MFM Objectives PGY3

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 Intro to 3 D : 3D Basic Techniques – GE	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 Zika JAMA article 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