerkship must be completed
		Course components: 90% Clinical 10% Lecture
		Competency offered: None

93GO780	EXTERNSHIP IN GENETICS FOR THE OB/GYN AND PRENATAL DIAGNOSIS
Course Director: Dr. L.M. Padilla Other Faculty: Dr. Abernathy Dr. Golichowski Dr. Platt	Description: Continued studies in genetics, genetic counseling, and prenatal diagnosis. Active participation with attending and genetics associate staff in the counseling and management of pregnant and potentially pregnant patients at risk for genetic abnormalities that are amenable to prenatal diagnosis. Opportunities are available in related clinical and basic research subjects. TOP	Hospital(s): Indiana University Medical Center
		Availability: All year
		Number of units: 1-2 Full Time
		Max Students/Unit: 1
		Prerequisites: 3rd or 4th year status;  OB/GYN clerkship must be completed
		Course components: 80% Clinical; 10% Research; 10% Lecture / Conference
		Competency offered: None

93GO790	REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY
Course Director: Dr. M. Shepard	Description: The elective is designed to familiarize the student with the diagnosis and treatment of reproductive endocrine problems such as primary and secondary amenorrhea, oligo and anovulation, other causes of infertility, galactorrhea, and hirsutism. Experience will be gained in the medical and surgical management of these problems. Responsibilities will include attendance at Reproductive Endocrinology Clinic sessions at University Hospital Coleman Center for Women, attendance at surgery at University Hospital, Wishard Memorial Hospital and the Beltway North Surgery Center, participation in the inpatient care at the extern level of all patients on the Reproductive Endocrinology Service, and attendance at weekly OB/GYN departmental Conferences. There will be weekly in-depth discussions of various clinical problems in Reproductive Endocrinology preceded by appropriate reading assignments. Optional limited clinical research projects may be undertaken if chosen by the student. TOP	Hospital(s): University Hospital (IUMC)
		Availability: All year
		Number of units: 1-2 Full Time
		Max Students/Unit: 1
		Prerequisites: 3rd or 4th year status;  OB/GYN clerkship must be completed
		Course components: 70% Clinical; 10% Research; 10% Lecture; 10% Library
		Competency offered: None

93GO800	HIGH RISK OBSTETRICS
Course Director: Dr. Golichowski Other Faculty: Dr. Abernathy Dr. Belady Dr. L. Padilla Dr. Platt	Description: The course will focus on the continued studies in the management of high risk obstetrics. Active participation with the attending staff and residents involved in the management of the high-risk patient in the antepartum, intrapartum, and postpartum period in the in-patient and out-patient setting. The extern will perform duties as an acting intern. Opportunities available for participation in clinical research. In house call is required at least 4 times in a month's period. A formal presentation of at least 30 minutes on a topic of choice is required. TOP	Hospital(s): Wishard Hospital, IUMC
		Availability: All year
		Number of units: 1 Full Time
		Max Students/Unit: 2
		Prerequisites: 4th year status
		Course components: 100% Clinical
		Competency offered: None

93GO810	AMBULATORY OBSTETRICS & GYNECOLOGY
Course Director: Dr. Rothenberg Other Faculty: Dr. Hathaway Dr. Hollingsworth Dr. Kasper Dr. Marcus Dr. Mikhail Dr. Raff Dr. Warner	Description: This elective gives students a broader understanding and perspective on the changing focus of obstetricians and gynecologists. Emphasis is placed on the basic principles and management involved in the care of ambulatory patients seen by general OB/Gyns. This is accomplished with a flexible schedule, allowing the student to tailor this elective to his/her own needs and interests. Students are asked to participate in the faculty clinics, both at IUMC, and at outlying sites. In addition, they are a part of both the ambulatory and inpatient surgical procedures which the faculty performs during this time period. The students participate in the colposcopy and urodynamics of patients that are seen and students will have the option of following the faculty's patients in labor and delivery. The students will also have the opportunity to attend all of the departmental lectures and grand rounds during the month. In addition, a final paper is to be written about a current controversial topic in the field. Completion of the course fulfills the requirement for a Level II of the Lifelong Learning, competency while completion of the paper fulfills the Level III competency. Goals: To give a broader understanding and perspective on the changing focus of obstetricians and gynecologists especially as it relates on the basic principles and management involved in the ambulatory setting. Students may tailor this elective to their own needs and interests. By having the opportunity to attend all of the departmental lectures and grand rounds during the month, they see how a practicing university based OB/Gyn functions. TOP	Hospital(s): IUMC (possibly some outlying clinics as well)
		Availability: All year
		Number of units: 1-3 Full Time
		Max Students/Unit: 1
		Prerequisites: 3rd or 4th year status;  OB/GYN clerkship must be completed
		Course components: 90% Clinical; 10% Lecture
		Competency offered: IV: Lifelong Learning

93GO820	INTRODUCTION TO MINIMALLY INVASIVE GYNECOLOGIC SURGERY
Course Director: Dr. Gregory J. Raff Other Instructors: Dr. Elizabeth Case Dr. Jon Hathaway Dr. Jill Hollingsworth Dr. Kelly Kasper Dr. Peter Marcus Dr. Jeffrey Rothenberg Dr. Marguerite Shepard Dr. Hiral Warner Dr. Mary Martinie	Description:    This elective is designed to give the students a unique experience in minimally invasive gynecologic surgery (MIGS). The curriculum is designed to broaden the student’s understanding of the fundamentals of MIS as they pertain to gynecologic surgery. This is accomplished with a flexible schedule, allowing the student to tailor this elective to his/her own needs and interests. The main focus will be on laparoscopy, hysteroscopy, and robotic surgery. The student will have the opportunity to assist the participating faculty with inpatient and outpatient MIGS at IUMC, Clarian West, and Clarian North.  Inanimate models, including laparoscopic box trainers and Virtual Reality Simulators will be utilized to improve fundamental laparoscopic skills. The student will also have the opportunity to work with LAP 100, an internet-based self-study program designed to specifically teach basic laparoscopic knowledge. In addition, they will have the opportunity to attend all of the department lectures, including grand rounds and GYN conference, which focuses on teaching fundamental surgical skills. The student will be asked to give a presentation on a current controversial MIGS topic during the last week of the rotation. To achieve a level 3 competency in Lifelong Learning, the student will be required to write a brief paper and give a presentation at morning report on a current minimally invasive surgery topic. The student will be required to give citations to support their presentation. Learning Objectives:   The student will demonstrate an understanding of the advantages and disadvantages of different energy sources commonly used during laparoscopic surgery by completing the module “Energy Sources” in LAP 101 and passing the quiz. The student will demonstrate safe techniques of peritoneal access. The student will have a good understanding of anterior abdominal wall and pelvic anatomy via direct participation in surgical cases. The student will improve their basic laparoscopic skills by working with box trainers in our surgical training lab.	Hospital(s): IUMC
		Availability: All year
		Number of units: 1 Full Time
		Max Students/Unit: 2
		Prerequisites: 4th year status Course components: 70% Clinical, 15% Lecture, 15% Library Competency offered: IV: Lifelong Learning

93GO990	SPECIAL ELECTIVE IN OBSTETRICS AND GYNECOLOGY
	Description: The student should refer to the section of the Preface entitled "Special Electives" for information concerning the availability of elective opportunities especially designed to meet his/her needs and interests. The "Special Electives" section will also identify the procedures for arranging and scheduling special elective courses. TOP

49GO704	GYNECOLOGY CLINICAL ELECTIVE
Course Director: Dr. T. Mendez	Note: This course may be dropped or added up to a minimum of 2 months preceding the elective month. Description: The goals of this outpatient elective is for the student to learn the principles of ambulatory care of gynecologic patients and gynecologic surgical procedures. The student will learn diagnosis and management of acute gyn emergencies. The student will gain knowledge base in gynecology. The goals of Gynecology Clinical Clerkship will be achieved by working in the OB/GYN Care Center with residents and faculty, assisting in Gynecologic surgery, accompanying the Gyn Chief in caring for gyn emergency situations, and attending didactic OB/GYN Conferences. The student will take call approximately three nights per month. Any student wanting to drop or add this elective after the initial computer scheduling should contact Mia Mimms at 962-3369 or mmimms@clarian.org. TOP	Hospital(s): Health Net (affiliated with Methodist Hospital)
		Availability: All year
		Number of units: 1-3 Full Time
		Max Students/Unit: 1
		Prerequisites: 3rd or 4th year status;  OB/GYN clerkship must be completed
		Course components: 70% Clinical; 10% Lab; 20% Lecture
		Competency offered: VIII: Problem Solving

49GO706	OBSTETRICS AND GYNECOLOGY
Course Director: Dr. E. Strand Other Faculty: OB/Gyn Staff	Description: The student will spend time on both an obstetrics and a gynecology service. The time spent on obstetrics will allow for experience in prenatal care, management of normal and complicated pregnancies, antepartum care, and postpartum care. The gynecology experience consists of preoperative evaluation, participation in a wide variety of surgical cases, and postoperative care. The services are very active, as are the subspecialties of oncology, maternal-fetal medicine, and endocrine/infertility. The hospital clinics will be utilized for teaching in the ambulatory setting. There will be weekly didactic educational conferences from 7:00 AM – 11:30 AM every Wednesday, as well as daily morning reports.  The schedule for this rotation is quite flexible. The student has the option of dividing up the month between general obstetrics, high-risk obstetrics, or gynecologic oncology according to his/her educational goals. Students are expected to take four calls during the month.  Acceptance of more than two students per rotation may be allowed under special circumstances. Please contact Robin Nance (317-415-7528) or Dr. Eric Strand (317-415-7503) for further information. Goals: Learn the principles of general obstetric and gynecologic patient care. Evaluate and assess laboring and postpartum patients. Learn to evaluate and treat patients with common obstetric and gynecologic complaints. Obtain a general understanding of obstetrical emergencies. Understand the physiologic changes and maternal adaptations that occur during pregnancy. Acquire an understanding of the anatomy of the female pelvis. Learn and demonstrate technical skills used in common obstetric and gynecologic procedures. Learn to effectively communicate and present patient data to the residents and attending physician staff. TOP	Hospital(s): St. Vincent Hospital
		Availability: All year, except July
		Number of units: 1 Full Time
		Max Students/Unit: 2
		Prerequisites: 3rd or 4th year status;  OB/GYN clerkship must be completed
		Course components: 80% Clinical; 10% Lecture; 10% Library
		Competency offered: None

49GO726	AMBULATORY MATERNAL FETAL MEDICINE
Course Director: Dr. James Sumners Other Instructors: Dr. Maurice Eggleston	Description:    This elective will be primarily based in the outpatient setting of the Center for Prenatal Diagnosis, focusing on the longitudinal care of the high-risk pregnancy. The student will interact with the attending staff and residency housestaff, primarily evaluating patients in the outpatient setting, but also participating in inpatient hospital teaching rounds. Students will be presented with directed learning opportunities based on the patients presenting to the center, and will be expected to contribute to their outpatient care.  They will also participate in ultrasound and genetic counseling sessions. Students are expected to complete one case presentation the final Wednesday of the month; the case will be selected by the student and approved by the teaching staff. Level 3 competency offered is competency IV: Lifelong Learning. Objectives:   On completion of the elective, the student should be able to: Understand the complexities of providing longitudinal care to women with high-risk pregnancies Participate in the development of patient-care plans Demonstrate the ability to research selected topics and translate findings into clinical care plans Communicate effectively  with various members of the health care team	Hospital(s): St. Vincent
		Availability: All year
		Number of units: 1 Full Time
		Max Students/Unit: 1
		Prerequisites: 3rd year status; must have completed OB/GYN clerkship Course components: 80% Clinical, 10% Research, 10% Presentations Competency offered: IV: Lifelong Learning

49GO736	EXTERNSHIP IN GYNECOLOGIC ONCOLOGY
Course Director: Dr. Gregory Sutton Other Instructors: Dr. Michael Callahan	Description:    This is a four-week rotation in clinical gynecologic oncology. Participants will experience outpatient office, inpatient ward, and inpatient surgical activities and interact with gynecologic oncologists and St. Vincent house staff at the second-through fourth-year levels. Students will engage in daily rounds, weekly radiation oncology and gynecologic pathology conferences,  as well as scheduled gynecologic morbidity and mortality and didactic pathology lectures. Daily activities will include rounding, seeing new gynecologic oncology referrals, participating in management conferences, and second-assisting in the operating room. Both major open and laparoscopic cases as well as minor outpatient cases will be available. Students will be expected to complete an oral presentation on the gynecologic oncology topic of his or her choosing. St. Vincent gynecologic oncologists see 1,000 new referrals and perform 600 major operative procedures annually. Objectives:   The student should become familiar with presenting symptoms of gynecologic cancers and complicated gynecologic problems, understand the application of open and laparoscopic surgery to these diagnoses, and have an acquaintance with principles of radiotherapy and chemotherapy in the management of gynecologic cancers. An introduction to clinical trials will be included. The student will hone history, physical, and presentation skills and function as an intern on the service. Rotation will culminate with directed abdominal hysterectomy for capable future gynecologists.	Hospital(s): St. Vincent Availability: All year Number of units: 1 Full Time Max Students/Unit: 1 Prerequisites: 3rd year status; must have completed OB/GYN clerkship Course components: 85% Clinical, 15% Presentations/Didactic Competency offered: II: Basic Clinical Skills

02GO701	OBSTETRICS AND GYNECOLOGY
Course Director: Dr. Stafford Other Faculty: Dr. Baker Dr. Bhat Dr. Coats Dr. Helfgott	Description: AVAILABILITY: *SPECIAL COMMENT: THIS ELECTIVE DOES NOT PARTICIPATE IN THE INITIAL SENIOR MATCH. ARRANGEMENTS MUST BE MADE THROUGH THE FORT WAYNE CENTER FOR MEDICAL EDUCATION TO CONFIRM AVAILABILITY WITH COURSE DIRECTOR. This elective will provide the student experience in prenatal care and observation in the office in both Obstetrics and Gynecology. He or she will assist in management of patients in labor and assist at delivery. Instruction and observation of common gynecologic problems will be a part of this elective and also assisting at gynecologic surgery. Due to the large number of requests for this rotation and a limited number of available faculty, there will be an occasional month when this rotation will not be available or will be canceled. TOP	Hospital(s): Fort Wayne Center for Medical Education
		Availability: All year
		Number of units: 1-3 Full Time
		Max Students/Unit: 1 (with course director approval)
		Prerequisites: 3rd or 4th year status;  OB/GYN clerkship must be completed
		Course components: 95% Clinical; 5% Lecture
		Competency offered: None

18GO701	OB/GYN CLINICAL OBSTETRICS AND GYNECOLOGY
Course Director: Dr. D. Lopiccolo	Description: Students will have experience in OB including work in the Outpatient Clinic, observation of labor and active participation in delivery, both normal and complicated, in association with residents and staff. Experience and active participation in surgery is included in a one on one situation. Students will participate in office, outpatient and inpatient diagnosis and treatment. Hospital clinics, which include obstetrics and gynecology are utilized in teaching. The Ob/Gyn department has weekly conferences for continued post graduate medical education, which will be interesting for medical students. Also there are weekly housestaff teaching conferences by the OB/GYN department in which the student will participate. Additional information may be obtained from the Hospital Medical Education Director or the Obstetrical Medical Education Director. TOP	Hospital(s): Ball Memorial Hospital (Muncie)
		Availability: Not during June, July, or August.
		Number of units: 1-4 Full Time
		Max Students/Unit: 1
		Prerequisites: 3rd or 4th year status;  OB/GYN clerkship must be completed
		Course components: 90% Clinical; 10% Lecture
		Competency offered: None

19GO701	CLINICAL OBSTETRICS AND GYNECOLOGY IN A RURAL SETTING
Course Director: Dr. Terry R. Brown	Description: This course is designed to introduce senior medical students to clinical gynecology and obstetrics as practiced in a community hospital. Day to day clinical aspects of the practice will be emphasized. Hands on training is encouraged. Students average 5 - 10 deliveries per month. On-call schedule is student's option. Large volume practice allows students to improve GYN evaluation techniques. One on one contact with all physicians in single office. Housing and meals provided at hospital for students. Goals: Acquaint student physicians with experience away from the medical center setting, exposing them to practice in a smaller community while helping them better their clinical skills through one on one contact with board certified physicians with years of experience. Large volume practice provides ample patient contact for the students. TOP	Hospital(s): Memorial Hospital (Jasper)
		Availability: All year
		Number of units: 1-3 Full Time
		Max Students/Unit: 1
		Prerequisites: 3rd or 4th year status;  OB/GYN clerkship must be completed
		Course components: 90% Clinical; 5% Lecture; 5% Library
		Competency offered: IX: Professionalism and Role Recognition

39GO701	OBSTETRICS AND GYNECOLOGY
Course Director: Dr. Tobi Hough Other Faculty: Dr. Kelli Hertz Dr. Tina Odaffer Dr. Jennifer Roney	Description: The medical student will be exposed to a wide variety of outpatient and inpatient obstetrical and gynecologic patients. Obstetric and gynecologic histories and examinations are to be performed and mastered. The student will be exposed to obstetrical and gynecologic procedures with active participation where appropriate. The student is expected to devote a portion of his/her time in reading and review of obstetrical dating, routine prenatal care, antenatal surveillance, and the conduct and management of normal labor. TOP	Hospital(s): King's Daughters' Hospital & Health Services (Madison)
		Availability: All year
		Number of units: 1-2 Full Time
		Max Students/Unit: 1
		Prerequisites: 3rd or 4th year status;  OB/GYN clerkship must be completed
		Course components: 100% Clinical
		Competency offered: None

45GO703	OBSTETRICS AND/OR GYNECOLOGY
Course Director: Dr. K. Ramsey Other Faculty: Dr. D. McCullough	Description: In obstetrics, three mornings per week will be spent in Prenatal Clinic and on rounds. Assigned to one of the clinic physicians, the student will develop an understanding of the comprehensive examination of the pelvis. With a high clinic population, students will have opportunities to observe and monitor patients in labor and numerous deliveries. It is expected that the student will have outstanding opportunities to observe prenatal care, normal deliveries, Cesarean sections, and postpartum care. Additional experiences will include: (1) labor induction; (2) fetal monitoring; (3) newborn evaluation; (4) interpretation of pelvic radiologic and ultrasound studies. In gynecology, the student will observe minor operative procedures including D&C's, biopsies, and conizations, as well as major gynecologic surgeries. Students will be encouraged to examine pathologic surgical specimens with the pathologists and attending physician. Students will develop an understanding of performance of common gynecological procedures including pap smears. Family planning concepts are included in this segment. TOP	Hospital(s): The Methodist Hosp (Gary)
		Availability: All year
		Number of units: 1-3 Full Time
		Max Students/Unit: 1
		Prerequisites: 3rd or 4th year status;  OB/GYN clerkship must be completed
		Course components: 90% Clinical; 10% Lecture
		Competency offered: None

53GO701	OBSTETRICS AND GYNECOLOGY
Course Director: Dr. Matthews Other Faculty: Dr. Belady Dr. Corning Dr. Eden Dr. Ludlow Dr. Sabga Dr. Stafford Dr. Stauffer Dr. Trippel Dr. Wood Dr. Wrenn	Objectives: Overview of OB/Gyn as a specialty. Description: Four week experience with emphasis on operative gynecology and complicated obstetrics. The clinical experience will be selective and balanced with daily noon hour discussions and daily rounds in the hospital. Office experience will be limited to selected cases illustrating common clinical problems (office gynecology, infertility, contraception counseling). Emphasis during this elective will not be on multiple pelvic exams or obstetric deliveries. An interview prior to elective is encouraged. TOP	Hospital(s): Bloomington Hospital
		Availability: All year
		Number of units: 1 Full Time
		Max Students/Unit: 1
		Prerequisites: 3rd or 4th year status; OB/GYN clerkship must be completed
		Course components: 100% Clinical
		Competency offered: None