E3W11 OB GYN

Professor Droshky: Coming in the fall, not teaching this class but will be shadowing.
Laura Grassy (New Instructor): Teaching adult med-surg classes, ER nurse experience for ten years, current educator at a Long Island hospital.
Current Context: Open discussion about clinical experiences and challenges.

Clinical Instructor Dynamics:
- Mixed feedback between day and night shifts.
- Day shift nurses perceived as unwelcoming; night shift nurses seen as supportive.
- Night shift students often feel less utilized until their shift begins.
Tensions in Clinical Education:
- Student experiences differ across various departments (e.g., labor and delivery, postpartum).
- Importance of maintaining professional evaluations of clinical instructors.

Clinical Encounter Issues:
- Students express uncertainty when handling emergencies, such as following postpartum hemorrhage protocols.
- Inadequate training for handling medication protocols during emergencies.
- Communication barriers with professors regarding critical situations noted.
Learning Environment Concerns:
- Students feel the fast-paced environment and lack of guidance have resulted in increased stress levels.
- Professors are encouraged to provide clearer instructions during simulated sessions.
- Importance of students practicing safety protocols, including scanning medications properly.

Curriculum Focus Areas:
- Students should concentrate on specified chapters and material links directly to class content.
- Emphasis on the importance of including learners in health promotion discussions.

General Health Promotion:
- Discussion on the leading causes of female morbidity and mortality, specifically cardiovascular issues (e.g., heart attack, stroke).
- The need for health education emphasizing lifestyle habits: proper dieting, exercise, and smoking avoidance.
Risks Associated with Lifestyle Choices:
- Promotion of HPV vaccinations and understanding implications of early disease screenings.
- Encouraging women to seek medical care actively, focusing on preventive rather than reactive health measures.

Symptoms of Heart Attack in Women:
- Women often exhibit different symptoms than men, such as shortness of breath and nausea rather than typical chest pain.
Understanding and Responding to Stroke Symptoms:
- Emphasis on swift recognition of stroke symptoms to ensure immediate treatment availability ("Time is brain").

Breast Cancer:
- Screening via mammograms and gene testing for those with family history related to BRCA1 and BRCA2 genes.
Cervical Cancer Screening:
- Knowledge of Pap smears and the HPV test is critical in preventing or identifying early stages of cervical cancer.

Menopause:
- Definition: Absence of menstruation for 12 consecutive months.
- Includes signs like hot flashes, night sweats, mood changes, and potential sexual dysfunction due to hormonal changes.
Polycystic Ovary Syndrome (PCOS):
- Symptoms: Irregular periods, signs of increased testosterone (facial hair, acne).
- Diagnosed via ultrasound showing the "pearl necklace" appearance of follicles on the ovaries.
Dysmenorrhea: Painful menstrual symptoms related to endometriosis and excessive prostaglandin release.

Suggestions on lifestyle modifications, hormone replacement therapy, and surgical options for conditions like endometriosis.

Understanding the causes of abnormal bleeding, including polyps, uterine fibroids, and endometrial cancer.
Examination dependencies, including transvaginal ultrasounds and hormone treatments, to address the underlying consequences of AUB.

Importance of screening for IPV during annual exams, stressing that all genders can be affected.

Various contraceptive methods discussed including permanent methods (tubal ligation, vasectomy) and reversible methods (IUDs, hormonal contraceptives).
The concept of informed consent and understanding patient choices surrounding reproductive health and autonomy.

Upcoming exams and grade considerations discussed, including guidance on student presentations and structuring assignments.