Obstetric Medicine

During this rotation, residents should develop an approach to the following conditions:

● Physiologic changes in pregnancy 

● Principles of drug therapy in pregnancy 

● Diagnostic imaging in pregnancy 

● Diabetes in pregnancy 

● Hypertension in pregnancy 

● Pre-eclampsia 

● Thrombosis in pregnancy 

● Thyroid disease in pregnancy 

● Headaches in pregnancy 

● Renal disorders in pregnancy 

● Shortness of breath in pregnancy 

● GI / Liver disorders in pregnancy 

● Seizure disorders in pregnancy 

● Thrombocytopenia in pregnancy

● Cardiac disease in pregnancy 

Updated August 2025

By the end of this rotation, residents will be graded as “progressing as expected” in each of the following and in the Global Rating.  The expected level of performance in the PGY1 year is Interpreter level,  PGY2 is Manager level, PGY3 is Educator level (See Program Information - Overall Goals and Objectives).

1. Medical Expert

• Data Collection and Clinical Reasoning: The resident appropriately collects and synthesizes clinical information to formulate a primary diagnosis and appropriate differential.

• Clinical Decision Making: The resident is able to make appropriate and cost-effective investigation and management decisions based on the context of the case and best available evidence.

2. Communicator

• Patient and Family Communication: The resident communicates with and about patients and family in a patient-centred manner.

• Documentation and Verbal Presentation: The resident appropriately documents and presents cases for new consults, progress notes, and handover of care (succinctly organized, prioritized, summarized) including answering the question asked by the referring service.

3. Collaborator

• Interdisciplinary Team: The resident works well in a team, shares work, and interacts with referring physician and other healthcare providers effectively.

4. Leader

• Efficiency: The resident prioritizes tasks and manages time effectively.

5. Health Advocate

• Patient Advocacy: The resident addresses disease prevention, risk factor reduction, and health surveillance when indicated.

6. Scholar

• Personal and Team-based Learning:  The resident demonstrates an effective personal learning strategy (reading around cases, appropriate use of resources) and shares knowledge with other team members.

7. Professional

• Scope of Practice: The resident is trustworthy and responsible, knows limitations (asks for help appropriately), and responds well to feedback.

Assessment

We use the following In-Training Evaluation Report (ITER): 

• Obstetrics Medicine

Entrustable Professional Activities (EPAs)

This rotation focuses on mainly Core of the Discipline EPAs. However, due to scheduling, a resident may do this rotation during Foundations. Residents are allowed to start Core of Discipline EPAs during the Foundations stage. This rotation is an ideal learning environment for the following EPAs:

• FD2: Managing patients admitted to acute care settings with common medical problems and advancing their care plans

• FD4: Formulating, communicating, and implementing discharge plans for patients with common medical conditions from acute care settings

• CD1: Assessing, diagnosing and managing patients with complex or atypical acute medical presentations

• CD2: Assessing, diagnosing, and managing patients with complex chronic diseases

• CD3: Providing internal medicine consultation to other clinical services

  • This EPA mandates at least one successful observation pertaining to an Obstetric Medicine case specifically

Obstetric Medicine Rotation Director

Dr. Rshmi Khurana

rshmi.khurana@albertahealthservices.ca

Medical Education Program Coordinator

medngim@ualberta.ca