My OB-GYN Rotation
Core rotation #5 - 6 weeks
Services: Ultrasound clinic, L&D, OB clinic, GYN clinic, OR (1 week each)
- Ultrasound clinic: All services except OR attend morning sign out at 7am. Afterwards, we all go to our respective departments. Ultrasound clinic began at 8:30am where the physician would bring one student to see one patient and would perform an ultrasound and review it with the patient. This gives the student the chance to see ultrasounds as well. You can observe other procedures such as paracenteses and at times, if emergent, patients would be sent directly to the hospital since the clinic was across the street in the same building as the OB and GYN clinics
- L&D: After morning sign out, we would go to the back room and students would take turns obtaining a history on the patients coming and would present to the residents. Aside from H&Ps, we would also scrub in to C sections and vaginal childbirth. This shift was until sign out (7pm) and included the weekend (Sat).
- There is also L&D long shifts where we stayed a few hours after 7pm.
- Another shift is nights where half of the group would work nights during the first half of the week followed by the rest of the group. Minimum was 3 shifts.
- OB clinic: After morning sign out, we went to the clinic (across the street) and begin seeing patients and presenting to the residents/attendings. Since it is obstetrics, most patients are here for a prenatal check up so we were allowed to check the fetal heart sounds beforehand. We saw patients until 4-5pm depending when the last patient arrived.
- GYN clinic: After morning sign out, we went to the clinic (across the street) and begin seeing patients and presenting to the residents/attendings. We were allowed to perform procedures (under supervision) such as pap smears and vaccinations. We saw patients until 4-5pm depending when the last patient arrived.
- OR: We went straight to the OR at 7am and looked at the board and divided up the procedures to determine which students would scrub in to which procedure. Once established, we would take a brief H&P and present to the resident before surgery and then observe and assist with whatever the resident needed help with.
- Lectures: Once a week on Wednesday mornings til noon. We also had student lectures.
- We also had mandatory quizzes to complete every week followed by a comprehensive exam.
Tools: Stethoscope, notebook, pen
Useful Phone Apps: Epocrates (helps with drug names, indications, dosing), UptoDate (information), Core: Clerkships (helpful information for each core rotation), OBWheels (for determining gestational age)
Overall thoughts: I really enjoyed this rotation and recommend it. This is one of the rotations where you will definitely need to study, especially for Obstetrics since it is a new concept for everyone. You also need to put the work in and make an effort in order to get the most out of this rotation. The residents may be a little bit mean/harsh (also running on a few hours of sleep) but they are very knowledgeable and are willing to teach if you are willing to learn. The attendings are also very knowledgeable.