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Guidelines for Medical Students at Sims

I. Statement of Philosophy

The Sims Institute/Sims International Fertility Clinic is committed to fostering an environment that promotes academic and professional success in learners and teachers at all levels. We are a reproductive endocrinology/infertility training site for the Department of Obstetrics & Gynaecology, Coombe Hospital for Women (Dublin), a teaching affiliate of the Royal College of Surgeons in Ireland. In addition, Sims host post-graduate medical staff from Lviv National Medical University [Ukraine]. We consider the learning and research experiences available here to represent the best of European and American clinical models, and welcome your feedback.

The achievement of your success at Sims depends on an environment free of behaviors which can undermine the important missions of our Institute. An atmosphere of mutual respect, collegiality, fairness, and trust is essential. Although both teachers and learners bear significant responsibility in creating and maintaining this atmosphere, your teachers also bear particular responsibility with respect to their evaluative roles relative to student work and with respect to modeling appropriate professional behaviors. Teachers must be ever mindful of this responsibility in their interactions with their colleagues, their patients, and those whose education has been entrusted to them.

Medical students are expected to be mindful of the fact that our patients are here seeking elective medical treatment for infertility or miscarriage, a deeply personal challenge. Students are required to conduct themselves in a professional manner consistent with the seriousness required of the situation. Patient privacy and confidentiality are to be preserved at al times; no photography is allowed. Students must wear their official university name badge whilst at our clinic so that staff and patients are aware of your learning role here.

For  RCSI students, the reproductive endocrinology & infertility rotation at Sims is a 1- or 2-day experience during which you will observe procedures, attend lectures and receive examinations. The learning module may include post-graduate doctors who participate in a more extensive course, but may share tutorials with undergraduate RCSI students.


II.  Responsibilities in the Teacher/Learner Relationship

 A.  Responsibilities of teachers

  1. Treat all learners with respect and fairness.
  2. Treat all learners equally regardless of age, gender, race, ethnicity, national origin, religion, disability, or sexual orientation.
  3. Provide current materials in an effective format for learning.
  4. Be on time for didactic, investigational, and clinical encounters.
  5. Provide timely feedback with constructive suggestions and opportunities for improvement/remediation when needed.

B. Responsibilities of learners

  1. Treat all fellow learners and teachers with respect and fairness.
  2. Treat all fellow learners and teachers equally regardless of age, gender, race, ethnicity, national origin, religion, disability, or sexual orientation.
  3. Commit the time and energy to your studies necessary to achieve the goals and objectives of each course.
  4. Be on time for didactic, investigational, and clinical encounters.
  5. Communicate any concerns in a respectful, professional manner.

III. Abbreviations Commonly Used in Reproductive Medicine

FSH follicle stimulating hormone
LH luteinising hormone
E2 estradiol
P4 progesterone
AMH anti-Mullerian hormone
EDE European egg donor programme
DER donor egg recipient
COH controlled ovarian hyperstimulation
OHSS ovarian hyperstimulation syndrome
ICSI intracytoplasmic sperm injection
TAH total abdominal hysterectomy
TVH total vaginal hysterectomy
BSO bilateral salpingo-oophorectomy
BTL/BPS bilateral tubal ligation/bilateral partial salpingectomy
PID pelvic inflammatory disease
GC gonococcus, Gonorrhea
D&C dilation and curettage of the uterus
EMBx endometrial biopsy
LPD luteal phase defect
PMS premenstrual syndrome
PCOS polycystic ovary syndrome
ERT estrogen replacement therapy
STD sexual transmitted disease
GTN gestational trophoblastic neoplasia
SAb spontaneous abortion
EAb elective abortion

Medical Students: General Information

A full syllabus booklet will be provided to you upon arrival at the clinic at 10am on your assigned day (Tuesday or Wednesday). Late arrival will mean that you will not be able to participate to the fullest, so try to be prompt.

Sims is located in Clonskeagh Dublin 14, beside The Honda Garage and close to the back entrance of UCD

For RCSI students, your day will be determined by Ms. Marie Green at the Coombe Hospital education office: 01 408-5365. For Lviv participants, please contact your Department chair for the necessary academic and Visa paperwork prior to your arrival in Dublin.

Recommended Texts/Resources: “Essentials of Obstetrics and Gynecology” Obstetrics and Gynecology  Editors: Neville Hacker/George Moore

RCOG Training guidelines
ACOG Educational Bulletins
ASRM Educational materials
ESHRE Site information

Research activities at Sims are important because this field of medicine is relatively new and there are many unanswered questions. We welcome student participation and co-authorship in our publications, either in ongoing manuscripts or new projects developed by you. An overview of the Sims research portfolio can be accessed here.

Note that Sims Clinic is the only independent IVF unit in the world that runs its own peer-reviewed medical journal, NLM-indexed since 2004. JECAR publishes select papers on IVF and the advanced reproductive technologies from around the world. Accordingly, RCSI students interested in medical journal management/editing/publishing will have multiple opportunities to develop those talents while at Sims.

Course Director: Dr Anthony P.H. Walsh, MD MRCOG MRCPI

Any questions regarding scheduling or content of the RSCI rotation at Sims should be addressed to: Dr. David Walsh,The Sims Institute of Medical Science, Clonskeagh Road, Dublin14