Overcoming Electronic Medical Record Challenges on the Obstetrics and Gynecology Clerkship.

Abstract:

:This article, for the "To the Point" series prepared by the Association of Professors of Gynecology and Obstetrics Undergraduate Medical Education Committee, supplies educators with a review of best practices regarding incorporation of the electronic medical record (EMR) into undergraduate medical education. The unique circumstances of the obstetrics and gynecology clerkship require specific attention as it pertains to medical student use of the EMR. An outline of the regulatory requirements and authoritative body recommendations provides some guidance for implementation in the undergraduate medical education setting. A review of the basic framework for development of an EMR curriculum and examples of curricular innovations published in the literature offers solutions for obstacles that may be encountered by students and medical educators.

journal_name

Obstet Gynecol

authors

Buery-Joyner SD,Dalrymple JL,Abbott JF,Craig LB,Forstein DA,Graziano SC,Hampton BS,Hopkins L,Page-Ramsey SM,Pradhan A,Wolf A,Mckenzie ML

doi

10.1097/AOG.0000000000001004

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

553-558

issue

3

eissn

0029-7844

issn

1873-233X

pii

00006250-201509000-00015

journal_volume

126

pub_type

杂志文章,评审
  • Low maternal age and neonatal survival of extremely preterm twins (20-28 weeks of gestation).

    abstract:OBJECTIVE:We investigated the relationship between low maternal age and neonatal survival among extremely preterm twins. METHODS:This was a retrospective cohort study on live births of extremely preterm twins delivered to teenaged mothers (aged 15-19 years) in the United States within the period 1995 through 1998. Ove...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000126724.91988.fa

    authors: Salihu HM,Emusu D,Aliyu MH,Kirby RS,Alexander GR

    更新日期:2004-06-01 00:00:00

  • The effect of chorioamnionitis on the developmental outcome of preterm infants at one year.

    abstract::This report investigates the effect of chorioamnionitis on infant mental and psychomotor development at one year through the prospective study of 698 preterm pregnancies complicated by premature rupture of membranes and managed expectantly without antenatal corticosteroids or tocolytic agents. Ninety-two mothers (13%)...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Morales WJ

    更新日期:1987-08-01 00:00:00

  • Efficacy and safety of intrapartum electronic fetal monitoring: an update.

    abstract:OBJECTIVE:To compare the efficacy and safety of routine electronic fetal monitoring (EFM) of labor with intermittent auscultation, using the results of published randomized controlled trials (RCTs). DATA SOURCES:We identified RCTs by searching the MED-LINE data base for the period 1966-1994, contacting experts, and re...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Thacker SB,Stroup DF,Peterson HB

    更新日期:1995-10-01 00:00:00

  • Surgical management of irradiation-induced small bowel damage.

    abstract::Seventy-seven patients, presenting with radiation small bowel injuries at the University of Texas M. D. Anderson Hospital and Tumor Institute at Houston between 1962 and 1978, were analyzed retrospectively. The patients were divided into two categories: bowel bypass without resection, and resection of irradiated bowel...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Smith ST,Seski JC,Copeland LJ,Gershenson DM,Edwards CL,Herson J

    更新日期:1985-04-01 00:00:00

  • Evidence of poorer survival in pregnancy-associated breast cancer.

    abstract:OBJECTIVE:To compare stage distribution, tumor characteristics, and survival outcome in pregnancy-associated and non-pregnancy-associated breast cancer, and to evaluate pregnancy as a risk factor for mortality in breast cancer. METHODS:The California Cancer Registry (1991-1999) was linked with the California Patient D...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31817c4ebc

    authors: Rodriguez AO,Chew H,Cress R,Xing G,McElvy S,Danielsen B,Smith L

    更新日期:2008-07-01 00:00:00

  • Adenomyosis: symptoms, histology, and pregnancy terminations.

    abstract:OBJECTIVE:To correlate symptoms of uterine adenomyosis with histopathologic features. METHODS:One hundred eleven specimens of uteri and cervices that weighed under 280 g were reevaluated. When adenomyosis was identified, assessment included depth of adenomyotic foci, graded as deep (above 80%), intermediate (40-80%), ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(99)00659-6

    authors: Levgur M,Abadi MA,Tucker A

    更新日期:2000-05-01 00:00:00

  • Genital herpes during pregnancy: inability to distinguish primary and recurrent infections clinically.

    abstract:OBJECTIVE:To determine if the signs and symptoms of genital herpes in pregnancy accurately identify primary genital herpes infections using serologic testing for final classification. METHODS:Twenty-three women with clinical signs and symptoms suggestive of primary genital herpes infections in the second and third tri...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)00121-x

    authors: Hensleigh PA,Andrews WW,Brown Z,Greenspoon J,Yasukawa L,Prober CG

    更新日期:1997-06-01 00:00:00

  • Mechanisms of action of regulatory T cells specific for paternal antigens during pregnancy.

    abstract:OBJECTIVE:To investigate whether pregnancy-induced regulatory T cells are generated specifically for paternal antigens or expanded by hormonal changes and to study regulatory T cell-related mechanisms during pregnancy. METHODS:We used murine models of normal, abortion-prone, and pseudopregnancy to characterize regulat...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000284625.10175.31

    authors: Schumacher A,Wafula PO,Bertoja AZ,Sollwedel A,Thuere C,Wollenberg I,Yagita H,Volk HD,Zenclussen AC

    更新日期:2007-11-01 00:00:00

  • Effect of nicotine on human fetal blood flow.

    abstract::Immediate maternal and fetal cardiovascular responses to different doses of nicotine and carbon monoxide were studied in 24 pregnant smokers. A noninvasive pulsed Doppler ultrasound technique was used for measuring fetal blood flow in the descending thoracic aorta, the intra-abdominal part of the umbilical vein, and i...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:

    authors: Lindblad A,Marsál K,Andersson KE

    更新日期:1988-09-01 00:00:00

  • Development of a nomogram for prediction of vaginal birth after cesarean delivery.

    abstract:OBJECTIVE:To develop a model based on factors available at the first prenatal visit that predicts chance of successful vaginal birth after cesarean delivery (VBAC) for individual patients who undergo a trial of labor. METHODS:All women with one prior low transverse cesarean who underwent a trial of labor at term with ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.AOG.0000259312.36053.02

    authors: Grobman WA,Lai Y,Landon MB,Spong CY,Leveno KJ,Rouse DJ,Varner MW,Moawad AH,Caritis SN,Harper M,Wapner RJ,Sorokin Y,Miodovnik M,Carpenter M,O'Sullivan MJ,Sibai BM,Langer O,Thorp JM,Ramin SM,Mercer BM,National Insti

    更新日期:2007-04-01 00:00:00

  • Severe hydramnios and preterm delivery in association with transient maternal diabetes insipidus.

    abstract:BACKGROUND:Diabetes insipidus is rare in pregnancy. It is characterized by hypoosmolar polyuria and may be central, nephrogenic, or transient in etiology; the latter is presumably related to excess placental vasopresinase production. In theory, fetal effects of this endocrine condition may include hydramnios secondary ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181e6c683

    authors: Weinberg LE,Dinsmoor MJ,Silver RK

    更新日期:2010-08-01 00:00:00

  • Pelvic lymphocele following radical para-aortic and pelvic lymphadenectomy for cervical carcinoma: incidence rate and percutaneous management.

    abstract::Thirty-six women, treated with radical hysterectomy (Piver types III-IV) plus systematic para-aortic and pelvic lymphadenectomy for cervical carcinoma, underwent serial postoperative ultrasound examinations to determine the incidence of lymphocele and the therapeutic efficacy of percutaneous catheter drainage. Pelvic ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Conte M,Panici PB,Guariglia L,Scambia G,Greggi S,Mancuso S

    更新日期:1990-08-01 00:00:00

  • An unusual late presentation of imperforate hymen.

    abstract:BACKGROUND:The imperforate hymen is a rare gynecologic abnormality that may not be detected until the onset of menses, when hematocolpos causes symptoms due to an expanding pelvic mass. CASE:A 19-year-old woman had primary amenorrhea, originally misdiagnosed as müllerian agenesis. Because of a combination of late onse...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Sanders RM,Nakajima ST

    更新日期:1994-05-01 00:00:00

  • Subclinical spontaneous abortion.

    abstract::Blood samples were obtained from 5 women during the menstrual cycle in which they had conceived. Although neither the women nor their physicians were clinically aware that conception had occurred, one or more of the blood specimens from each woman contained human chorionic gonadotropin (hCG), as measured by a specific...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Braunstein GD,Karow WG,Gentry WD,Wade ME

    更新日期:1977-07-01 00:00:00

  • Human papillomavirus detection in cervical lesions nondiagnostic for cervical intraepithelial neoplasia: correlation with Papanicolaou smear, colposcopy, and occurrence of cervical intraepithelial neoplasia.

    abstract::Human papillomavirus (HPV) is associated with cervical intraepithelial neoplasia (CIN) and carcinomas. The present study involved women who had an abnormal Papanicolaou smear and whose cervix contained acetowhite area(s) that lacked the histologic features of CIN. Sequences homologous to HPV DNA, determined by Souther...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Nuovo GJ,Blanco JS,Leipzig S,Smith D

    更新日期:1990-06-01 00:00:00

  • Placental abruption remote from term associated with Q Fever infection.

    abstract:BACKGROUND:It has been suggested that Q fever infection in pregnancy is associated with various maternal and neonatal adverse outcomes, including intrauterine growth restriction, stillbirth, preterm delivery, intrauterine fetal death, and oligohydramnios. CASE:We describe the cases of two pregnant women remote from te...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e318260590f

    authors: Shinar S,Skornick-Rapaport A,Rimon E

    更新日期:2012-08-01 00:00:00

  • Obstetric Care Consensus No. 8 Summary: Interpregnancy Care.

    abstract::Interpregnancy care aims to maximize a woman's level of wellness not just in between pregnancies and during subsequent pregnancies, but also along her life course. Because the interpregnancy period is a continuum for overall health and wellness, all women of reproductive age who have been pregnant regardless of the ou...

    journal_title:Obstetrics and gynecology

    pub_type: 共识发展会议,杂志文章,实务指引

    doi:10.1097/AOG.0000000000003026

    authors:

    更新日期:2019-01-01 00:00:00

  • Hormonal function of a granulosa cell tumor.

    abstract::Granulosa and theca cell tumors are rather common gonadal stromal tumors. A postmenopausal patient with a granulosa cell tumor, who complained chiefly of breast tenderness and enlarging, abdomen, is presented. Preoperative and postoperative studies including serum estrone, estradiol, prolactin, FSH, and LH,as well as ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Mccormack TP,Riddick DH

    更新日期:1976-07-01 00:00:00

  • Fertility-conserving surgery for young women with stage IA1 cervical cancer: safety and access.

    abstract:OBJECTIVE:To estimate the safety of fertility-conserving surgery for stage IA1 cervical cancer and to analyze predictors of access to conization. METHODS:We analyzed women with stage IA1 cervical cancer aged 40 years or younger who were diagnosed between 1988 and 2005 and recorded in the Surveillance, Epidemiology, an...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181d06b68

    authors: Wright JD,Nathavithrana R,Lewin SN,Sun X,Deutsch I,Burke WM,Herzog TJ

    更新日期:2010-03-01 00:00:00

  • Health Care Disparity and State-Specific Pregnancy-Related Mortality in the United States, 2005-2014.

    abstract:OBJECTIVE:To investigate factors associated with differential state maternal mortality ratios and to quantitate the contribution of various demographic factors to such variation. METHODS:In a population-level analysis study, we analyzed data from the Centers for Disease Control and Prevention National Center for Healt...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,收录出版

    doi:10.1097/AOG.0000000000001628

    authors: Moaddab A,Dildy GA,Brown HL,Bateni ZH,Belfort MA,Sangi-Haghpeykar H,Clark SL

    更新日期:2016-10-01 00:00:00

  • Pregnancy after bromocriptine-induced reduction of an extrasellar prolactin-secreting pituitary macroadenoma.

    abstract::In patients with a large prolactin-secreting pituitary adenoma, a marked reduction in tumor size may be achieved with bromocriptine therapy. However, before consideration of pregnancy, surgical removal of the lesion usually is advised. A 36-year-old woman with a large extrasellar pituitary macroadenoma was treated wit...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-198409001-00001

    authors: Goodman LA,Chang RJ

    更新日期:1984-09-01 00:00:00

  • Clinical implications of lactose-positive breast secretions in nonpuerperal females.

    abstract::Inappropriate milk-like secretion from the breasts is not infrequently encountered in patients. Usually these secretions have been identified as milk on the basis of their characteristic appearance, and only rarely has their identity as milk been proven by appropriate analysis. Since milk is chemically defined as a la...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Hagler L,Coppes RI Jr,Block M,Hofeldt FD,Herman RG

    更新日期:1975-09-01 00:00:00

  • Lymphatic spread in stage Ib and II cervical carcinoma: anatomy and surgical implications.

    abstract:OBJECTIVE:To determine the frequency and topography of pelvic and para-aortic node involvement in cervical carcinoma and to identify the appropriate level for resection of the lymphatic chains. METHODS:Between 1985 and 1994, 421 women with stage Ib or II cervical carcinoma were treated by surgery in combination with i...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)00696-0

    authors: Michel G,Morice P,Castaigne D,Leblanc M,Rey A,Duvillard P

    更新日期:1998-03-01 00:00:00

  • Physiotherapy for persistent postnatal stress urinary incontinence: a randomized controlled trial.

    abstract:OBJECTIVE:The aim of this study was to compare the effectiveness of multimodal supervised physiotherapy programs with the absence of treatment among women with persistent postnatal stress urinary incontinence. METHODS:This was a single-blind randomized controlled trial. Sixty-four women with stress urinary incontinenc...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.AOG.0000135274.92416.62

    authors: Dumoulin C,Lemieux MC,Bourbonnais D,Gravel D,Bravo G,Morin M

    更新日期:2004-09-01 00:00:00

  • Hormones, mood, and cognitive functioning in postmenopausal women.

    abstract::Findings from basic neuroscience have provided information on the effects of estrogen on brain morphology and chemistry that explain how this sex steroid may influence brain function. The clinical literature shows that estrogen enhances mood and specific aspects of cognitive functioning in postmenopausal women. There ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(95)00431-9

    authors: Sherwin BB

    更新日期:1996-02-01 00:00:00

  • Anterior vaginotomy: abdominal delivery without a uterine incision.

    abstract::To determine whether planned anterior vaginotomy is a logical and safe means of avoiding a uterine scar with term abdominal delivery. I recorded the complications of the technique and whether vaginal birth after anterior vaginotomy occurred. Thirteen anterior vaginotomies were done when the vagina had advanced during ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(96)00209-8

    authors: Goodlin RC

    更新日期:1996-09-01 00:00:00

  • High-fiber diet for treatment of constipation in women with pelvic floor disorders.

    abstract:OBJECTIVE:To examine the effect of high-fiber diet on constipation in women with pelvic floor disorders. METHODS:This was a study of a prospective cohort of 41 consecutive women presenting to a tertiary care facility for pelvic floor disorders with a complaint of constipation from March 2005 to September of 2005. Pati...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000308660.48204.7f

    authors: Shariati A,Maceda JS,Hale DS

    更新日期:2008-04-01 00:00:00

  • Uncommon type of placentation after previous cesarean deliveries.

    abstract:BACKGROUND:A rare type of placentation leading to cesarean delivery and hysterectomy is described. CASE:A young multigravida in the 26th week of gestation was referred to our department with a history of vaginal bleeding and suspected placenta previa. Three previous children were delivered by elective cesarean. Ultras...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(03)00629-x

    authors: Krasznai I,Rigó J Jr,Boze T,Papp Z

    更新日期:2003-09-01 00:00:00

  • Beyond Silence and Inaction: Changing the Response to Experiences of Racism in the Health Care Workforce.

    abstract::The issue of race and ethnicity within obstetrics and gynecology has come to the forefront in the current social and political climate. Understanding the ill effects of racism within the clinical space requires an acknowledgment of both the ongoing problem and current limitations in the state of knowledge and praxis a...

    journal_title:Obstetrics and gynecology

    pub_type: 社论

    doi:10.1097/AOG.0000000000002868

    authors: Premkumar A,Whetstone S,Jackson AV

    更新日期:2018-10-01 00:00:00

  • Fetal injury associated with cesarean delivery.

    abstract:OBJECTIVE:To describe the incidence and type of fetal injury identified in women undergoing cesarean delivery. METHODS:Between January 1, 1999, and December 31, 2000, a prospective cohort study of all cesarean deliveries was conducted at 13 university centers. Information regarding maternal and infant outcomes was abs...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.AOG.0000237116.72011.f3

    authors: Alexander JM,Leveno KJ,Hauth J,Landon MB,Thom E,Spong CY,Varner MW,Moawad AH,Caritis SN,Harper M,Wapner RJ,Sorokin Y,Miodovnik M,O'Sullivan MJ,Sibai BM,Langer O,Gabbe SG,National Institute of Child Health and Human Deve

    更新日期:2006-10-01 00:00:00