ÑÇÉ«ÊÓÆµ

College of Medicine MD Curriculum

Urogynecology Acting Internship - Cleveland Clinic Akron General

Title of Course: Urogynecology Acting Internship - Cleveland Clinic Akron General

Elective Year(s): Fourth Year Elective Acting Internship

Department: Obstetrics and Gynecology

Type of Elective: Clinical

Course Site: Cleveland Clinic Akron General – Akron, OH

Course Number: OBGY 732

Blocks Available: All

Number of Students/Block: 1

Faculty: Nikki Thomas, MD (Program Director), Cara Ninivaggio, MD, Katie Propst, MD

Elective Description/Requirements: During this acting internship experience, the student will function in the role of an intern.  They will be involved in comprehensive care of Urogynecologic patients in the inpatient and outpatient settings.  The student will be involved with peri-operative and postoperative care of patients undergoing Urogynecological surgical procedures.  Students will also prepare a brief literature review pertaining to a common Urogynecologic clinic problem for presentation at morning conference.

Length of Course: 4 weeks

Links to Core Competencies/Educational Course Objectives: At the end of this elective, the student will be able to:

  1. Present an independently obtained focused and comprehensive Obstetrics and Gynecology patient history. (EPOs: PC-1)
  2. Perform independently, a focused physical examination. (EPOs: PC-1)
  3. Prepare organized, focused, and accurate oral patient presentations. (EPOs: IPC-1, IPC-2)
  4. Document a clinical encounter in the electronic health record. (EPOs: PC-1)
  5. Integrate diagnostic and clinical information to formulate a primary and complete differential diagnosis. (EPOs: PC-6, PC-7, MK-4)
  6. Develop a management plan with diagnoses to be addressed in order of importance to the patient and while meeting her expectations. (EPOs: PC-6, PC-7, PC-9, SBP-5)
  7. Identify normal and abnormal pelvic anatomy during operative cases. (EPOs: MK-1, MK-4)
  8. Perform basic surgical skills, including knot-tying and surgical instrument handling. (EPOs: PC-5)
  9. Identify the impact of social factors such as race, food insecurity, and medical comorbidities on Urogynecologic care. (EPOs: SBP-1, SBP-2, SBP-3, SBP-5, SPB-6, PB-1)
  10. Incorporate feedback, self-reflection and improvement into daily practice. (EPOs: PBL-1, PBL-3)
  11. Participate in evening or weekend clinical care to support continuity of patient care and demonstrate professionalism in varied clinical settings. (EPO: IPC-2)
  12. Conduct structured patient handoffs using an evidence‑based communication approach to ensure safe and accurate transfer of care. (EPO: SBP-1)

Professionalism: UT/COM 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.

Instructional Methods:

  1. Clinical experience, inpatient
  2. Conferences – attend resident didactic teaching sessions and all other applicable educational sessions.
  3. Independent learning (assigned readings)

Assessment Methods:

  1. Acting Internship Assessment
  2. RocketMed logging
    1. Completion of logs - Hours
    2. Completion of two new patient H&P's (minimum)
  3. Patient presentation, learner

Prerequisites: None

Special Requirements:

  1. As part of the acting internship, students are required to participate in at least one evening or weekend clinical experience.  This experience ensures exposure to the full spectrum of patient care responsibilities and supports readiness for residency-level schedules and work environment.
  2. Students are expected to participate in structured patient handoffs as part of their clinical responsibilities.  This includes observing and contributing to the sign-out processes to ensure safe, effective transitions of care.
  3. Maximum number of days approved for time off is 2 days during rotation. If additional time is needed, the request must be approved by the elective Director PRIOR to the start of the elective rotation. Student will be required to work a minimum of one of, but may be more, either night shift/s or weekend shift/s.

Clerkship Director: James Van Hook, MD

Clerkship Coordinator: Tammy Brittian
Phone Number: (419) 291-3122
Email: tammy.brittian@utoledo.edu

ECC Approved
March 2026