Obstetrics and Gynecology (OBGYN-ML)

This six-week, phase two clinical rotation exposes students to the breadth and depth of obstetrics and gynecology services at a major academic medical center. In addition to clinical experience, students participate in didactic learning sessions that include lectures, clinical skills workshops, and seminars. Students work closely with residents, fellows, house officers, and faculty members, many of whom are top experts in the field of obstetrics and gynecology.

The Obstetrics and Gynecology Sub-Internship is a 4-week rotation at NYU Grossman Long Island School of Medicine. The overall goal of the Sub-Internship in Obstetrics and Gynecology is to develop competence in the fundamentals of obstetrics and gynecology to expand the student's proficiency and fuller independence in the evaluation, diagnosis, and management of a variety of diseases and disorders of these patients. The clinical experience will be focused on the inpatient labor and delivery unit whereby the Sub-Intern will function as part of the house staff team and will manage assigned cases under the supervision of ob-gynecology residents and faculty. In addition there will be time spent on the inpatient gynecology service and in ob-gyn office hours.

The elective provides the opportunity to follow normal spontaneous vaginal deliveries, operative deliveries, cesarean sections and bilateral tubal ligations. Students will also participate in patient safety rounds and obstetrical risk assessments.

The elective provides an opportunity for the medical student to participate in the management of female patients with urogynecologic conditions. The student will gain an in-depth exposure to conditions of pelvic floor dysfunction, lower urinary tract disorders, urogynecologic testing, evaluation and treatment of urinary incontinence and pelvic organ prolapse. The student will participate in the evaluation of urogynecologic patients in the office setting with a variety of female urologic problems including pelvic organ prolapse, urge and stress incontinence, overflow, voiding dysfunction, urogenital fistula, fecal incontinence and painful bladder syndromes. Students will be exposed to urogynecologic testing including multichannel urodynamics and cystoscopy in the office setting where they will also be involved in medical and conservative treatments. They will also assist in the operating room and participate in the surgical treatment during vaginal, abdominal, robotic procedures and neuromodulation. The students will be involved in the perioperative care for all urogynecologic patients. There will be formal and informal didactics along with bedside teaching with attendings and residents daily. The division of Urogynecology has had an active research interest and is currently engaged in ongoing projects. Interested students are encouraged to participate in the ongoing clinical research. Previous students have published their research in peer reviewed journals and presented their data at national meetings.

The Maternal-Fetal Medicine Elective will increase the medical student’s breath of knowledge regarding high-risk pregnancies. Students will participate in the diagnosis and care of mothers and fetuses of high-risk pregnancies in the ante-, intra- and post- partum periods as part of the MFM care team in the ultrasound unit, ambulatory and inpatient consultation sessions and office hours, as well as in intensive care settings. Preconception consultations, optimization of maternal and fetal well-being throughout gestation, prenatal diagnosis and diagnostic testing (amniocentesis, chorionic villous sampling), and aneuploidy screening techniques are emphasized. The student works directly with the house staff, fellows and attending MFM physicians and will attend and participate in all conferences, lectures and patient care meetings within our division as well as weekly Grand Rounds for the department. The schedule of rotation and educational didactics will depend on the attending service during the time block.

The Maternal-Fetal Medicine Elective will increase the medical student's breath of knowledge regarding high risk pregnancies. Students will participate in the diagnosis and care of mothers and fetuses of high risk pregnancies in the ante-, intra- and post-partum periods as part of the MFM care team in the ultrasound unit, ambulatory and inpatient consultation sessions and office hours, as well as in intensive care settings. Preconception consultations, optimization of maternal and fetal well-being throughout gestation, prenatal diagnosis and diagnostic testing (amniocentesis, chorionic villous sampling), and aneuploidy screening techniques are emphasized. The student works directly with the house staff, fellows and attending MFM physicians and will attend and participate in all conferences, lectures and patient care meetings within our division as well as weekly Grand Rounds for the department.

During the Reproductive Endocrinology and Infertility rotation, the student is expected to be ready to learn the fundamentals of fertility treatment and evaluation for the female patient. The student will shadow the physician during the morning ultrasound monitoring, observe procedures such as intrauterine insemination, endometrial biopsies, saline sonohisterograms, oocyte retrievals and embryo transfer. The student will be present during history-taking with new and existing patients and are expected to gain expertise on a variety of clinical conditions.

Under the direction of the Gynecologic Oncology staff, students are expected to see patients in the office setting and be involved in the management plans of these patients. They are expected to follow patients, very closely, and work with the gynecologic oncology team to provide the best possible care.