> For the complete documentation index, see [llms.txt](https://ismms-md-program.gitbook.io/medinfoapp/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://ismms-md-program.gitbook.io/medinfoapp/ascend-phase-2-clerkships/ob-gyn/required-clinical-experiences-rce.md).

# Required Clinical Experiences (RCE)

RCE ensure that students have adequate exposure to a variety of specialty-relevant presenting complaints commonly seen in the clerkship’s clinical setting.&#x20;

Ensuring completion of the Required Clinical Experiences is a joint responsibility of the student and the clerkship director(s). Students are responsible to complete each RCE *and* log completion on One45. Clerkship directors are responsible to review One45 logs and provide advice and guidance to students regarding how to complete any missing RCEs. In the event that a student is not able to complete an RCE, the student must complete the associated Alternate Learning Experience (ALE). The ALEs associated with each RCE are [found here](https://ismms-md-program.gitbook.io/medinfoapp/~/changes/236/clerkship-resources/logging-required-clinical-experiences/alternate-learning-experience-ale) and may include online modules, readings, video recordings, and/or in-person instruction.

Students MUST have logged all RCEs in One45 by the day of the clerkship’s shelf exam in order to pass the clerkship. You can read more about RCEs in our policy in the Student Handbook under Phase 2 and 3 Policies and Procedures, [here](https://ismms-md-program.gitbook.io/medical-student-handbook/policies-and-procedures/md-program-specific-policies-and-procedures/year-3-4-and-phase-2-3-policies-and-procedures#required-clinical-experiences-policy-this-policy-provides-information-about-the-required-clinical-ex).

**Students will perform all components listed next to each RCE:**

### <mark style="color:blue;">Obstetrics-Gynecology Clerkship</mark>

<mark style="color:green;background-color:green;">**RCE Clinical Conditions: Non-Procedural**</mark>

<table data-header-hidden><thead><tr><th width="373.33331298828125" valign="top"></th><th width="252.66668701171875"></th></tr></thead><tbody><tr><td valign="top"><strong>Clinical Condition</strong></td><td><strong>Skills</strong></td></tr><tr><td valign="top"><strong>Bleeding, Uterine or Vaginal</strong></td><td><ul><li>obtain the patient history </li><li>physical exam</li></ul></td></tr><tr><td valign="top"><strong>Pelvic Mass</strong></td><td><ul><li>obtain the patient history</li><li>physical exam</li></ul></td></tr><tr><td valign="top"><strong>Pelvic Pain</strong></td><td><ul><li>obtain the patient history</li><li>physical exam</li></ul></td></tr><tr><td valign="top"><strong>Sexually Transmitted Infections</strong></td><td><ul><li>obtain the patient history </li></ul></td></tr><tr><td valign="top"><strong>Conduct a physical examination of non-pregnant woman.</strong></td><td><ul><li>obtain the patient history</li></ul></td></tr><tr><td valign="top"><strong>Conduct a focused physical examination of a postpartum patient via SVD.</strong></td><td><ul><li>physical exam</li></ul></td></tr><tr><td valign="top"><strong>Conduct a focused physical examination of a postpartum patient via cesarean delivery.</strong></td><td><ul><li>physical exam</li></ul></td></tr></tbody></table>

<mark style="color:green;background-color:green;">**RCE: Procedural**</mark>

<table data-header-hidden><thead><tr><th width="289.3333740234375" valign="top"></th><th width="310.66656494140625"></th></tr></thead><tbody><tr><td valign="top"><strong>Procedures</strong></td><td><strong>Level of Student Responsibility</strong></td></tr><tr><td valign="top"><strong>Participate in the management of a pregnant patient in labor.</strong></td><td><ul><li>Active Participation (Assist)</li></ul></td></tr><tr><td valign="top"><strong>Assist in a spontaneous vaginal delivery (SVD).</strong></td><td><ul><li>Active Participation (Assist)</li></ul></td></tr><tr><td valign="top"><strong>Assist in a cesarean delivery.</strong></td><td><ul><li>Active Participation (Assist)</li></ul></td></tr><tr><td valign="top"><strong>Assist in a vaginal or perineal laceration repair.</strong> </td><td><ul><li>Active Participation (Assist)</li></ul></td></tr><tr><td valign="top"><strong>Assist in a hysterectomy.</strong></td><td><ul><li>Active Participation (Assist)</li></ul></td></tr><tr><td valign="top"><strong>Assist in a laparoscopic surgery.</strong></td><td><ul><li>Active Participation (Assist)</li></ul></td></tr><tr><td valign="top"><strong>Demonstrate appropriate scrubbing technique.</strong></td><td><ul><li>Active Participation (Full)</li></ul></td></tr><tr><td valign="top"><strong>Perform indwelling urinary catheter insertion (female).</strong></td><td><ul><li>Active Participation (Full)</li></ul></td></tr><tr><td valign="top"><strong>Perform obstetric ultrasound to assess fetal presentation in a pregnant patient.</strong></td><td><ul><li>Active Participation (Full)</li></ul></td></tr></tbody></table>
