E L E C T I V E S

THE DEPARTMENT OF OBSTETRICS and GYNECOLOGY & WOMEN'S HEALTH

H500 Reproductive Endocrinology |H503  Perinatal Research Elective | H504  Maternal Fetal Medicine | H508  Reproductive Endocrinology and Infertility | H509  Reproductive Genetics - Institute for Women's Health Genetics and Human Reproduction |H510 Subinternship in Gynecology |H601  Subinternship in Obstetrics | H602  Gynecologic Oncology | H603  Subinternship in Obstetrics and Gynecology | H604 Subinternship in Obstetrics and Gynecology | H700 Perinatal Medicine- LIJ | H701 Gynecologic Oncology- LIJ | H703 Nutritional Influences on Pregnancy | H704 Ultrasound in Obstetrics & Gynecology H705 Ambulatory High Risk Obstetrics | K528 Obstetrical MedicineH801 Reproductive Endocrinology & Infertility- Beth Israel  | H802 Gen Obstetrics & Gynecology- Beth Israel | H803 Maternal Fetal Medicine- Beth Israel

 

All students planning an elective in Obstetrics & Gynecology and Women's Health should meet Dr. Nadine Katz prior to registration.  Please call (718) 430-3205 to set up an appointment.

H500 Reproductive Endocrinology

The student will see patients who have problems with reproductive hormone (some male, although mostly female patients).  Patients will be followed in the Gyn-Endo, and Medical Endocrine Clinic and in Dr. Freeman's private practice of Endocrinology Menopause and Osteoporosis on Mondays PM and Thursday AM.  Students will participate in the bone densitometry procedures and evaluations.

The student may participate in research regarding treatment of postmenopausal patients and osteoporosis.  We are currently enrolling patients in the KEEPS (Kronos Early Estrogen Prevention Study) and have additional ongoing clinical trials.  There is a new study of the glucose levels over 3 days, including regular activities in PCOS patients. 

Students wishing to do an elective should call Dr. Freeman at (718) 405-8152.

Dr. Ruth Freeman (718)405-8152
rfreeman@montefiore.org

All Modules
Half or Full Modules
6 month Research available.
Minimum 1- Maximum 2
Student to contact Dr. Freeman prior to the start of the elective.
 

H503  Perinatal Research Elective - Jacobi Medical Center

This experience is offered to provide an opportunity to participate in ongoing research for students with an interest in perinatal biology. Projects will involve the general areas of fetal and maternal physiology. Specific departmental areas of interest include basic aspects of fetal lung maturation, sympathetic nervous system function, and blood pressure regulation during pregnancy. Students will be actively involved in a research activity of their own, or will interface with ongoing activities in the laboratory. It is anticipated that they will develop some technical research skills, and will develop expertise in obtaining, analyzing and presenting scientific data.


In addition to participation in the research, the student will comprehensively review a related aspect of the literature and present a verbal and written report of this area.

Dr. David Garry
All Modules
Full-Time
Minimum 1 - Maximum 2
Consultation with Dr. Garry is required prior to registration.
A Minimum of two months' commitment is necessary.

H504  Maternal Fetal Medicine - Jacobi Medical Center

Management of complicated obstetrical patients in inpatient and outpatient settings.

Dr. David Garry
All Modules
Full-Time
Minimum 1 - Maximum 2
Students to be notified by Department as to time and place of meeting.

H508  Reproductive Endocrinology and Infertility: Fertility and Hormone Center, Montefiore's Institute for Reproductive Medicine and Health (Hartsdale, New York)

Observation of patient care and direct patient care (at Jacobi Medical Center clinic).  Students will observe monitoring of follicle growth, oocyte retrievals and office practice in Reproductive Endocrinology and Infertility (REI).  Weekly seminars with the Division Director or Associate Director.  Readings and conferences on clinical cases of Infertility and Reproductive Endocrinology.  Students will have to provide their own transportation to the Westchester sites.

         Dr. Staci Pollack (718) 430-3152
         pollack@aecom.yu.edu
         All Modules
         Full time
         Maximum 1
         Student to contact Drs. Pollack prior to registration at (914) 523-0226

H509  Reproductive Genetics - Institute for Women's Health Genetics and Human Reproduction (1695 Eastchester Road, Bronx)

Reproductive Genetics offers a clinic experience dealing with patients and couples with genetic or genetically-related disorders seen in obstetrical practice. This includes couples with problems of infertility, pregnancy wastage, and factors contributing to adverse pregnancy outcome. Opportunity will be provided to participate in genetic screening and counseling, prenatal diagnosis by amniocentesis, chronic villus sampling or cordocentesis, teratogen counseling, and other approaches useful in the application of the most current genetic knowledge to obstetrical practice.

Dr. Susan Klugman
All Modules
 Full-time
Minimum 1 - Maximum 2
Student to contact Dr. Klugman prior to start of elective.

H510 Sub-internship in Gynecology- WHAECOM

Description of Program:

The student will spend one month on the Weiler Gynecology Service. The purpose of the sub-internship is to give the student an in-depth exposure to benign Gynecology, GYN surgery and the Gynecologic aspects of a career in Obstetrics and Gynecology.  Many of the third year clerkships place a stronger emphasis on obstetrics and sub-internships are available for Obstetrics and for Gyn Oncology (specifically dealing with Gyn malignancies, and the surgical and non surgical management of them). This rotation will provide the student with the opportunity to function on an intern level, and play an active role in the pre-operative, intra-operative and postoperative management of benign gynecological patients. 

The student will first assist on a variety of major and minimally invasive GYN procedures and will function as an integral member of the team.   

Activities and Responsibilities of Students:

The student will be required to round daily with the team at 7 am and present to the GYN attending on service. The student will perform complete admission histories and physicals, formulate a differential diagnosis, develop a diagnostic and therapeutic plan and present to the senior resident. The student will participate in Emergency Room consults and pre-operative clinics with the GYN team. The student will be responsible for subsequent management and daily follow-up for each patient assigned. The student will participate in all GYN conferences. 

The student will have the opportunity to hone his/her surgical skills and be given  the opportunity to perform exams under anesthesia, D&Cs, hysteroscopy, fascia and skin closure as well as GYN sonograms and endometrial biopsies.

Each student will be required to give an oral topic presentation to the GYN residents and attending as well as submit a written case write-up.

Objectives:

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At the end of the elective the student should:

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Have experience with commonly encountered GYN problems (fibroids, polyps, endometriosis, urinary incontinence, prolapse) and be able to discuss the management of each.

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Be able to describe indications for commonly performed abdominal, vaginal and laparoscopic procedures.

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Be able to discuss work up and treatment options for common gynecologic disorders (i.e. abnormal vaginal bleeding, pelvic pain, etc).

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Understand anticipated results and potential complications for various treatments of gynecological disorders.

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Demonstrate knowledge of preoperative and post-operative care.

          Supervising Attendings:
          Erika Banks MD, Director of Gynecology
          Janice Falls MD, Associate Director of Gynecology
          Amy Kesselman MD, Associate Clerkship Director

         
Duration: One Month
         Typical Day: 7am-6pm Monday-Friday. Two weekend day calls covering GYNconsult service.
        
         Months offered: All
         Number of students: One per month
         Prerequisite: Successful completion of third year. 

         Contact information: Drs. Banks or Kesselman
        
(718) 904-797)
      
  Weiler 7th floor

H601  Subinternship in Obstetrics - WHAECOM

Students participating in this subinternship will have the unique opportunity of becoming an active and integral part of the house staff team on our Labor and Delivery suite as well as our Antepartum and Postpartum units. The student will participate in the management of in-patient obstetrical and high-risk patients, from admission through delivery. The student will be involved in daily rounds and all educational conferences.

Dr. Amy Kesselman
All Modules
Half or Full Module
Full Time

K528 Obstetrical Medicine 

The elective, a joint offering of the Department of Medicine and Obstetrics, may be of interest to students considering any primary care field involving women of reproductive age.  Clinical activities will take place in outpatient and inpatient sites where care is provided for women with medical and obstetrical conditions complicating pregnancy.

The focus will be on:

1. Physiologic adaptations to pregnancy and how they alter care of other conditions.
2. Preconception evaluation and intervention for well women and women with prior illness.
3. Common medical disorder in pregnancy including diabetes, hypertension, asthma and thromboembolism.
4. Common complications of pregnancy including pre-eclampsia, anemia and gestational diabetes.

     Dr. Cynthia Chazotte
     (718-904-2794)
     and Dr. Ellen Harrison
     chazotte@aecom.yu.edu 
     All Modules
     Half or Full Module
     Full Time
     Maximum 1 student

H602  Gynecologic Oncology - WHAECOM

A subinternship is offered to provide an opportunity for the student to participate in the overall management of gynecologic oncology patients. The student will be exposed to acutely and chronically ill patients with gynecologic malignancies.  It is anticiapted that the student will be present at procedures such as central venous line placement, paracentesis, infusion catheter placements, etc.  The student will participate in pre and post operative management of patients on the gynecologic oncology service.  The basic principles of chemotherapy and radiotherapy will be introduced.  There is exposure to multiple and varied clinical settings and extensive surgical time in the operating room.  Didactic and bedside teaching with attending gynecologic oncologists, gynecologic oncology fellows and OB/GYN occurs on a daily basis.  Interested students are encouraged to participate in ongoing clinical and/or basic research projects.  Previous students have submitted their research for publication in peer reviewed journals and these have been presented at national cancer conferences and meetings.


Dr. Gary L. Goldberg (904-2893)
ggoldber@montefiore.org
All Modules, Full-Time
Maximum 2
Student to be notified by the Department.

H603  Subinternship in Obstetrics and Gynecology - Bronx-Lebanon Hospital Center

The student will have clinical exposure to Ob/Gyn inpatient as well as out patient assignment.  The management of normal and abnormal labor will be observed and actively participated in with instruction and direction by the resident and attending staff.

         Dr. Magdy Mikhail (718) 239-8383
         Full or Half Modules
         Maximum 2
         Students to contact Dr. Mikhail prior to the start of the elective.

H604 Subinternship in Obstetrics and Gynecology - Jacobi

The new program will afford the individual an opportunity to become actively involved as a part of the house staff in the clinical management of patients in various aspects of Obs/Gyn: OPD, Antepartum-Postpartum wards, gyn ward, O.R. and labor-delivery unit. Clinical activity will be supervised by the chief resident with instruction from the resident and attending staff. Daily rounds, teaching seminars, conferences, O.R. and labor-delivery experience will be an integral part of this elective program.

This subinternship will provide the individual with a hands-on experience to learn what the field of Obs/Gyn encompasses. Those who have been undecided in their decision as to specialty choice will be in a better position to choose; those who decide to apply or a residency will allow the attendings a better opportunity to evaluate them for our program as well as for a better in-depth recommendation; and for a large group of students who desire more Ob/Gyn experience.

         Dr. David Garry
         All Modules
         Half or Full Module
         Full-Time
         Student to be notified by the Department.

H700  Perinatal Medicine- Long Island Jewish Medical Center

The aim of this Clinical Clerkship is for the student to develop the basic understanding of the diagnosis and management of obstetrical and perinatal complications.  The student will participate in rounds on the Obstetrics and Postpartum floors, attend "high risk" Prenatal Clinic, Antepartum Clinic and Perinatal Mortality and Morbidity Conferences.  Assignment will be made to a senior resident on the obstetric service for continuous supervision and night call rotation.  He/she will follow Obstetric patients in labor ith resident or attending physician, interpret fetal heart rate/uterine contractility, monitoring, learn the role of fetal scalp ph sampling during labor, and participate in vaginal and abdominal deliveries and the immediate neonatal care.
  
          Dr. Adiel Fleischer (718) 470-7636
          Dr. Denise Guidetti (718) 470-7664
          All Modules
          Full time
          Minimum 1, Maximum 2
 
Student to be notified by the Department.
    

H701 Gynecologic Oncology- Long Island Jewish Medical Center

The major objective of this clerkship is for the student interested in Gynecologic Oncology to develop the basic skills of diagnosis and treatment and prevention of female genital cancer.  A tailored schedule will be made for each student.  The schedule consists of daily bedside rounds, Gynecologic Tumor Clinic, multidisciplinary Gynecologic Oncology Conference, Departmental Grand Rounds, work-up and follow-up of assigned patients with gynecologic neoplasms, operating room hands-on experience by scrubbing in cancer surgery, detection of cervical cancer, precursors through colposcopy and literature search of clinical topic related to gynecologic cancer for written report.  Emphasis will be focused on application of current concepts in managing gynecologic malignancy.

         Dr. David Smotkin (718) 470-7660
         All Modules, Full time
         Minimum 1, Maximum 2

Student to be notified by the Department
 

H703 Lipid-soluble antioxidants and Pregnancy- Bronx Lebanon Hospital Center

A study of the relationships of lipid soluble antioxidant in (a) normal pregnancy and it's related toxemia and (b) spontaneous abortion is currently ongoing.  The student will be actively involved in this study, including the possibility of conducting a project of his/her interest.  It is anticpated that the individual will gain research skill and will develop a better understanding of the significance of nutrition in reproductive biology.

          Dr. Prabhudas R. Palan (718-239-8308)
          daspalan@aol.com
          ppalan@bronxleb.org

          Dr. Magdy Mikhail (718-239-8383)
          All modules
          Half or Full Module
          Maximum 1
          Students should contact Dr. Palan or Dr. Mikhail prior to registration.



H704 Ultrasound in Obstetrics and Gynecology-Weiler Hospital

Students will be involved with both Obstetrical and Gynecological ultrasound examinations including participation in maternal-fetal assessment rounds. Students will learn diagnostic skills, technical aspects of the examination and management protocols.

         Dr. Peer Dar
         1695 Eastchester Rd. L-4
         peerdar@yahoo.com
         (718) 405-8218

         All modules
         Full Time
         Maximum 2


H705 Ambulatory High Risk Obstetrics- Weiler Hospital

Students will join with the perinatal team in diagnosis and managing various complications of pregnancy. Students will gain experience by participating in patient care in the Obstetrical ultrasound unit, the Maternal-Fetal Assessment Center, the Diabetes in Pregnancy Program and the High Risk pregnancy program at the MMG-CFCC site.

          Dr. Cynthia Chazotte (904-2794)
          chazotte@aecom.yu.edu
          All Modules
          Full Time
          Maximum 2


H801 Reproductive Endocrinology and Infertility- Beth Israel Medical 
Center

By permission of the instructor. Exposure to the office practice of reproductive endocrinology and infertility; observation of pelvic and surgical reconstructive procedures, with emphasis on operative laparoscopy. Evaluation of patients in reproductive endocrinology clinic. Exposure to in vitro fertilization and other assisted reproductive technologies will be available.

         Dr. Peter Chang (212) 844-8587
         All Modules
         Half Modules
         Full Time
         Maximum 1
Students report to 8 Baird (Departmental Office)- Beth Israel Medical Center at 11:00Am on the first day.


H802 General Obstetrics and Gynecology- Beth Israel Medical Center


This elective represents a subinternship in Obstetrics and Gynecology. The student will assume responsibility for management of patients at the same level as a junior house officer, to the extent of the laws, regulations and student’s ability permit. This experience has proven valuable for individuals who are considering a career in Obstetrics and Gynecology.

         Dr. Adam Buckley (212) 420-4035
         All Modules
         Half Modules
         Maximum 1

Consultation with Dr. Buckley is required prior to the start of the elective.

H803 Maternal Fetal Medicine- Beth Israel Medical Center

The student will be exposed to Antepartum diagnosis (including ultrasound and to some extent, genetics) and to management of high-risk obstetrics in the out-patient setting and on the labor and delivery unit. By permission of instructor.

          Dr. Janet Stein (212) 420-4236
          All Modules
          Half Modules
          Maximum 1

Students are to report to Baird 8 (Department Office)- Beth Israel Medical Center at 11:00Am on the first day.