Description
The focus of this elective is to learn more about the Gynecologic Subspecialty of Family Planning. Counseling and provision of contraceptive methods, experience with pelvic ultrasounds, management of spontaneous, inevitable and induced abortion and post-abortion care by both surgical and medical techniques are included. Abortion is considered an integral part of this rotation, and the student is expected to participate in the full range of family planning services.  The student is also welcome and encouraged to participate in ongoing family planning research projects.

Learning Opportunities
Clinic time/week: 30 hrs
Seminar/Didactic time/week: 10 hrs

IOR
Melody Hou, MD MPH

Faculty
Dr. Catherine Cansino
Dr. Melissa Chen
Dr. Mitchell Creinin
Dr. Melody Hou
Dr. Juliana Melo

Contraception

  1. Understand the mechanism of action of various hormonal contraception methods (reading, FP and private clinic)
  2. Understand the efficacy, risks, and benefits of various methods of hormonal contraception in general, and as they relate to specific patients, and be able to communicate these effectively to a patient (reading, FP and private clinic)
  3. Understand the efficacy and failure rate of barrier methods of contraception, alone and used in combination with hormonal contraception (reading, FP and private clinic)
  4. Know the differences between absolute and relative contraindications to hormonal contraception, and what circumstances hormonal contraception is contraindicated for a patient (reading, FP and private clinic)
  5. Learn to counsel a patient regarding hormonal versus non-hormonal IUDs, and their advantages and disadvantages compared to other methods (reading, FP/preop and private clinic)
  6. Learn and become comfortable performing IUD insertion and about specific follow-up requirements (reading, FP and private clinic, OR)
  7. Learn the risks and benefits of various methods of sterilization, and observe/assist in these procedures (reading, FP and private clinic, OR)
  8. Learn about the mechanism of action of emergency contraception, and the legal issues regarding its dispensation by pharmacists and clinicians (reading, FP and private clinic)

Abortion

  1. Become familiar with the legal and social barriers of abortion in this country and how it affects patient care (reading, FP/preop and private clinic)
  2. Understand and assist with the use of ultrasound in early pregnancy diagnosis (reading, FP/preop and private clinic)
  3. Understand the indications for different termination options at different gestational ages (i.e. medical versus surgical), and the risks and benefits associated with each (reading, FP/preop and private clinic)
  4. Become familiar with the methods of medical and surgical abortion at different gestational ages and observe or assist in surgical abortions depending on the complexity of the procedure (reading, FP and private clinic, OR).
  5. Become familiar with the gross examination of tissue specimens from different gestational ages and understand embryonic and fetal development (reading, private clinic, OR)
  6. Follow a patient through the abortion process from the initial consultation through follow-up (FP/preop and private clinic, OR)
  7. Learn to recognize signs and symptoms of abortion complications and their treatment (reading, OR, FP/preop and private clinic)
  8. Become familiar with the different settings that abortion may be provided, including (FP/preop and private clinic)

During the four weeks of this elective, the student will be present in several clinical settings under the supervision of a Family Planning faculty member, Family Planning fellow, or Volunteer Clinical Faculty who specializes in Family Planning, including:

 

  1. Family Planning clinics at the Ambulatory Care Center at UC Davis Medical Center (UCDMC), one focusing more on preoperative preparation and evaluation for abortion procedures and one focusing more on complex contraception and IUD and implant insertions;
  2. Private faculty office seeing general gynecology and family planning patients;
  3. UCDMC main operating room for sterilization surgery and complex abortion procedures.
  4. Sutter surgicenter for sterilization surgery

 

In addition to these settings, any family planning patient admitted for complications of an outpatient procedure will also be seen by the student under the supervision of a Family Planning faculty member. Other members of the family planning team will include a second or third year resident who will work alongside the student throughout the rotation.

 

Abortion is considered an integral part of this rotation, and the student is expected to participate in the full range of family planning services.  The amount of hands-on experience will vary from clinic to clinic.  Being in clinic can be a difficult experience for some family planning patients, and the patient’s comfort level must be considered.

In addition to weekly OB/GYN resident didactics that the student is expected to attend, there is a separate Family Planning didactic component which includes a section on public health implications of family planning and preservation of fertility and reproductive health. At the end of the rotation, the student is expected to present a full review on a topic from the current medical literature to the Family Planning faculty as a capstone activity.

 

In addition, the student is welcome and encouraged to participate in ongoing family planning research projects.

Didactics/Conferences

  • GYN Preop Conference: Tuesday 7:15-8:15 AM
  • GYN Family Planning Conference: Thursday 7-8 AM
  • Grand Rounds: Wednesday 7:50-8:50 AM
  • Resident Didactics: Wednesday 9 AM-11 AM

There is no overnight or weekend call as a family planning acting intern.

Student evaluations are compiled by the IOR after receiving feedback from the residents and attendings on service. To receive Honors, the student is required to receive excellent clinical feedback, provide an excellent capstone presentation, AND participate in an academic exercise, such as a case report, a research project, a quality improvement review, protocol development or teaching project.

 

 

 

M

T

W

Th

F

Week 1

AM

FP Preop Clinic

FP OR

Resident Didactics

FP Preop

FP OR

PM

Papaya Workshop and Contraception Clinic

FP OR

Research

FP Contraception

FP OR

Week 2

AM

FP Preop Clinic

FP OR

Resident Didactics

Hou Private Clinic

Hou Private Clinic

PM

Contraception Clinic

FP OR

Research

Contraception Clinic

Research

Week 3

AM

FP Preop Clinic

FP OR

Resident Didactics

FP preop

FP OR

PM

Contraception Clinic

FP OR

Research

FP Contraception

FP OR

Week 4

AM

FP Preop Clinic

FP OR

Resident Didactics

Hou Private Clinic

Hou Private Clinic

PM

Contraception Clinic

FP OR

Research

Inpatient Consults

Teen Clinic