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Department: MEOBG-Obstetrics and Gynecology
Course: 530-Fetal Intervention

Course Coordinator: Dr. Susan Leong-Kee
Course Faculty: Dr. Kenneth Moise, Jr.,Dr. Anthony Johnson
Elective Location: TCH
Periods Elective offered: Qtr: 1,2,3,4
Min. Number of Students:Max: 1
Course Level: Clinical Elective: Counts toward 32-credit graduation requirement
Credit: 8
Pre-requisites: OB/Gyn core rotation
Visiting Student Elective: Yes
Open to International Students: No
Grading: Pass/Fail Only
Faculty Approval: Yes

Time Commitment Percentage of time expected
Regular Hours (Mon-Fri): Varies; M-F Inpatient Ward: 5
Night Call: 0 Inpatient consultations: 0
Number on-call nights: 40 Outpatient clinics: 40
Weekends: 0 Surgery: 30
    Laboratory 0
  Didactic: 25
  Other: 0
Statement of Goals:
During this rotation, the medical student will work with two seniro fetal interventionists at the Texas Children's Fetal Center in the contemporary treatment of such fetal conditions as twin-twin trasnfusion syndrome, diaphragmatic hernia, fetal lower urinary tract obstruction and fetal lung masses. The student will be involved in the initial ultrasound evaluation of the fetus, development of a management plan and and subsequent operative management through operative fetal intervention. A reading list and weekly tutorials will be provided by the preceptor. Upon completion of this elective, the student should be able to explain the pathophysiology, clinical evaluation and contemporary treatment of the following fetal conditions: *twin-twin transfusion syndrome *diaphragmatic hernia *lower urinary tract obstruction *congential lung anomalies.
Learning Activities
the student will be asked to review the Diagnosis and Management modules for twin-twin transfusion syndrome in UptoDate through the Texas Medical Center Library. In addition, they will be required to review the online patient teaching video on twin-twin transfusion that can be found on the Texas Children's Fetal Center website. Additional readings will be provided to the student in the form of a binder summary articles. Clinical commitments will include: ultrasound clinic on Monday after (1PM - 5PM), Wednesday (9AM - Noon), and Friday (9AM - Noon). Operating room times will be on Tuesday AM (7:30AM) and Thursday AM (9AM). The students will be expected to participate in the non patient review conference on Mondays and the multidisciplinary management conference on Thursday mornings at 7:30AM.
Evaluation Methods
The student will meet with the rotation preceptor (Kenneth Moise) on weekly basis on Monday mornings for one hour in an effort to review progress on readings and comprehension of the fetal diseases seen on the rotation. The student will be expected to keep a log of the clinical cases that they encounter during the rotation. At the conclusion of the final week of the rotation, a one hour interactive session will occur with the preceptor to review the student's fund of knowledge. A grade will be assigned based on this assessment.
When and Where to report on first day of service:
Office of Kenneth Moise - 11th Floor, Baylor Clinic Bldg., 9:00AM on the first day - scrubs allowed
For additional information regarding this elective contact:
Contact Name: Diane Jensen
Contact Phone: 713-798-5186
Contact Fax: 713-798-5000
Contact Location: 1709 Dryden #1100
Address: MS: BCM-610
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