Integrated women’s health curriculum: An overview.
| ACTIVITY | DESCRIPTION | WHOM RESIDENTS REPORT TO | TIME COMMITMENT OR SCHEDULING | LOCATIONS |
|---|---|---|---|---|
| PCOB clinics | Primary care physicians who work at maternity clinics or private offices and provide prenatal and postpartum care for low-risk obstetrics patients Residents have the opportunity to develop continuity over the course of a patient’s pregnancy | Family physician or team of family physicians at the PCOB site | 1 half-day per week throughout the entire 24-week FM block time The PCOB clinic requires notification of any absences as soon as possible | Residents will be assigned to 1 of 4 PCOB clinics within Edmonton and area |
| PCOB on-call shifts | Residents can perform intrapartum care from an FM perspective and possibly perform deliveries for the same patients they have been following as outpatients Residents are responsible for patients from their PCOB clinics as they arrive in the case room | Individual family physicians who work on call for the PCOB clinic At the beginning of each on-call shift, residents must notify the PCOB physicians who are on call at their clinics | Minimum of 8 on-call shifts during FM block time; these shifts may or may not be combined with residents’ FM clinic call schedules PCOB on-call hours depend on individual PCOB clinics. Residents need to confirm details about their shifts with their specific PCOB clinics Site administrators coordinate the schedules for on-call shifts | PCOB on-call shifts are available at 1 of 4 main hospitals in Edmonton and area |
| 24-hour off- service on-call shifts | During these off-service shifts, residents have the opportunity to experience a high volume of deliveries, cesarean section assists, emergency department consultations, and inpatient perinatal, postnatal, and postsurgical calls, working primarily with obstetrician and gynecologist residents and specialists | Chief resident, the on-call obstetrician and gynecologist, or case room charge nurse | Minimum of 7 in-house on-call shifts generally scheduled within a single block time Off-service on-call shifts from 7:00 am–7:00 am Hospital or administration staff is aware that residents have been scheduled for these 24-hour on-call shifts. Residents must introduce themselves to the staff members, senior residents, case room charge nurse, and the obstetrician and gynecologist on call Site administrators coordinate the schedules for off-service shifts | 24-hour off-service on-call shifts are available at 1 of 3 main hospitals in Edmonton and area |
| Obstetrician and gynecologist horizontals | During office hours, residents should have the opportunity to assess and counsel patients with gynecologic concerns, as well as assist with or perform office gynecologic procedures | Obstetrician and gynecologist specialist or other women’s health– related clinic | Women’s health horizontal learning during entire FM block time Minimum of 6 horizontals for half-days Can be booked by FM resident or integrated curriculum coordinator | Numerous locations throughout Edmonton and area List of women’s health horizontals distributed via e-mail to all those participating in FM block time |
FM—family medicine, PCOB—primary care obstetrics.