Contact Information

Office of the University Registrar


Uniformed Services University of the Health Sciences
Office of the University Registrar
4301 Jones Bridge Road, A1041
Bethesda, Maryland 20814-4799

Fourth-Year Clerkship Coordinator

Mrs. Xochilth J. Torres
Registration Specialist/Registrar Assistant
Phone: (301) 295-3448
E-mail: xochilth.torres@usuhs.edu

Course Descriptions by Department- Obstetrics/Gynecology

Fourth year elective clerkships and sub-internship are designed to permit medical students to gain a greater depth of understanding of principles of women's health care in Obstetrics and Gynecology. The foundation, of course, is expected to have been acquired in the core third year clinical clerkship experience. Knowledge, skills, and abilities at a more advanced level in a more focused aspect of Obstetrics and Gynecology will be expected at the conclusion of a four-week elective clerkship. In contrast, the eight-week sub-internships are designed to provide senior medical students the opportunity to gain greater depth and breadth of knowledge and skills together with increased independence of judgment under staff and resident supervision in order to help prepare the students for their first post-graduate year experiences. Such students are expected to demonstrate increased initiative in the care of their patients and increased knowledge gained through more advanced reading and discussion of principles related to the care their patients.

All four week elective clerkships and eight week sub-internships must be arranged through the Medical Education office at each site and officially scheduled by completion of USUHS Form 1304, Confirmation Record. In accordance with the individual fourth year student's academic and clinical preparation needs the resources available in obstetrics and gynecology at a particular uniformed service training site, a student may develop an elective rotation which is not listed herein.

OBR4200, Ambulatory Obstetrics/Gynecology
OBR4210, General Obstetrics Clerkship
OBR4220, General Obstetrics/Gynecology Clerkship
OBR4230, Gynecology Clerkship
OBR4250, Material-Fetal Medicine Clerkship
OBR4270, Repro/Endocrinology Clerkship
OBR4280, Techniques in Repro Research
OBR4330, Gynecologic Oncology
OBR4340, Urogynecology
OBR4370, Gynecology Oncology S.I.
OBR4375, Urogynecology S.I
OBR4310, Obstetrics/Gynecology S.I.

Course #: OBR4200, Ambulatory Obstetrics/Gynecology
Course Type: C
Department: OBR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Clerkship in the ambulatory setting will allow student to develop and refine skills in output assessment/management. It is expected that during this rotation the student will become proficient in the gynecologic examination, family planning techniques & counseling, routine obstetric care, and evaluation of common gynecologic disease processes.

Comments: For further info, consult OB/GYN objectives at the beginning of this section.

Sites: DAMC, NNMC, WPMC

Course #: OBR4210, General Obstetrics Clerkship
Course Type: C
Department: OBR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Clerkship focuses on the conduct of normal labor & delivery. The student will evaluate & assess normal & complicated obstetric outpatients & inpatients. Student will monitor their labor, participate in deliveries, & provide postpartum care as indicated. Participation on patient rounds & attending teaching conferences is mandatory, as is night call, as scheduled.

Comments: For further information, consult OB/GYN objectives at the beginning of this section.

Sites: DAMC, MAMC, MGMC, PMMC, SDMC, TAMC, WHCW

Course #: OBR4220, General Obstetrics/Gynecology Clerkship
Course Type: C
Department: OBR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Member of OB/GYN team in clinic/ward/labor/delivery. Evaluate normal/high-risk antepartum pts, monitoring, maternal/fetal assessment techniques, follow/assist uncomplicated deliveries. Assist/observe complicated deliveries, c-sections, ob anesthesia, ultrasonography. Complete pts H&P's. Identify/assess gynecologic disorders. Preop eval, assist surgery, postop mgmnt of Gyn pts.

Comments: Attendance at all rounds, conferences, and night call as scheduled, is required.

Sites: DAMC, DGMC, GANM, IHSM, JAMC, KEMC, LAND, MAMC, PMMC, SACP, SDMC, TAMC, WHCW, WHMC, WPMC

Course #: OBR4230, Gynecology Clerkship
Course Type: C
Department: OBR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Student functions as member of ward health care team. Participate in gynecologic clinics/daily rounds of the hospitalized pts. Responsible for pts eval & mgt. Assist with diagnostic procedures, med treatment, preoperative evaluation & postoperative care of surgically managed pts, operative procedure performed on pts. Attend all specialized gynecology pts mgmt conferences, & dept academic sessions.

Comments: Night call as scheduled.

Sites: LAND, MGMC, NNMC, WHCW, WRMC

Course #: OBR4250, Maternal-Fetal Medicine Clerkship
Course Type: C
Department: OBR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Prepare student for care of high-risk antepartum pts. Attend specialized perinatal clinics, assess complicated ob pts, provide counseling, assist w/diagnostic procedure as amniocentesis/ultrasonography. Function as member of ward team, rounds & planning mgmt of care. In depth reading/library research about pts conditions so as to plan pts mgmt & present at perinatal conferences.

Comments: For further info, consult OB/GYN objectives at the beginning of this section.

Sites: DGMC, KEMC, MAMC, NNMC, PMMC, SACP, SDMC, TAMC, WHMC, WPMC

Course #: OBR4270, Repro/Endocrinology Clerkship
Course Type: C
Department: OBR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Requires involvement in evaluation of pts w/ clinical problems related to gyn endocrin, infertility. Assist w/ output evaluation; learn procedures as hysterosalpingograms, postcoital test, endometrial biopsies. Participate w/ inpatient med and/or surgical mgt & care, assist w/ operative procedures. Pts case presentations/advanced reading in selected topics will be required as assigned.

Comments: Attendance at specialized endocrinology and department conferences is mandatory.

Sites: DGMC, KEMC, MAMC, PMMC, SDMC, TAMC, WHMC, WPMC, WRMC

Course #: OBR4280, Techniques in Repro Research
Course Type: C
Department: OBR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Provide understanding of theory & lab application of radioimmunoassay of protein & steroid hormones, measurement of receptors, establish & propagation of cells in culture & chromotography. Develop skills in lab; observe interactions between basic research & clinical med experimental design, & statistical analysis of data. Contact OB/Gyn dpt several weeks prior.

Comments: For further info, consult OB/GYN objectives at the beginning of this section.

Sites: USUB

Course #: OBR4330, Gynecologic Oncology
Course Type: C
Department: OBR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: Participate in daily rounds of hospitalized pts, assist with medical evaluation/management. Participate in preop evaluation & post op care of surgically mgnd pts. Assist with diagnostic, mgmt/surgical procedures performed on pts. This includes paracentesis, thoracentesis, radical surgery & chemotherapy administration. Attendance at all dept & oncology mgt conferences is required.

Comments: For further info, consult OB/GYN objectives at the beginning of this section.

Sites: BAMC, KEMC, MAMC, PMMC, SDMC, TAMC, WPMC, WRMC

Course #: OBR4340, Urogynecology
Course Type: C
Department: OBR
Duration: 4
Hours: 5
(Letter/Pass/Fail): P

Description: The Urogynecology (UroGyn) Rotation takes place primarily at Walter Reed Army Medical Center, the site of our fellowship in Urogynecology and Female Pelvic Reconstructive Surgery and may also include the National Naval Medical Center.

This rotation is geared toward fourth-year students with a special interest in obstetrics and gynecology or urology. Our goals are:

  • To expose students to the variety of surgical procedures performed by gynecologists
  • To teach preoperative evaluation of the surgical patient
  • To foster a basic understanding or preoperative urodynamic testing
  • To have students function as a capable operative assistant appropriate to their year level
  • Active participation by students in the postoperative care of patients
  • To lay the foundation for a robust fund of knowledge

To accomplish these goals the student is to expect to perform as an integral member of the Urogynecology Team to include:

  • Rounding on patients with the resident physicians
  • Present in the operating room and scrubbed in on cases
  • Attendance at and preparation (reading) prior to faculty lectures
  • Preparation and presentation of a short talk on a topic of the student's choosing
  • Attendance at weekly Thursday Morning Academics Program and Journal Clubs
  • Completion of the Residents' weekly reading assignment and quiz

Grading of the rotation is subjective. Participation in, preparation for, and performance of the above activities will be judged by the UroGyn Chief resident and faculty. Fund of knowledge will be assessed by daily questioning in the clinical care setting and by the student's knowledge of the topic for preparation and presentation.

Comments: For further info, consult OB/GYN objectives at the beginning of this section.

Sites: NNMC, WRMC

Course #: OBR4370, Gynecology Oncology S.I
Course Type: S
Department: OBR
Duration: 4
Hours: 8
(Letter/Pass/Fail): L

Description: Subintern will further develop patient assessment and management skills and will participate in rounds, assisting with medical evaluations, management, and pre-/post-operative care of surgically managed patients. Subintern will focus in-depth on the diagnostic, management/surgical procedures performed on gyn/onc patients. This includes paracentesis, thoracentesis, radical surgery and chemotherapy administration. Mandatory attendance at all rounds, departmental, and interdepartmental conferences.

Comments: Night call is every fourth night. Consult OB/GYN objectives at beginning of section.

Sites: DGMC, KEMC, MAMC, PMMC, SDMC, WPMC, WRMC

Course #: Course #: OBR4375, Urogynecology S.I
Course Type: S
Department: OBR
Duration: 4
Hours: 8
(Letter/Pass/Fail): L

Description: Subintern will further develop patient assessment and management skills and will participate in rounds of hospitalized patients, assist with medical evaluation, management and pre-/post-operative evaluation and care of surgically managed patients. Subintern will focus in depth on diagnostic, management/surgical procedures performed on uro/gyn patients. This includes urodynamic testing, radical pelvic floor surgery, and complex evaluation of pelvic floor defects.

Comments: Attendance at patient management and departmental conferences are required. Night call every fourth night.

Sites: BAMC, DGMC, KEMC, MAMC, PMMC, SDMC, WPMC, WRMC

Course #: OBR4310, Obstetrics/Gynecology S.I.
Course Type: S
Department: OBR
Duration: 4
Hours: 8
(Letter/Pass/Fail): L

Description: Subintern will further develop patient assessment and management skills, and will participate in rounds, assisting with medical evaluations, management, and pre-/post-operative care of surgically managed patients. Subintern will be a member of the OB/GYN team in clinic/ward/labor/delivery. Subintern will focus in-depth on the diagnostic, management/surgical procedures performed on obstetrics and gynecology patients. This includes evaluation of normal/high-risk ante-partum patients, assist/observe complicated deliveries, c-sections, obstetrical anesthesia, ultrasonography and identify/assess complex gynecologic disorders.

Comments: Attend/participate all rounds/conferences is required. Night call every 4th night.

Sites: BAMC, DGMC, GANM, KEMC, MAMC, PMMC, SDMC, WPMC, WRMC