Electronic Fetal Monitoring

DxR Cases  

Diagnostic Reasoning (DxR) is a practice based learning software that will provide you with an opportunity to practice your skills at diagnosing an actual patient problem. This interactive program provides you an opportunity to ask the patient questions, perform a physical examination, and order laboratory tests.

During your Ob/Gyn Clerkship you should work through at least three of the five cases selected and listed under Ob/Gyn Clinical Problems.

1. After entering the Ob/Gyn Clinical Problems, select a patient.

2. In this page of credits, you will see Click Here to See the Patient -- click there.

3. You will then be prompted to sign in as follows: 

4. User Name: (enter your first and last name as it appears in student records -- first letter of each name is capitalized and the remainder is lower case)

Password: (last four [4] digits of your SS#)

For some tips for working through the cases, click here.

Enter Cases

Electronic Fetal Monitoring
 

Enter Module

At this site, you will learn to interpret basic and advanced EFM patterns using a systematic approach, to use proper standardized tecnology, to appropriately document the patterns, and to properly manage the clinical situtations represented by the EFM pattern. Additionally, you will learn the history of EFM, they physiologic basis for EFM, the equipment currently used for EFM, and the recognized definitions of EFM patterns.At this site, you will learn to interpret basic and advanced EFM patterns using a systematic approach, to use proper standardized tecnology, to appropriately document the patterns, and to properly manage the clinical situtations represented by the EFM pattern. Additionally, you will learn the history of EFM, they physiologic basis for EFM, the equipment currently used for EFM, and the recognized definitions of EFM patterns.

How to Deal With Anger & Other Emotions

This website builds on previous experience in breaking bad news. The videos are scenarios that demonstrate how to deal with the various emotions that patients and families exhibit when confronted with bad news. Please watch scenario 1 which is the introduction and scenarios 4 & 6.

Pelvic Examination Training

1. ACP / ASIM Clinical Skills Series

   The Pelvic Examination: A Patient-Centered Approach

   Running time: 19:46

   Presented by Sandra A. Fryhofer, MD, and Owen Montgomery, MD

   Produced by Custom Video Production for the American College of Physicians and American Society of Internal Medicine. Permission granted by the ACP for UAB institutional use.

    

   Handouts for the Primary Care Approach to the Pelvic Examination (Word document)

   Important elements in a physical examination and focused sexual history

    

   Pelvic exam checklist  -- modified from the ACP / ASIM handouts

    

    

2. NEJM Videos in Clinical Medicine Series

    

   Procedures in Clinical Medicine: Pelvic Exam

Running time: 13:22

Alison Edelman, M.D., M.P.H., JoDee Anderson, M.D., Susanna Lai, M.P.H., Dana A.V. Braner, M.D., and Ken Tegtmeyer, M.D.(Oregon Health and Science University)

This video will demonstrate how to perform a comprehensive pelvic examination, which includes an examination of the external genitalia, a Papanicolaou test, a bimanual examination, as well as a rectovaginal examination. 

 

Pelvic Exam article in the NEJM that accompanies the video (pdf format).

 

3. Intrapartum Cervical Assessment Skills Lab

    

   System Design: Francis S. Nuthalapaty, M.D., Presented by Rachel M. Hansen, MS4

   This online toolkit provides a twelve minute didactic student lecture covering pertinent pelvic anatomy, stages of labor, steps in cervical assessment, as well as techniques, risks, benefits, and indications for cervical assessment. Also available is a ten minute instructors’ guide with a review of the current literature on this topic, step-by-step instructions for forming the clay models, and suggestions for implementing the lab.

    

   ---

Surgical Skills Training Curriculum

It is important to view these videos in the order listed below.

• Knot Tying Video Running time:  21:09 (Dr. A Ruhalter)

• Abdominal Wall Closure  Running time: 9:02 (Dr. Saint-Louis)

• Anatomy of the Perineum  Running time: 2:33 (Dr. Saint-Louis)

• Episiotomy Repair  Running time: 18:30 (Dr. Goepfert)