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MFM Objectives PGY3

Page history last edited by Patrick Newman 3 years, 8 months ago

MFM Rotation ultrasound – PGY 3 Objectives

 

Objectives

 

Understand the diagnosis and management of fetuses at risk for anemia Gyn ultrasound

 

  • Recognize and describe ultrasound evaluation of anatomic locations of leiomyomas.
  • Recognize endometrial abnormalities Recognize and describe  sonographic characteristics of  polycystic ovaries, hemorrhagic cysts, endometriomas, teratomas, ovarian fibromas.
  • Recognize and describe the sonographic characteristics of tubal pathology such as hydrosalpinges, tubo-ovarian abscesses.
  • Recognize and describe sonographic characteristics of adnexal torsion Recognize and describe sonographic characteristics of malignant adnexal masses.
  • Use 2D and 3D ultrasound for IUD location.

 

Ultrasound in the Second and Third Trimester  - Normal and abnormal

 

  • Understand basic 3D techniques for ob scanning.
  • Understand indications for detailed  fetal ultrasound and CVS/Genetic amniocentesis.
  • Recognize and describe normal fetal CNS and spine  anatomy and common malformations.
  • Recognize and describe normal fetal facial and neck anatomy and common malformations.
  • Recognize and describe normal fetal heart and pulmonary  anatomy and common malformations.
  • Recognize and describe  normal fetal skeletal anatomy and common malformations.
  • Recognize and describe normal  fetal intraabdominal anatomy and common malformations.
  • Recognize and describe  abdominal wall abnormalities.
  • Recognize and describe normal fetal pelvic anatomy and common malformations.
  • Recognize and describe ultrasound diagnosis of hydrops. 

 

             
Rotation WEEK Resources to Complete Scanning Objectives   
WK 1  Pre- Test  
 

Fetuses at risk for anemia  / MCA Doppler

 

ACOG Practice Bulletin075 Isoimmunization

 

SMFM  publication Fetal At Risk Anemia

 

MCA Doppler Technique  Dr Mari

 

  • Perform  MCA PSV dopplers, screen for hydrops.

 

  LOG ALL STUDIES

     
 WK 2

Multiple gestation uncomplicated and complicated

 

ISUOG Twins

 

Placental and Cord Anomalies in Twins

  • Scan as many twins as possible.
  • Continue refining the techniques for weeks 1 and 2.

 

LOG ALL STUDIES

     
  WK 3-4

 Gyn ultrasound  – STILL UNDER DEVELOPMENT

 

Gynecologic ultrasound : A Problem Based Approach Beryl Benacerraf

 

ACOGPracticeBulletin174EvaluationandManagementofAdnexal Masses

 

Use these as references for your objectives

 

  • Introduce Basic 3D views to your scans.

 

LOG ALL STUDIES

     
  Wks 5- 8  Fetal Anomalies LOG ALL STUDIES
WK 5

Introduction to fetal anomalies

 

Twining's Textbook of Fetal Abnormalities, Third Edition 

 

  • Chapter 1 First Trimester Detection of Fetal Anomalies
  • Chapter 2 Fetal aneuploidies
  • Chapter 3 Routine fetal anomaly scan
  • Chapters 6 Prenatal Diagnosis of Fetal Infections
  • Chapter 7 Fetal Anomalies – The Geneticist’s Approach
  • Chapter 8 Diagnosis of Hydrops and Multiple Malformation Syndromes
  1. Zika JAMA article
  2. SMFM - Non immune hydrops
  • Begin attention toward normal and abnormal per organ system.
  • Explain results to patients Write all the AS reports on your patients throughout rotation.

 

LOG ALL STUDIES

WK 6

CNS, Spine, Head and Neck

 

Twining's Textbook of Fetal Abnormalities, Third Edition

  • Chapter 11 Cranial Anomalies
  • Chapter 12 Diagnosis of Spina Bifida and other Dysraphisms of the Fetus
  • Chapter 13 Abnormalities of the face and Neck
  • Continued attention toward normal and abnormal per organ system.

 

LOG ALL STUDIES

WK 7

FETAL HEART

 

GE  Voluson Fetal Heart

 

ISUOG Cardiac Screening

 

Twining's Textbook of Fetal Abnormalities, Third Edition

  • Chapter 14 Cardiac anomalies and arrhythmias
  • Chapter 15 Pulmonary abnormalities
  • Hone Fetal Cardiac Skills         
WK 8

Twining's Textbook of Fetal Abnormalities, Third Edition  Chapters 16,17,18:

  • Chapter 16 Skeletal Abnormalities
  • Chapter 17 Abdominal and Abdominal wall abnormalities
  • Chapter 18 Urinary Tract Abnormalities
  • Finalize your own protocol for performance of a complete standard ob ultrasound.
  • Written Test.
  • Practicum MFM Attending
 

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