Maternal Child Health

Rotation Title: Maternal Child Health

Faculty Chairs: Amanda Provencio, MD and Jazmin Rodriguez, MD

ACGME Program Requirements (IV.C.3.u)

Residents must have six months dedicated to elective experiences. ^(Core)

The curriculum for each elective experience must be approved by the program director and developed in consultation with a member of the faculty who will ensure orientation, supervision, teaching, and timely feedback and evaluation. ^(Core)

•  These elective experiences should be driven by each resident’s individualized education plan and address needs of future practice goals. ^(Detail)
• The elective experiences should be developed with the guidance of a faculty mentor. These experiences should be evaluated through a structured approach by faculty members or other appropriate supervisors using multiple assessment methods, in different settings, and have systems for tracking and monitoring progress toward completing the individualized learning plan. ^(Detail)

Goal:

The overarching goal of the maternal child health elective rotation is to provide a transformative learning experience that empowers residents to become compassionate and knowledgeable healthcare providers and confident parents. By combining experiential learning, reflection journaling, and exposure to real-life maternal and childcare scenarios, the curriculum aims to foster a deep understanding of the physical, emotional, and social aspects of maternal and child health. Ultimately, the curriculum seeks to equip residents with the skills, empathy, and resilience necessary to deliver patient-centered, family-focused care and navigate their own journey into parenthood with confidence and expertise.

Expectations for Residents and Faculty (if beyond those outlined in resident manual):

General Rotation Information: This is a four-week block rotation, which will be divided as follows:

Week 1 and 2:

The primary focus during the first two weeks is on uninterrupted maternal/paternal child bonding and newborn care. Residents will have firsthand experience in this setting to develop a deep understanding of the needs and challenges faced by new parents and their infants.

Residents will actively participate in the care of both mothers and newborns under the guidance of experienced healthcare professionals, including obstetricians, pediatricians, and nurses.

They will learn essential skills for newborn assessments, breastfeeding support, postpartum care, and maternal health evaluation.

Residents will also be exposed to the emotional and psychological aspects of becoming a parent and the importance of fostering a supportive and caring environment during this life-changing phase.

Week 3 and 4:

During weeks 3 and 4, the focus will shift slightly to incorporate family medicine continuity clinic and didactic sessions alongside the maternal/child health experience.

Residents are expected to attend one half-day of family medicine continuity clinic per week as well as weekly didactic sessions. This allows them to maintain their general family medicine skills and keep up with ongoing patient care while still being actively involved in the maternity/paternity rotation.

It is encouraged that residents actively seek out opportunities to engage with community resources and support services related to maternal and child health, fostering a well-rounded approach to care.

Deliverables (if applicable): Anything a resident may need to produce during the rotation (journal entries, letter to editor, etc.)

1. Weekly reflection journal should serve as a comprehensive record of the resident’s experiences, insights, and personal growth, encompassing their firsthand involvement in maternal and newborn care and their own personal bonding during this critical time.
2. Yale Pediatric Modules. “Common Newborn Concerns”.
3. 20-minute presentation on Maternal Child Health Care issue during OB Pearls. Residents may choose a maternal related topic to present during didactics.           

Competency-Based Education

ACGME Program Requirements (see IV.C.3.u)

Assessments

Objectives (Competencies)	Educational Strategies/Activities	Assessments
By the end of the maternal child health rotation residents will gain a thorough understanding of maternal physiology, fetal development, and the various stages of pregnancy and childbirth (MK, PC)	Resident will participate in immersive education, including practical life experience. Reflective journaling fostering self-awareness and growth. 20-minute presentation on Maternal Child Health Care issue during OB Pearls.	Direct observation and faculty feedback on discussing reflective journaling. Direct observation and faculty feedback on Maternal Child Health Care 20-minute presentation.
By the end of the maternal child health rotation residents will acquire skills in addressing common newborn concerns. (PC, MK)	Yale Pediatric Curriculum on “Common Newborn Concerns”. Completed “Common Newborn Concerns” handout.	Feedback on Completed “Common Newborn Concerns” handout.
By the end of the maternal child health rotation residents will reflect on clinical experiences during this time, including strengths and weaknesses. (PBLI)	Immersive education, including practical life experience. Reflective journaling fostering self-awareness and growth.	Direct observation and faculty feedback on discussing reflective journaling.
By the end of the maternal child health rotation residents will develop effective communication strategies to build rapport and establish trust with expectant parents and their families (ICS,SBP)	Immersive education, including practical life experience. Reflective journaling fostering self-awareness and growth.	Direct observation and faculty feedback on discussing reflective journaling.
By the end of the maternal child health rotation residents will demonstrate empathy, sensitivity, and respect for the diverse cultural and social backgrounds of pregnant individuals and their families (PC, PROF, ICS).	Immersive education, including practical life experience. Reflective journaling fostering self-awareness and growth.	Direct observation and faculty feedback on discussing reflective journaling.
By the end of the maternal child health rotation residents will understand the broader healthcare system’s impact on maternal and child health outcomes and be able to identify community resources and support services for pregnant individuals and families (ICS, SBP).	Immersive education, including practical life experience. Reflective journaling fostering self-awareness and growth with one entry specific to the benefits of interprofessional team including behavioral health, social workers, etc. may be essential for health equity. 20-minute presentation on Maternal Child Health Care issue during OB Pearls.	Direct observation and faculty feedback on discussing reflective journaling focusing on interprofessional team patient care. Direct observation and faculty feedback on Maternal Child Health Care 20-minute presentation.

Resources: Links to any websites, articles, or other resources the resident will need for the rotation

1. Yale Primary Care Pediatrics Curriculum < Yale Primary Care Pediatrics Curriculum
2. MMC Mother’s Milk Club and Mom’s Group. Call for info/support at 575-521-5393.
3. American Academy of Pediatrics. www.aap.org
4. American Congress of Obstetricians and Gynecologists. http://www.acog.org/ American Family Physician (AFP): Labor, Delivery, and Postpartum Issues. www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=16  
5. American Family Physician (AFP). Prenatal Care. www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=25  
6. Association of Maternal & Child Health Programs. www.amchp.org/