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College of Medicine MD Curriculum

Maternal-Fetal Medicine Acting Internship - TTH

Title of Course: Maternal-Fetal Medicine Acting Internship - TTH

Elective Type: Fourth Year Acting Internship

Department: Obstetrics & Gynecology

Course Site: The Toledo Hospital

Course Number: OBGY717

Blocks available: All

Number of students per block: 1

Faculty: Nikolina Docheva, MD, Ira Hamilton, MD, Nauman Khurshid, MD

Elective Description/Requirements:
Student will be integrated into the MFM service as an active intern, participating in all aspects of the practice of Maternal Fetal Medicine both inpatient and outpatient. The student will be exposed to the care of high-risk pregnant females and their fetus in the prenatal, intrapartum and postpartum period. This experience will be obtained at the Toledo Hospital. The student will be assigned inpatient MFM patients with primary responsibility for the care of these patients under the supervision of the MFM faculty. The responsibility will include carrying out :(i) Admission history and review of the prenatal record and physical examination, (ii) Diagnostic plan, (iii) Differential diagnosis, (iv) Order laboratory tests and imaging studies and review results, (v) Treatment Plan to include writing the orders, (vi) Participate in the procedures (e.g., cerclage placement), (vii) Follow up and discharge planning, and (viii) Present patients at daily rounds. The student is required to carry out a literature review of a relevant MFM topic and make a 30-minute presentation to the MFM team. 听

Length of Course: 4 weeks

Educational Course Objectives and Links to EPOs:

  1. Collect independently both focused and comprehensive obstetrical patient histories. (EPOs: PC1)
  2. Perform independently both focused and comprehensive physical examinations for obstetrical patients. (EPOs: PC1)
  3. Prepare organized, appropriately focused, and accurate oral patient presentations. (EPOs: IPC1, IPC2)
  4. Document a clinical encounter in the electronic health record (e.g., History & Physical exam, daily progress note, orders and discharge summary). (EPOs: PC1)
  5. Integrate diagnostic and clinic information to formulate a primary and complete differential diagnosis. (EPOs: PC6, PC7)
  6. Construct a concise and succinct patient handoff. (EPOs: IPC1, IPC2)
  7. Develop a complete prioritized management plan with the health care team for a patient on the antepartum service and describe a rationale for the clinical plan. (EPOs: PC7, PC6, PC9, SBP5)
  8. Apply the principles of health systems science in addressing clinical care issues for patients. (EPOs: SBP1, SBP2, SBP3, SBP5, IPC1)
  9. Incorporate feedback, self-reflection and improvement into daily practice. (EPOs: PBL 1, PBL3)
  10. Participate in evening or weekend clinical care to support continuity of patient care and demonstrate professionalism in varied clinical settings. (IPC-2)
  11. Conduct structured patient handoffs using an evidence鈥慴ased communication approach to ensure safe and accurate transfer of care. (SBP-1)

Professionalism: UT/COMLS students will meet or exceed the institutional standards for professionalism as stated in the current Educational Program Objectives and the current Educational Course Objectives for the Sponsoring Department.
听
Instructional Methods:

  1. Clinical experience 鈥� rounding on inpatients with MFM attending and presenting patients at Handoff. 听Participating in ambulatory practice at the MFM Unit.听
  2. Conferences 鈥� attend Grand Rounds, M&M, Journal Club, multidisciplinary patient care conferences and applicable resident didactic teaching sessions.
  3. Assigned reading.

Assessment methods employed:听

  1. Acting Internship Assessment
  2. Oral presentation on a maternal of fetal medicine topic as approved by MFM Attending.
  3. Required RocketMed Logging
    1. 2 Diabetes Consults/Visits
    2. 1 MFM Consult/In-Patient New or Follow-Up Consult
    3. 1 MFM Ultrasound
    4. Hours log

Prerequisites: Successful completion of third-year required clerkship in OB/GYN.

Special Requirements:听

  1. Required reading: Practice bulletins change often; students should read the current ACOG Practice Bulletins on the following topics:
    • Most recent Society of Maternal Fetal Medicine (SMFM) Consult Series on Fetal Growth Restriction
    • Gestational diabetes mellitus
    • Pregestational Diabetes Mellitus
    • Gestational Hypertension and Preeclampsia
    • Chronic Hypertension in Pregnancy
  2. As part of the acting internship, students are required to participate in at least one evening or weekend clinical experience. 听This experience ensures exposure to the full spectrum of patient care responsibilities and supports readiness for residency-level schedules and work environment. One 24-hour call duty. 听Date to be determined with Clerkship Coordinator.
  3. Students are expected to participate in structured patient handoffs as part of their clinical responsibilities. 听This includes observing and contributing to the sign-out processes to ensure safe, effective transitions of care.

Clerkship Director: James Van Hook, MD

Clerkship Coordinator: Tammy Brittian
Phone Number: 419.291.3122
Email: Tammy.brittian@utoledo.edu听

ECC Approved
March 2026