Clinical Rotation Mother and Child
Full course description
The clinical rotation starts with a preparatory week in which the students will regain knowledge of the main problems of the disciplines of Gynecology and Obstetrics, Pediatrics and Clinical Genetics. In the next nine weeks the student will stay in the various departments of Gynecology and Pediatrics. The rotation consists of nine weeks in the pediatrics and in obstetrics/gynecology department. Students will be stimulated to manage four to six patients under supervision of a resident or pediatrician/gynecologist. The students use the patients and parents they see as the starting points for their learning. Specific skills that should be addressed in this rotation include: physical examination of the pregnant woman, the new-born child, and the female genitalia. Students should learn to assess growth and development of a child (Tanner stadia, growth curve, et cetera). Based on their patient contact, students will gain insight into the importance of history taking, physical diagnostics, additional diagnostics and treatment, and more specifically in abnormal pathology: Pathophysiology. Every week the students will return to Maastricht for a wrap up day to meet each other in small groups under guidance of an expert teacher. They will present patient casus, engage in case-based discussions and gain more in depth knowledge of the specific health issues of mother and child and relate them to the basic sciences.
• The main goal of the clinical rotations in general - and of the clinical rotation Mother and Child in particular - is the ongoing development of the seven CanMed competencies (medical expert, team player, communicator (with mother and child), organiser, health promoter, professional and academic) by working on the issues related to illness and health in the encounter with the patients and in the discussions during the preparatory week and wrap up days. • The student will again take note of the general issues related to illness and health being aware of the gender, age and the time of life of the patient. • The student will take note of the specific issues related to illness and health. • The student will show growth and development of the competencies over time dealing with increasing familiarity with the issues specific for mother and child. • The student will gain more in depth knowledge of the issues, relate them to the basic sciences, develop his academic skills by presentations, lectures and case-based discussion with his fellow students and teachers in the wrap up days. • In addition to the general skills - as taking a medical history, performing a physical examination, interpreting supplementary diagnostics, practicing therapeutic skills and showing communicating and reporting skills - the student will show the following skills in a correct and approved manner: - examination of the female genitalia: inspection of external and internal genitalia: vulva, perineum, speculum examination; palpation by means of bimanual examination (vagina, cervix, uterus, and adnexa); - ante-natal examination (external examination), such as palpation of the size of the uterus, external assessment of fetal position and engagement, foetal heart sounds; - examination of the new-born baby: recording Apgar score, checking for congenital or other anatomical and functional abnormalities, assessment of fontanelles, examination of the hip joints, suctioning oral cavity and pharynx; assessment of motor system, symmetry, muscle tone, posture, and reflexes; - examination of the new mother: including assessment of the lochia, palpation of fundal position, inspection of breasts, examination of abdomen, legs, and (if applicable) episiotomy scar, and checking lactation; - assessment of the child development (Tanner-stages; developmental milestones according to Illingworth) and the anthropometric data, such as length, weight, circumference of the skull, length of arms and legs.