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Teaching

Organization of inpatient and outpatient teaching

All patients that receive care at the two core facilities that are part of this Fellowship are private patients with an identified unique Attending. There are no special "Teaching" or "Service" patients for whom the ultimate and fiduciary responsibility is not the Attending's. Therefore, the fellows will be constantly taught using every patient as a vehicle for education.

JHMI

Inpatient Teaching:
Teaching Bedside Rounds with the Attending of the Week (AoW) are held Daily

  • 6:30 a.m: Monday-Thursday
  • 6:00 a.m. Friday
  • 7:00 a.m. Saturday and Sunday

All patients on Service, regardless of who the attending of record (AoR) or admitting physician is, are presented, examined, and a treatment plan for the subsequent 24 hours developed, in person, at the bedside, with AoW. In addition to the AoW and fellow, the three resident physicians on Service, nurse practitioner, and any medical students rotating on Service will be in attendance. Evening rounds with the AoW are held on an as needed basis. Similarly, inpatient consults will be evaluated by the fellow and presented to the AoW. Most commonly, this will occur at the time of scheduled rounds.

Teaching in the Operating Room:
In the Operating Room, there will be intense, one-on-one teaching of the fellows by the Attending Surgeons. The fellow will be either the primary surgeon (with the Attending as first assistant) or the primary assistant for all gynecologic cancer cases and select complex pelvic surgery cases. As the fellow masters the essentials of radical and complex pelvic surgery, he will be allowed to function as the primary oncologic surgeon or assistant with the surgeon "on the other side of the table" being a resident. In these instances, the attending Gynecologic Oncologist will be the second assistant, present for the critical and essential segments of the surgical procedure. The fellow will, in most instances, function as the primary oncologic surgeon only during the last year of training. Even during that time period, there will always be a Gynecologic Oncology attending present to serve as a teacher of surgical skills.

Outpatient Teaching:
All patients seen by the fellow are seen in conjunction with a Gynecologic Oncology attending. Therefore, every patient is a potential source of outpatient teaching. Fellows will be interviewing patients, obtaining histories, and reviewing data prior to presenting the patients to the attending. The patients will then be examined by the fellow and attending in concert. After completion of the examination and after the patient has dressed, the attending and fellow will meet again with the patient to summarize the visit and outline a plan of action.

GBMC

Inpatient Teaching:
Teaching Bedside Rounds with the Attending of Record (AoR) are held Daily

  • 5:00 p.m: Monday-Friday
  • 8:00 a.m. Saturday and Sunday

All patients on Service are presented, examined, and a treatment plan for the subsequent 24 hours developed, in person, at the bedside, with the individual AoR. In addition to the AoR and Fellow, the resident physician on Service will be in attendance. Similarly, inpatient consults will be evaluated by the fellow and presented to the AoR. Most commonly, this will occur at the time of scheduled rounds.

Teaching in the Operating Room:
In the Operating Room there will be intense, one on one teaching of the fellows by the Attending Surgeons. The fellow will be either the primary surgeon (with the attending as First Assistant) or the primary assistant for all gynecologic cancer cases and select complex pelvic surgery cases. As the fellow master the essentials of radical and complex pelvic surgery, he will be allowed to function as the primary oncologic surgeon or assistant with the surgeon "on the other side of the table" being a resident. In these instances, the faculty Gynecologic Oncologist will be the second assistant, present for the critical and essential segments of the surgical procedure. The fellows will, in most instances, function as the primary oncologic surgeon only during the last year of their training. Even during that time period, there will always be a Gynecologic Oncology attending present to serve as a teacher of surgical skills.

Outpatient Teaching
All patients seen by the fellow are seen in conjunction with a Gynecologic Oncology attending. Therefore, every patient represents a potential source of outpatient teaching. Fellows will be interviewing patients, obtaining histories, and reviewing data prior to presenting the patients to the attending. The patients will then be examined by the fellow and attending in concert. After completion of the examination and after the patient has dressed, the attending and fellow will meet again with the patient to summarize the visit and outline a plan of action.

 

 

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