Registrar Office

Dept of Obstetrics/Gynecology and Women's Health (2014)

The Department offers a variety of electives for students to gain more experience in their area of interest. 

STUDENTS COMPLETEING ELECTIVES ARE NOT GUARANTEED AN INTERVIEW.

Einstein students: Contact Dr. Staci Pollack (staci.pollack@einstein.yu.edu) and the elective Course Director prior to registration for pre-approval and elective selection advising.  Once the Einstein student has determined their selection of elective(s), please contact the Registrar’s Office for manual registration.

Visiting Students: Review the Visiting Student website for detailed application requirements and instruction as to how and when to apply for electives. Albert Einstein College of Medicine does not accept visiting students from non-LCME accredited medical schools and/or international students. All paperwork and fee requirements must be satisfied before final approval is granted by the Office of the Registrar. Once a completed application has been received the Department will review all applications for elective placements. ALL Visiting students must adhere to the set rotation dates; student must submit a CV and a transcript for review, per the Department.  Please contact the Registrar’s Office, registrar@einstein.yu.edu, for additional information. 

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H601 Obstetrics Subinternship (Weiler Hospital)
Students participating in this sub-internship will have the unique opportunity of becoming an active and integral part of the house staff team on our Labor and Delivery suite as well as our Antepartum and Postpartum units. The student will participate in the management of in-patient obstetrical and high-risk patients, from admission through delivery. The student will be involved in daily rounds and all educational conferences. Students expected to attend Grand Rounds and Resident School on Tuesday mornings.

Ashlesha K. Dayal, MD
Contact Ms. Lydia Milnar, lmilnar@montefiore.org or 718-904-2893
Modules: All
Maximum: 2
Students must contact Ms. Lydia Milnar prior to registration.



H505 Obstetrics Subinternship (Montefiore Medical Center-Wakefield)
Students participating in this sub-internship at the North Division site will have the unique opportunity of becoming an active and integral part of the house staff team on our Labor and Delivery (L&D) suite as well as our Antepartum and Postpartum units. The student will participate in the management of in-patient obstetrical and high-risk patients, from admission through delivery. The student will be involved in daily rounds and all educational conferences. The student will be an active member of the labor floor team whose responsibilities will be similar to that of an intern in OB-GYN residency.

Learning objectives: Have experience with commonly encountered obstetrical problems (Preterm labor, Premature Rupture of Membranes, Preeclampsia, Hypertension in pregnancy, etc) and be able to discuss the diagnosis and management of each. Be able to describe the labor process and become familiar with fetal monitoring during labor. Be able to describe and perform a routine vaginal delivery and complications associated. Be able to describe indications for operative delivery: cesarean delivery and forceps/vacuum deliveries and assist providers with these procedures. Be able to access and care for the postpartum patient (including breastfeeding care). Be able to access and present patients in the outpatient High Risk Obstetrical Care clinic/office hours. Be able to describe general obstetrical ultrasound procedures and participate in obstetrical ultrasound procedures while on rotation.

Learning experience: Daily sign out / morning report. Daily presence in L&D unit for care of obstetrical patients. Daily rounds on inpatient antepartum patients. Daily rounds on postpartum patients. Meet once with lactation consultant for breastfeeding education. Two weeks of daytime rotation / two weeks of night rotation. Attend Departmental Grand Rounds and OB/GYN Resident School (Tuesdays).

Method of student feedback and evaluation: Case / topic presentation during the rotation with Q&A. Evaluation by the resident / attending physicians on service during rotation. Mid-rotation meeting with student and Dr Garry to discuss rotation / progress etc. Student evaluation of rotation.

David Garry, MD
 dgarry@montefiore.org
718-920-9647
Modules: All
Maximum: 1 Student
On the first day students should report to MMC North 3rd floor L&D Unit at 7:30AM



H510 Gynecology Subinternship (Weiler Hospital)
Prerequisite: Successful completion of third year
The student will spend one month on the Weiler Gynecology Service. The purpose of the sub-internship is to give the student an in-depth exposure to benign Gynecology, GYN surgery and the Gynecologic aspects of a career in Obstetrics and Gynecology.  Many of the third year clerkships place a stronger emphasis on obstetrics and sub-internships are available for Obstetrics and for Gyn Oncology (specifically dealing with Gyn malignancies, and the surgical and non surgical management of them). This rotation will provide the student with the opportunity to function on an intern level, and play an active role in the pre-operative, intra-operative and postoperative management of benign gynecological patients.  The student will first assist on a variety of major and minimally invasive GYN procedures and will function as an integral member of the team. The student will be required to round daily with the team at 7 am and present to the GYN attending on service. The student will perform complete admission histories and physicals, formulate a differential diagnosis, develop a diagnostic and therapeutic plan and present to the senior resident. The student will participate in Emergency Room consults and pre-operative clinics with the GYN team. The student will be responsible for subsequent management and daily follow-up for each patient assigned.

Typical Day: 7am-6pm Monday-Friday. Two weekend day calls covering GYNconsult service.
Attend Grand Rounds and Resident school on Tuesday mornings.

Learning Experience: The student will participate in all GYN conferences.  The student will have the opportunity to hone his/her surgical skills and be given the opportunity to perform exams under anesthesia, D&Cs, hysteroscopy, fascia and skin closure as well as GYN sonograms and endometrial biopsies. Each student will be required to give an oral topic presentation to the GYN residents and attending as well as submit a written case write-up.

Objectives: At the end of the elective the student should:  Have experience with commonly encountered GYN problems (fibroids, polyps, endometriosis, urinary incontinence, prolapse) and be able to discuss the management of each. Be able to describe indications for commonly performed abdominal, vaginal and laparoscopic procedures. Be able to discuss work up and treatment options for common gynecologic disorders (i.e. abnormal vaginal bleeding, pelvic pain, etc). Understand anticipated results and potential complications for various treatments of gynecological disorders. Demonstrate knowledge of preoperative and post-operative care.

**Visiting Students interested in pursuing a residency spot should also take a weekend call on Labor and Delivery at Weiler Hospital. 

Supervising Attending:
Janice Falls MD, Director of Gynecology
Contact: Dr. Janice Falls, jfalls@montefiore.org 
Modules: All
Maximum: 1 student
Student must contact Dr. Falls prior to registration.
Student should report to Weiler Hospital, 7th Floor.



H602 Gyn-Oncology Subinternship
(Weiler Hospital)
A Sub-internship is offered to provide an opportunity for the student to participate in the management of gynecologic oncology patients. The student will be exposed to the management of acutely and chronically ill patients with gynecologic malignancies.

Objectives: It is anticipated that the student will develop some technical skills related to venous access, thoracentesis, paracentesis, etc. The student will participate in the pre and post operative management of patients on the gynecologic oncology service. The basic principles of chemotherapy and radiotherapy will be introduced. There is exposure to different clinical settings and extensive surgical opportunities in the operating room. The student will be expected to participate in all the educational meetings of the division including tumor board, journal club and case presentations. The student will be expected to make a formal presentation at one of these meetings.

Learning experience: Didactic and bedside teaching with attendings, fellows and residents occurs on a daily basis. Interested students are encouraged to participate in the ongoing clinical and/or basic research projects. Previous students have published their research in peer reviewed journals and presented their data at national meetings. Students will be expected to attend Statistics conference and departmental Grand Rounds and Resident school on Tuesday mornings.

**Visiting Students interested in pursuing a residency spot should also take a weekend call on Labor and Delivery at Weiler Hospital. 

Gary L. Goldberg, MD
718-430-2588
ggoldber@montefiore.org
Modules: All
Maximum: 2
Students must contact Dr. Goldberg prior to registration.



H501 Maternal Fetal Medicine Elective (Montefiore Medical Center-Wakefield)
Students participating in this elective will be part of the perinatal team and contribute in the diagnosis and management of various complications of pregnancy. Students will gain experience by participating in direct patient care, working in the obstetrical ultrasound unit: Maternal-Fetal Assessment Center (MFAC) and in care of women seen in the High Risk pregnancy program at the MMC North Division. The student will participate in the management of in-patient obstetrical high-risk patients, from admission through delivery. The student will be involved in daily rounds and all educational conferences.

Learning objectives: Have experience with commonly encountered obstetrical problems (Preterm labor, Premature Rupture of Membranes, Preeclampsia, Hypertension in pregnancy, etc) and be able to discuss the diagnosis and management of each. Be able to describe fetal monitoring and antepartum fetal testing. Be able to describe and perform a biophysical profile and basic biometric measurement on ultrasound.  Be able to describe prenatal diagnostic procedures (amniocentesis, chorionic villus sampling, fetal blood sampling, etc) and screening tests for aneuploidy (first trimester screening with nuchal translucency, etc). Be able to access and care for the complicated antepartum patient. Be able to access and present patients in the outpatient High Risk Obstetrical Care clinic/office hours. Be able to describe general obstetrical ultrasound procedures and participate in obstetrical ultrasound procedures while on rotation.

Learning experience: Daily sign out / morning report. Daily presence in L&D unit and antepartum unit for care of obstetrical patients. Daily rounds on inpatient antepartum patients. Participate in ultrasound exams in the Maternal-Fetal Assessment Center (MFAC) at North Division. Present case / topic to MFM team during the rotation (PowerPoint). Attend Departmental Grand Rounds and OB/GYN Resident School (Tuesdays).

Method of student feedback and evaluation: Case / topic presentation during the rotation with Q&A. Evaluation by the MFM attending physicians on service during rotation. Mid-rotation meeting with student and Dr Garry to discuss rotation / progress etc. Student evaluation of rotation.

David Garry, MD
 dgarry@montefiore.org
718-918-9647
Modules: All
Maximum: 1 Student
On the first day students should report to MMC North 3rd floor L&D Unit at 7:30AM.



H509 Reproductive Genetics Elective
(Institute for Women's Health Genetics and Human Reproduction-Montefiore Medical Park)
Reproductive Genetics offers a clinic experience dealing with patients and couples with genetic or genetically-related disorders seen in obstetrical practice and those at risk for hereditary cancer syndromes. This includes couples with problems of infertility, pregnancy wastage, and factors contributing to adverse pregnancy outcome and patients with recent and remote diagnoses of cancer and those with family histories of cancer.

Objectives: Opportunity will be provided to participate in genetic screening and counseling, prenatal diagnosis by amniocentesis, chronic villus sampling, teratogen counseling, and other approaches useful in the application of the most current genetic knowledge to obstetrical practice.

**Visiting Students interested in pursuing a residency spot should also take a weekend call on Labor and Delivery at Weiler Hospital and attend Grand rounds and resident school on Tuesday mornings. 

Susan Klugman, MD
 klugmd@verizon.net
718-405-8150
Modules: All, except 1B
Maximum 1
ALL Students must contact Dr. Klugman for pre-approval prior to registration. 



H508 Reproductive Endocrinology and Infertility Elective (Fertility and Hormone Center, Montefiore's Institute for Reproductive Medicine, Hartsdale, NY)
Observation of/participation in patient care and direct patient care (at Jacobi Medical Center clinic).  Students will observe monitoring of follicle growth, oocyte retrievals and office practice in Reproductive Endocrinology and Infertility, including advanced fertility treatments.  Students will have the opportunity to observe the embryology lab and learn about about densitometry.  Weekly seminars, readings and conferences on clinical cases within the breadth and depth of REI.  One on one interactions with faculty, including the elective director and division director.  Students will have to provide their own transportation to the Westchester sites.

Learning objectives:
1)To be able to evaluate a couple presenting with either primary or secondary infertility.
a.To understand the diagnostic algorithm
b.To be able to interpret the testing modalities, including, but not limited to:
i.Hysterosalpingogram film reading
ii.Hysterosonogram reading
iii.Meaning of ovarian reserve testing (including the cycle day 3 FSH and Estradiol)
iv.Semen analysis interpretation
c.To translate the history, physical exam and diagnostic testing into an infertility diagnosis.

2)At the end of the elective, it is expected that the resident/student will be able to take an informative and compassionate history of a patient (or couple) presenting with infertility.  This history shall include all the necessary components to allow for proper diagnostic evaluation, and will include a sexual history and preconception screening.

3)To gain skills in performing transvaginal ultrasounds for the purpose of evaluating ovarian/uterine pathology, ovarian follicular monitoring and endometrial lining assessment.

4)To gain skills in the performance of hysterosonograms (aka: saline ultrasounds).

5)To understand the major treatment options for infertility, and to be able to determine when (and for who) these treatment options are indicated.  The resident/student will understand the major steps involved in carrying out the major treatment options, as well as the monitoring necessary for these treatments.  The resident/student will be involved in the monitoring and performance of patients on the following treatments (but not limited to):
a.Ovulation induction with clomiphene citrate, injectable gonadotropins, etc.
b.Superovulation with clomiphene citrate, injectable gonadotropins, etc.
c.Intrauterine insemination (IUI) cycles
d.In vitro fertilization (IVF) cycles
e.IntraCytoplasmic Sperm Injection ((ICSI) cycles

6)To have the opportunity to observe and participate in the following surgical, embryological and andrology procedures:
a.Ultrasound guided oocyte retrieval
b.Ultrasound guided embryo transfer
c.In vitro fertilization
d.ICSI
e.Other advanced embryologic techniques, such as embryo biopsy for preimplantation genetic diagnosis, assisted hatching, oocyte stripping, etc
f.Sperm washing and processing for semen analysis, IUI, IVF, etc

7)To be able to evaluate a patient presenting with a reproductive endocrine abnormality, and understand the necessary steps in coming to a diagnosis and treatment plan.  These reproductive endocrine abnormalities may include:
a.Hirsutism
b.Polycystic ovarian syndrome (PCOS) -May include metabolic syndrome
c.Premature ovarian failure
d.Osteoporosis/osteopenia
e.Endometriosis
f.Precocious or delayed puberty
g.Prolactinomas or other pituitary abnormalities
h.Thyroid abnormalities
i.Functional hypothalamic amenorrhea -May include eating disorders, excessive energy expenditure, etc - May include primary amenorrhea

8)To be able to evaluate a menopausal woman, and determine the monitoring and treatment that may be required.

9)The opportunity to participate in reproductive surgeries, including advanced hysteroscopies, laparoscopies, fallopian tube microsurgery, Mullerian anomaly surgery, etc.

10)The opportunity to participate in an REI research project.

11)The opportunity to participate in the performance and interpretation of bone densitometry evaluations (DEXA scans).

Learning experience: Observation of fertility procedures (such as egg retrievals, embryo transfers, intrauterine inseminations, intracytoplasmic sperm injection), transvaginal sonography (including saline ultrasounds) and patient encounters.  Opportunity for direct patient histories and physical exams, participation in formulation of patient care plans, and follow up of treatment plans. Attend Grand Rounds and resident school on Tuesday mornings.

Method of student feedback and evaluation: Direct face-to-face (in real time and at the end of the rotation) and the final end-of-rotation evaluation form.

**Visiting Students interested in pursuing a residency spot should also take a weekend call on Labor and Delivery at Weiler Hospital. 

Beth McAvey MD
bmcavey@montefiore.org

914-997-1060
Modules: All
Maximum 1
Student must contact Dr. Pollack prior to registration.
On the first day student report to Hartsdale, NY at 7:30AM



H605 Ambulatory High Risk Obstetrics Elective (Weiler Hospital)
Students will join with the perinatal team in diagnosis and managing various complications of pregnancy. Students will gain experience by participating in patient care in the Obstetrical ultrasound unit, the Maternal-Fetal Assessment Center, the Diabetes in Pregnancy Program and the High Risk pregnancy program at the MMG-CFCC site. Attend Grand Rounds and Resident school on Tuesday mornings.

**Visiting Students interested in pursuing a residency spot should also take a weekend call on Labor and Delivery at Weiler Hospital. 
Peter Bernstein, MD
pbernste@montefiore.org
718-430-2767
Modules: All
Maximum 1



H606 Ultrasound in Obstetrics and Gynecology Elective (Montefiore Medical Park)
The Students will be involved with both Obstetrical and Gynecological ultrasound examinations.  Students will learn diagnostic skills, technical aspects of the examination and management protocols. In addition to routine scanning, the students will be exposed to diverse aspects of fetal medicine as prenatal diagnostic invasive testing, management of anomalies and management of complicated cases of multiple gestations and fetal growth restriction. The students will participate in the divisional multidisciplinary meetings including the fetal diagnosis rounds and fetal management meetings. The rotation’s goals are: To be familiar with the different and diverse aspects of prenatal diagnosis, prenatal ultrasound, fetal medicine and therapy and gynecological ultrasound; To be able to take brief history, perform basic ultrasound scans and present the case in a professional manner.

Measurable learning objectives: OB scanning: perform and understand first trimester scan, fetal presentation, placental location, estimation of fetal weight, bio-physical profile and cervical length.  GYN scanning: perform uterine and adnexae scan in longitudinal and transverse planes understand ovarian cysts a, fibroids and endometrial abnormalities.

Learning experience: Students schedule is provided on the first day of the rotation. In the first week the student will accompany the sono-tech to learn the technical aspect of the scan (operating the ultrasound machine and reporting software), routines and protocols. From the second week the student will login patient information, will take relevant patient history, assist in scanning and reporting. After the scan the student will present the case to the attending and will suggest a management plan.  The student will participate in resident school activity and in divisional meetings on Tuesday mornings.

Method of student feedback and evaluation: Verbal feedback will be given in mid-rotation and by the end of the rotation.

Textbook(s) Local library at the ultrasound unit is available for the student during the rotation.

**Visiting Students interested in pursuing a residency spot should also take a weekend call on Labor and Delivery at Weiler Hospital. 
Peer Dar, MD
 peerdar@yahoo.com
718- 405-8218
Modules:  All
Maximum 1
Students must contact Dr. Dar prior to registration
On the first day students report to 1695 Eastchester Rd, Suite L4 Bronx, NY 10461 at 9:00AM



H506 Family Planning Elective
(Weiler Hospital/Montefiore Medical Park)
Students participating in this elective will be part of the family planning team and will contribute to management of women seeking care in our outpatient ambulatory care facility; they will also participate in OR cases and inpatient consultations at Jack D. Weiler Hospital. Students will also observe and participate in surgical cases at Jacobi Medical Center. Clinical exposures include medical and surgical management of abortion and pregnancy failure in the first and second trimester, high-risk contraception consultation and provision of all contraceptive methods including intrauterine devices, contraceptive implants and transcervical sterilization. Upon completing this rotation, students should have a comprehensive understanding of the complexities of reproductive decision making, procedural and non-procedural aspects of pregnancy management in the first and second trimester and modern methods of contraception.  It is hoped that students will also learn compassionate, patient-centered and nonjudgmental strategies to communicate with patients about these issues as well.

Learning objectives: To understand the public health impact of unintended pregnancy in the U.S. and abroad. To obtain clinical skills relating to first and second trimester surgical abortion and pregnancy failure management including counseling, sonography, preoperative and postoperative management. To understand and participate in provision of medical abortion and pregnancy failure management in the first trimester. To understand the full range of contraceptive medications, devices and surgical procedures. To engage in critical analysis of the medical literature related to family planning.

Learning experience: Evaluation and management of patients who present for care in ambulatory setting. Participate in sonography for pregnancy dating. Provide comprehensive contraception counseling. Participate in monthly FP journal club. Attend Departmental Grand Rounds and Ob/Gyn Resident School on Tuesdays. Complete FP Curriculum. Present a case/topic to FP team during the rotation (Power Point).

Method of student feedback and evaluation: Orientation to rotation on first day of rotation with delineation of expectations. Mid-rotation meeting with student and Elective Director to discuss rotation/progress etc. Evaluation by the FP attending physicians on service during rotation. Case/topic presentation during rotation with Q&A. Student evaluation of  rotation.

Nerys Benfield, MD
718-405-8030
 nbenfiel@montefiore.org 
Modules: All, except 1B, 2A
Max: 1 student
On the first day students report to: 1695 Eastchester Rd Suite 302 at 9am
Student MUST contact Course Director for approval prior to registration.



H500 Reproductive Endocrinology Elective
(Montefiore Medical Center)
The student will see patients who have problems with reproductive hormone (some male, although mostly female patients). Patients will be followed in the Gyn-Endo, and Medical Endocrine Clinic and in Dr. Freeman's private practice of Endocrinology Menopause and Osteoporosis on Mondays PM and Thursday AM. Students will participate in the bone densitometry procedures and evaluations.  The student may participate in research regarding treatment of postmenopausal patients and osteoporosis. We are currently enrolling patients in the KEEPS (Kronos Early Estrogen Prevention Study) and have additional ongoing clinical trials. There is a new study of the glucose levels over 3 days, including regular activities in PCOS patients.

Ruth Freeman, MD
 rfreeman@montefiore.org 
718-405-8152
Modules: All
Maximum 2
Student must contact Dr. Freeman prior to registration.



H603 Subinternship in Obstetrics and Gynecology (Bronx-Lebanon Hospital Center)
**Not Available to Visiting Students**
The student will have clinical exposure to Ob/Gyn inpatient as well as out patient assignment.  The management of normal and abnormal labor will be observed and actively participated in with instruction and direction by the resident and attending staff.

Magdy Mikhail, MD
 mikhailgyn@aol.com 
718-239-8388
Modules: All
Maximum 2
Students must contact Dr. Mikhail prior to registration. 914

 

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