Ob/Gyn Clerkship

 The Curricular Elements for Prevention & Screening in Ob/Gyn   
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 LUHS Women's Health
Screening & Counseling
Preventive Guidelines  [click]
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Clerkship Self-Assessment Test  

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USPSTF Guidelines
[Women's Health Topics]

Obesity in Adults: Screening (2003) / Counseling (1996)

Blood Pressure: Screening (2003)

Lipid Disorders: Screening (2001)

Coronary Heart Disease: Screening (2004)

Colorectal Cancer: Screening (2002)

Osteoporosis: Screening (2002)

Cervical Cancer: Screening (2003)

Ovarian Cancer: Screening (2004)

Breast Cancer: Screening (2002) / Preventive Medication (2002)

Thyroid Disease: Screening (2004)

Thyroid Cancer: Screening (1996)

Skin Cancer: Screening (2001) / Counseling (2003)

Diabetes Mellitus: Screening (2003)

Iron Deficiency Anemia [per Ob/Gyn rec's]

Hearing, Newborn: Screening (2001)

Visual Impairment: Screening (1996)

Visual Impairment in Children Ages 0-5: Screening (2004)

Drug Abuse: Screening (1996)

Syphilis: Screening (2004)

Herpes Simplex, Genital: Screening (2005)

Gonorrhea: Screening (2005)

Unintended Pregnancy: Counseling (1996)

Family Violence: Screening (2004)

Youth Violence: Counseling (1996)

Depression: Screening (2002)

Anxiety & Panic [per Ob/Gyn recommendations]

Eating Disorders [per Ob/Gyn recommendations]

Immunizations, Adult: Immunizations (1996)

Immunizations, Childhood: Immunizations (1996)

Dental Caries in Preschool Children: Screening (2004)

Oral Cancer: Screening (2004)

Injury Prevention [per Ob/Gyn recommendations]

Sexual Behavior [per Ob/Gyn recommendations]

Chemo Prevention [per Ob/Gyn rec's]

Diet: Counseling (2003)

Exercise [per Ob/Gyn recommendations]

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Each Day Each Month Each Year Other
Exercise 20 minutes (at least 3 days each week). Perform a breast self examination. Have a dental checkup once or twice a year. After age 20: every 5 years have a full lipid profile test for cholesterol and triglycerides.

Protect yourself from the sun -- use sunscreen and dress appropriately.

 Perform an oral cavity self examination -- gums, teeth, lips, tongue. After age 50:
have a physical examination by your health-care provider.		 Every 3 years
after age 30:
have a physical examination by your health-care provider.
Watch your fat intake -- no more than 30 percent of your calorie intake. Perform a full-body self examination for unusual moles or other skin conditions. After age 50: have a DRE (digital rectal examination). Every 2 years
after age 40:
have a physical examination by your health-care provider.
Eat 2 - 3 servings of protein (meat, poultry, fish, beans, eggs, nuts) and dairy products. Be aware of your weight -- check your BMI (body mass index). Have your blood pressure and cholesterol levels checked. After age 50:
have a flexible sigmoidoscopy every 5 years, or as recommended by your health-care provider.
Eat 6 - 11 servings of grains;
3 - 5 servings of vegetables;
and 2 - 4 servings
of fruits.		   Get a flu shot. After age 50: have a colonoscopy every 10 years, or as recommended by your health-care provider.
Be aware of your alcohol intake.   After age 40: have
a mammogram every 1 to 2 years.		 After age 50: have a double contrast barium enema every 5 -10 years, or as recommended by your health-care provider.
Be aware of your stress level.   After age 50: have
a fecal occult
blood test.		  
    Have a pelvic examination and Pap test every 1 to 3 years.  

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What Vaccinations are Routinely Recommended for Adults, Adolescents, and Children?
Below is a listing of generally recommended vaccinations for adults, adolescents, and children.

For
adults:

For
adolescents:

 For young
children:*
Hepatitis A
For those at risk, and for travelers to countries where the disease is common.

Hepatitis A
For those at risk, and for travelers to countries where the disease is common.

  
Hepatitis B
For those at risk.

Hepatitis B
For those at risk.

 Hepatitis B
Influenza (flu)
Recommended to given yearly during the early fall to those 65 or older, and recommended for those younger than 65 who have medical problems such as heart disease, lung disease, diabetes, and other chronic conditions, or for those who work or live in high-risk areas.

Influenza (flu)
Recommended for those younger than 65 who have medical problems such as heart disease, lung disease, diabetes, and other chronic conditions, or for those who work or live in high-risk areas.

 H. Influenzae type b
Measles, Mumps, Rubella (MMR)
Two doses, one month apart, are recommended for adults born in 1957 or later if immunity cannot be proven. Should not be given to pregnant women or those considering pregnancy within three months of vaccination. Other exceptions:  documentation that you have had at least one dose each of the measles, mumps, or rubella vaccines; other acceptable evidence of immunity to these three diseases; have a medical reason for not getting the vaccines.

Measles, Mumps, Rubella (MMR)
Two doses, one month apart, are recommended for adults born in 1957 or later if immunity cannot be proven. Should not be given to pregnant women or those considering pregnancy within three months of vaccination. Other exceptions:  documentation that you have had at least one dose each of the measles, mumps, or rubella vaccines; other acceptable evidence of immunity to these three diseases; have a medical reason for not getting the vaccines.

 Measles, Mumps, Rubella (MMR)
Pneumococcal (pneumonia)
Recommended to be given once at age 65 or older, and also recommended for those younger than 65 who have medical problems such as those listed for influenza, as well as those with kidney disorders, sickle cell anemia. Can be given at any time during the year.

Pneumococcal (pneumonia)
Recommended for those younger than 65 who have medical problems such as those listed for influenza, as well as those with kidney disorders, sickle cell anemia, or for those who work or live in high-risk areas. Can be given at any time during the year.

 Polio
Tetanus, Diphtheria (td)
Given during childhood, a booster shot is recommended every 10 years.

Tetanus, Diphtheria (td)
Given during childhood, a booster shot is recommended every 5 years.

 Diphtheria, Tetanus, Pertussis (DPT)

 
Varicella (chickenpox)
Recommended for persons 13 years old and older who have not had chickenpox. Should not be given to pregnant women or those considering pregnancy within three months of vaccination.

Varicella (chickenpox)
Recommended for persons 13 years old and older who have not had chickenpox. Should not be given to pregnant women or those considering pregnancy within three months of vaccination.

 Varicella (chickenpox)
 

* It is recommended by the Advisory Committee on Immunizations Practices, the American Academy of Pediatrics, and the American Academy of Family Physicians that every child have a series of vaccinations that protect against the above 10 diseases.