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Jefferson Medical College Alpha Omega Alpha Guide to the Clinical Years
Obstetrics and Gynecology
This six-week rotation involves Gynecologic Surgery, Obstetrics, and Outpatient Gynecology. Depending on the location of your rotation, you may have the opportunity to participate in or observe the specialties of Maternal Fetal Medicine, Urogynecology, Reproductive Endocrinology and Infertility, and Gynecological Oncology. Provided that you show interest, the residents are more than willing to allow you to participate in deliveries.
The pelvic exam can be a nervous experience for the patient and the new student alike. At the beginning of the rotation, you will receive a patient teaching session on the gynecological exam. During the patient teaching session, you are given the proper method of doing the exam as well as tips on how to council your patient. Communicating with your patient is perhaps as important as doing the actual exam. Say things like, “every thing is healthy and normal” after the breast exam and stay away from, “every looks and feels great!”
Most sites ask for a week of night float on labor and delivery in place of call. You may be the only student on call so take advantage of the constant activity and hands-on opportunities. Get involved with all aspects of OB/GYN such as MFM admissions, ER calls for an ectopic pregnancy, and stat C-Section deliveries. Make sure you get sleep during the day while on night float – it is considered poor form to sleep during your time at the hospital.
The OB/GYN Department provides an excellent handout of useful information. Perhaps the most useful is a pocket-sized packet which gives examples of admission notes, delivery notes, pre- and post-op notes, and progress notes. Also, this packet has listings of general procedures and concepts you should encounter and participate in over the course of the rotation. You will also receive a pocket handbook on contraception that is a great resource during your time spent in the outpatient office.
Textbooks – texts in bold are highly recommended
You will find that most OB/GYN patients will stay approximately 2 days after a vaginal delivery and 3 to 4 days after Cesarean section. Notes tend to be very brief and to-the-point. The following note covers just about everything your resident would want to know following childbirth. Operative notes for a TAH/BSO or C-Section are the same as the surgery op note. Be sure to include, however, the sex, weight, and Apgar scores of the baby (or babies) somewhere in the note.
Don’t worry if the sample note looks like gibberish right now – you will get the hang of things quickly once the rotation starts! Dr. Wolf will go over a sample note on the first day of the rotation that will help things become a little more clear.
This rotation uses the written NBME shelf examination. Pre-Test or Appleton & Lange’s question books are recommended for preparation.
Additionally, a clinical OSCE exam is given at the end of the clerkship that emphasizes basic physical exam techniques and procedures in OB/GYN.
No other field of medicine has as many abbreviations as the field of OB/GYN. You may want to print out the following segment of this guide and carry it around with you on your OB/GYN rotation.
Last revised: 9/07