Department of Family & Community Medicine

Enhanced Skills Program: Women's Health Program - Selectives Rotation Goals and Objectives

Description

The trainee will choose three of the following four selectives to complete with an approved supervisor for a minimum of 2 weeks each.

 

Selective

Duration

Location

Breast Diseases

2 weeks minimum

Approved Supervisor

Osteoporosis

2 weeks minimum

Approved Supervisor

Menopause

2 weeks minimum

Approved Supervisor

Sexual Health

2 weeks minimum

Approved Supervisor

*Mandatory selectives may be undertaken as blocks or horizontally but must fulfill the minimum time requirement. Any horizontal experiences must include a formative assessment mid-way through.

 

Goals and Objectives

 

BREAST DISEASES

At the end of the Breast Diseases selective, the Women’s Health PGY3 will be able to:

 

Medical Expert

1. Identify women at high risk for breast disease and initiate appropriate screening

2. Counsel women on their own personal risk for breast cancer based on family history and lifestyle choices

3. Discuss with women evidence based breast cancer prevention / risk modification approaches

4. Demonstrate a knowledge of different diagnostic methods for breast diseases including details around best practices for imaging of women of various age groups and risk categories

5. Explain the risks and benefits of various procedures used for both diagnosis and management of breast cancer

6. Demonstrate an understanding of the prognosis for women with breast cancer based on the grade, stage, receptor status and available genetic information of the tumour/woman

 

Communicator

  1. Display effective, empathic, professional and non-judgemental written and verbal communication skills, including communication with patients as well as appropriate documentation and use of EMR

Collaborator

      1.      Demonstrate effective collaboration with medical and other health care provider team members to ensure comprehensive and timely patient care

 

Leader

                  1.      Demonstrate good time management skills

                  2.      Carry out appropriate clinical services in the context of limited resources

 

Health Advocate

                  1.      Respond to the health needs of individual women and advocate for unmet needs as appropriate

 

Scholar

      1.      Critically appraise medical information and its sources, and be able to apply the information to medical practice

 

Professional

                  1.      Recognize the scope of one’s own abilities and be able to ask for supervision and assistance when appropriate

                  2.      Exhibit professional behaviours in practising medicine including reliability, compassion, respect, non-judgemental approach, and commitment to patient well being

 

 

 

OSTEOPOROSIS

At the end of the Osteoporosis selective, the Women’s Health PGY3 will be able to:

 

Medical Expert

  1. Counsel patients on the evidence based prevention of osteoporosis in various age groups
  1. Demonstrate a knowledge of appropriate screening intervals with bone mineral density testing using up to date guidelines
  1. Interpret bone mineral density tests by determining fracture risk and make recommendations for next steps including ongoing prevention strategies, work up for secondary causes of osteoporosis and indications for treatment in both pre and post-menopausal women

4. Initiate pharmacological and non-pharmacological therapies as appropriate in women at risk for fracture and demonstrate an understanding of the detailed nuances of each therapeutic choice

 

Communicator

1.      Display effective, empathic, professional and non-judgemental written and verbal communication skills, including communication with patients as well as appropriate documentation and use of EMR

 

Collaborator

1.      Demonstrate effective collaboration with medical and other health care provider team members to ensure comprehensive and timely patient care

 

Leader

1.      Demonstrate good time management skills

2.      Carry out appropriate clinical services in the context of limited resources

 

Health Advocate

1.      Respond to the health needs of individual women and advocate for unmet needs as appropriate

 

Scholar

1.      Critically appraise medical information and its sources, and be able to apply the information to medical practice

 

Professional

1.      Recognize the scope of one’s own abilities and be able to ask for supervision and assistance when appropriate

2.      Exhibit professional behaviours in practising medicine including reliability, compassion, respect, non-judgemental approach, and commitment to patient well being

 

 

 

MENOPAUSE

At the end of the Menopause selective, the Women’s Health PGY3 will be able to:

 

Medical Expert

1. Undertake a mature woman’s history and physical exam, evaluating for signs and symptoms of (peri) menopause

2. Communicate the risks and benefits of all treatment options for common menopausal symptoms considering the critical appraisal of the major clinical trials including evidence around hormone replacement therapy as well as non-hormonal therapies

3. Discuss the evidence for bio-identical hormone replacement therapy and counsel women on the risks and benefits of such therapy

4. Discuss in detail the evidence for common complementary and alternative medicines used for menopausal symptoms

 

Communicator

1.      Display effective, empathic, professional and non-judgemental written and verbal communication skills, including communication with patients as well as appropriate documentation and use of EMR

 

Collaborator

1.      Demonstrate effective collaboration with medical and other health care provider team members to ensure comprehensive and timely patient care

 

Leader

1.      Demonstrate good time management skills

2.      Carry out appropriate clinical services in the context of limited resources

 

Health Advocate

1.      Respond to the health needs of individual women and advocate for unmet needs as appropriate

 

Scholar

1.      Critically appraise medical information and its sources, and be able to apply the information to medical practice

 

Professional

1.      Recognize the scope of one’s own abilities and be able to ask for supervision and assistance when appropriate

2.      Exhibit professional behaviours in practising medicine including reliability, compassion, respect, non-judgemental approach, and commitment to patient well being

 

 

 

SEXUAL MEDICINE

At the end of the sexual medicine selective, the Women’s Health PGY3 will be able to:

 

Medical Expert

  1. Take a thorough sexual health history including details of family of origin, possible contributing medical conditions and cultural bases for sexual concerns etc.
  2. Do an appropriate work up including laboratory work when needed in order to diagnose physical contributors to sexual dysfunction
  3. Identify when pharmacological solutions are appropriate and demonstrate a thorough knowledge of contraindications as well as risks and benefits of all prescribed treatments
  4. Identify when behavioural interventions are appropriate and demonstrate a thorough knowledge of contraindications as well as risks and benefits of all prescribed therapies
  5. Demonstrate an awareness of resources for individuals or couples struggling with sexual dysfunction and be able to counsel around appropriate use of these resources

 

Communicator

1.      Display effective, empathic, professional and non-judgemental written and verbal communication skills, including communication with patients as well as appropriate documentation and use of EMR

 

Collaborator

1.      Demonstrate effective collaboration with medical and other health care provider team members to ensure comprehensive and timely patient care

 

Leader

1.      Demonstrate good time management skills

2.      Carry out appropriate clinical services in the context of limited resources

 

Health Advocate

1.      Respond to the health needs of individual women and advocate for unmet needs as appropriate

 

Scholar

1.      Critically appraise medical information and its sources, and be able to apply the information to medical practice

 

Professional

1.      Recognize the scope of one’s own abilities and be able to ask for supervision and assistance when appropriate

2.      Exhibit professional behaviours in practising medicine including reliability, compassion, respect, non-judgemental approach, and commitment to patient well being