Pediatric Emergency Medicine

The educational objectives for the Emergency Medicine resident while on the Obstetrics rotation are as follows:

Patient Care:

  • Is able to obtain a proper obstetrical history and physical exam.

  • Demonstrate ability to correctly perform a complete gynecologic exam.

  • Demonstrate ability to evaluate and manage the care of patients with suspected ectopic pregnancy.

  • Demonstrate ability to perform uncomplicated full-term deliveries.

  • Demonstrate ability to manage patients with hyperemesis gravidarum.

  • Demonstrate ability to diagnose and manage postpartum complications including retained products, endometritis and mastitis.


Medical Knowledge:

  • Describe the relative effectiveness and complications of various contraceptive methods, including post-coital douche, coitus interruptus, condoms, diaphragm, rhythm method, oral contraceptives, injectable hormonal agents and IUD.

  • Discuss the signs, symptoms and treatment of abruptio placenta.

  • Discuss the signs, symptoms and treatment of preeclampsia and eclampsia.

  • Discuss the normal stages of labor and the time course for each.

  • Demonstrate ability to determine the APGAR score and discuss the significance of different values.

  • Discuss the management of trauma during pregnancy.

  • Discuss the indications for perimortem caesarian section and describe the technique.

  • Discuss the diagnosis and treatment of complicated labor including premature rupture of membranes, premature labor, failure to progress, fetal distress, and ruptured uterus.

  • Describe the management of complicated deliveries, including prolapsed cord, uncommon presentations, dystocia, uterine inversion, multiple births and stillbirth.

  • Discuss the indications and contraindications to culdocentesis and describe performance of the procedure.

  • Discuss RH incompatibility.

  • Describe the presentation of a patient with hydatidiform mole.

  • Describe the classification scheme for abortion.


Practice Based Learning and Improvement:

  • Demonstrate ability to obtain and appraise medical literature relevant to the practice of obstetrics and gynecology

  • Interpersonal and Communication Skills

  • Create and sustain a therapeutic and ethically sound relationship with patients

  • Use effective listening skills and elicit and provide information using effective nonverbal, explanatory, questioning, and writing skills

  • Work effectively with others as a member or leader of a health care team or other professional group



  • Demonstrate respect, compassion, and integrity; a responsiveness to the needs of patients and society that supercedes self-interest; accountability to patients, society, and the profession; and a commitment to excellence and on-going professional development

  • Demonstrate a commitment to ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, informed consent, and business practices

  • Demonstrate sensitivity and responsiveness to patients’ culture, age, gender, and disabilities


Systems-Based Practice:

  • Understand how obstetrical and gynecological care affect other health care professionals, the health care organization, and the larger society and how these elements of the system affect their practice of Emergency Medicine

  • Know how obstetrical and gynecological care differs from Emergency Medicine, including methods of controlling health care costs and allocating resources

  • Practice cost-effective health care and resource allocation that does not compromise quality of care

  • Advocate for quality patient care and assist patients in dealing with obstetrical and gynecological care

  • Know how to partner with health care managers and health care providers to assess, coordinate, and improve obstetrical and gynecological care and know how these activities can affect system performance


The Emergency Medicine resident will accomplish these objectives in the following manner:

  • Attend and participate in daily Obstetrics teaching rounds

  • Attend all conferences given by the Department of Obstetrics while on rotation.

  • Evaluate and manage patients under the supervision of Obstetrics faculty and senior residents.  Progressive patient care responsibilities are at the discretion of the Obstetrics faculty based on the resident’s clinical experiences, didactic knowledge, psychomotor skills, procedural abilities and credentialing.

  • Discuss and interpret results of all ancillary testing with supervisory faculty.

  • Perform procedures under faculty supervision commensurate with their post-graduate level of training and skill.

Rotation Details:

  • Where:

    • 12th floor

  • When:

    • Rounds start at 6:00am in resident lounge

  • Supervisor:

    • Ralph Ruggiero, MD, Chairman

  • Attire:

    • Scrubs

  • Expectations:

    • You should arrive for rounds. Scope out the patients who are likely to deliver soon. The ob/gyn residents can teach you how to do this by looking at their board and the tocographic monitoring. You will be seeing patients in the OB Triage area. This is a good time to practice pelvic exams and learn how to manage 2nd and 3rd trimester OB emergencies. Your main objective is to get the 10 deliveries that you need to log for the ACGME and feel comfortable with uncomplicated deliveries. Also, use this time to learn about third trimester complications. Bring reading material for the downtime between deliveries.



374 Stockholm St, Brooklyn, NY 11237, USA