Maternal and Child Health - 581

                    Course Leader:     Susanna Magee, MD

                    Other Faculty:     Drs. P. Nuget, V. Rehan, L. Kiessling, MCH Fellows

                    Course Location:     Memorial Hospital of Rhode Island, Family Care Center, two Community Health Centers

                    When Offered:     All year

                    Maximum students per Rotation:     One

                    Duration of Rotation:     4 to 6 weeks

                    Type of Rotation:     Inpatient and ambulatory

                    Cognitive Content:     Students will learn the fundamentals of maternal and child health (MCH) from a Family Medicine perspective. He/She will admit patients to the MCH Service, including Labor and Delivery and the Newborn Nursery. The student will be able to perform initial newborn and adult history and physical exams, construct a differential diagnosis and outline management and follow-up care as well as perform routine vaginal delivery under resident, fellow and attending supervision.

                    Prerequisites:     None

                    Criteria for Passing:     Attendance at all activities. Demonstrated competence of clinical exams, management plans and documentation as well as satisfactory recommendations from supervising attendings, fellows and residents.

                    Criteria for Honors:     Outstanding performance of required duties and independent initiative such that the student functions at or surpasses that of a first year resident and receives exceptional recommendations from supervising attendings, fellows and residents.

                    Competencies:      Ability II: advanced level. Ability V: intermediate level. Ability VII: intermediate level. Provisionally approved.

                    Number of Hrs/Wk of Classroom/Discussion:      6

                    Number of Nights Oncall per Week:      1 - 2

                    Planned Independent Projects for Students:     Students are required to research, complete and presented an individual project on some aspect of maternal and child health which has been stimulated by one or more actual patient encounters. The topic may address a traditional medical topic, but also should incorporate family and community concepts of care. It may consist of primary or secondary research, literature review, or patient education project.

                    Description:     Students will combine obstetric and pediatric clinical experience, e.g., they will be able to follow mother prenatally, deliver the baby and follow both in the hospital.