The Department of Obstetrics & Gynecology at Lankenau Medical Center
has been teaching the third-year CORE curriculum to Jefferson’s junior
medical students for more than 30 years. Our faculty and residents are
committed to teaching students, who readily become part of the Ob/Gyn
team, function at a high level, and uniformly report a positive
Students are divided so that two are assigned to Gynecology, one to
Labor and Delivery, and one to Gynecologic-Oncology and one to Night
Float. The length of time each student spends on one service depends on
the number of weekdays students are at Lankenau during that particular
block. Students perform history and physicals, write progress notes and
orders on patients daily. The appropriate resident for each service is
the students’ preceptor for these activities. Students typically follow
between three to seven patients per day depending on their ability, and
ultimately are expected to be highly involved with patient care.
Following is a brief description of the specific experience received on
Gynecology – Monday/Wednesday mornings and
Friday afternoons, there is Ob/Gyn/Family Planning clinc. The
chief residents and the attending faculty supervisor teach
students during clinic. Students have the opportunity to observe
a variety of obstetric and gynecologic conditions—from normal
through high risk Obstetrics and from routine annual Gyn exams
through serious gynecologic pathology requiring medical and
Tuesdays and Thursdays are spent in the Operating Room with each student
assigned to specific cases. These occur both in the Ambulatory Procedure
Center where most minor procedures are done, and the main operating room
where major abdominal, laparoscopic and vaginal surgery is performed.
This is a unique experience because of the opportunity to assist not
only senior residents but also private faculty, thereby witnessing
different operative techniques. Students are expected to have performed
a patient’s physical and be knowledgeable of the history, diagnosis and
Obstetrics (Labor & Delivery) – This
student is in the Labor/Delivery Suite and on the mother/baby
floor. He/she may attend clinics on Monday and Wednesday
afternoons, which is exclusively for obstetric patients.
The PGY #2, who is the first line in-charge physician in Labor
and Delivery and the chief obstetric resident supervise the
student. With four Maternal-Fetal Medicine specialists on the
faculty and a Level III Neonatal Intensive Care Nursery, there
is ample exposure to both normal and high-risk deliveries. Once
again, with both a private and clinic patient population,
students may witness a variety of delivery methods including
vacuum, forceps and cesarean sections. Students are
expected to follow patients from admission throughout labor,
delivery and their postpartum course.
Gynecologic Oncology – This service is usually
busy with patients who may have serious medical or surgical
complications. The student works alongside the upper-year
resident assigned to Gynecologic Oncology, and our two faculty
gynecologic oncologists. In addition to the operating room and
the Gynecologic Oncology nursing floor, time is spent in the
gynecologic oncologists’ private office, where colposcopy,
cryosurgery and other minor diagnostic procedures are performed.
While this service is probably the most demanding for the
student during his/her Ob/Gyn clerkship, the surgical and
critical care exposure is invaluable. One of the gynecologic
oncologists is an extremely talented laparoscopic surgeon, who
is credentialed in use of the DaVinci robot. This adds another
dimension to the Gyn Oncology service.
Night Float – This student covers the entire
house for Ob/Gyn just as the residents on call do. However, the
majority of time is obviously spent in Labor and Delivery since
Obstetrics is a 24-hour a day service. The experience also
encompasses Ob/Gyn patients in the Emergency Room, whether
requiring consultation or possible emergent surgery. Like the
residents, students on night float are considered to be on a
night shift and stay up all night. Night float duty is from 5:00
pm weekdays (6:00 pm Sundays) until 7:00 am the next morning.
Students are exposed to multiple opportunities for didactic learning.
There is mandatory attendance at daily sign in, the weekly departmental
conference, and the residents’ academic conferences, the ten
student-oriented lectures given by members of the faculty, as well as
the Jefferson Friday afternoon lecture series. Included in this listing
are problem-based learning sessions facilitated by Michael Belden, MD
the student director. Conferences, lectures and rounds take precedence
over all other duties. Students are responsible for all material given
in conferences whether or not they attend.
The students' day begins about 5:45 am. The first order of business is
morning rounds, which need to be completed by 7:00 or 7:30 am, depending
on the day of the week, in order to attend sign-in. Students are
dismissed at the conclusion of sign out daily, which generally occurs
about 5:00 pm. Unless they are on call, it is not necessary for students
to come into the hospital on Saturdays or Sundays.
For more information, call 1.866.CALL.MLH.