OB503M.1

OB/GYN and Women's Health in Urban Community Settings

Credits: 4.00 CREDITS (Clinical Elective)
Sites: BIDMC
Directors: Chie, Lucy Yen-Chai
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time one month.
Open to Exclerks: No (HMS only)
Description:
This course is offered to provide students greater exposure to the health issues of underserved urban women and their care at community health centers. BIDMC is affiliated with several of Boston’s community health centers: South Cove Community Health Center in Chinatown and North Quincy, Dimock Health Center in Roxbury, Bowdoin Street Health Center in Dorchester, Fenway Health Center, and BIDMC Chelsea. Students may rotate through several or all sites. Students will evaluate patients in the outpatient clinical setting and will be supervised primarily by attending faculty. While most of the rotation will be in the health centers, students also will longitudinally follow several patients into the hospital setting. Night call is optional. Student evaluation will be based on clinical performance, completion of a community health center project, as well as a final paper/oral presentation on a topic of interest. Spanish or Chinese language skills are a plus.
Learning Goals:
To learn how to provide reproductive health care to diverse populations

To gain some understanding on how socioeconomics and culture impact health, health care, and health care access

To participate in programs designed for specialized populations (ie immigrants, adolescents, LGBT, HIV, homeless, non-English speaking, domestic violence)

To appreciate the roles of patient care, QI/QA, research, and advocacy in the community health center setting
Incorporation of Basic Science Content and Evidence-Based Medicine:
Basic science content and evidence-based medicine are incorporated into the course with each patient interaction and evaluation. Care will be provided according to evidence-based medicine and recommended clinical guidelines in obstetrics and gynecology.
Evaluation:
Students will be evaluated based on clinical performance, the community health project, and the final paper/presentation. All faculty who have interacted with the student will have opportunity to provide written evaluation. The quality of the community health project and final paper/presentation will be evaluated by the faculty of the Women’s Community Health Consortium at BIDMC.
Grade Criteria:
High Honors:
Student performs exceptionally clinically for their level of training. Shows great initiative and responsibility in developing care plans and following up with their patients. Level of professional performance with staff and families exceeds expectations. Quality of community health project is outstanding with likely longlasting impact for patients.

Honors:
Student performs above average clinically for their level of training. Shows initiative and responsibility in developing care plans and following up with their patients. Level of professional performance with staff and families exceeds expectations. Quality of community health project is excellent with potential for longlasting impact for patients.

Satisfactory:
Student performs at expected clinically for level of training. Interacts with staff and families in a professional manner. The student develops a community project that may be useful in the care of our patients.

Unsatisfactory:
A student who fails to come to appointed sessions as previously determined, who fails to complete a final project, or whose project demonstrates little effort, a student who has less than satisfactory clinical work.
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