Obstetrics and Gynecology

  1. Resources for Rotation and Studying
  2. How to Prepare (Weekend Before Starting Rotation)
    • Read up on the following:
      • Abnormal bleeding (there is a great OME video on this)
      • Pap smear screening guidelines
      • Contraception (types and mechanism of action)
      • Fetal Heart Tracings
      • Routine Prenatal Screening/Labs
      • STIs
      • Recommendations for mammography screening
      • Gyn terminology (menarche, menopause, menorrhagia….)
      • Menstrual cycle
      • Layers of abdominal wall
      • Leopold maneuver (helpful for finding fetal heart tones with Doppler)
      • Stages of labor
    • Review your knot tying (YouTube!)
  3. Getting the Most Out of Your Rotation
    • If going to the OR, read up on the surgery you are walking into. It is more meaningful and you are able to ask more pointed questions.
    • Ask for sutures and practice tying 1 handed knots with your non-dominant hand, instrument ties, and 2 handed knots while on L&D 
    • If you don’t know how to scrub ask scrub tech to help you. Just make sure it’s not while they’re busy.
    • When presenting, don’t say “26 yo G1P0 FEMALE”. It’s implied all OBGYN patients are female.
      • If the patient is transgender, I believe the appropriate phrase would be female-to-male transgender man.
    • Use a chaperone for pelvic/bimanual/breast/rectal exams, regardless of your gender, even if your attending doesn’t request you use one.
    • Don’t wait to be told to put on the gown and gloves. It will be too late. Offer to be the one to catch the baby (or as many as you can!)
    • Offer to write as many notes as possible.