Uniformed Services University Obstetrics and Gynecology Core ...
Uniformed Services University Obstetrics and Gynecology Core ...
Uniformed Services University Obstetrics and Gynecology Core ...
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X. Survival Tips for <strong>Obstetrics</strong> <strong>and</strong> <strong>Gynecology</strong>:This clerkship offers a practical “h<strong>and</strong>s-on” approach to learning. You must takeinitiative in establishing what you want to learn. Those students who have enjoyedthis rotation the most are those who exhibit the greatest degree of independence <strong>and</strong>assertiveness. You must be an active participant on rounds, ask questions aboutconcepts you don’t underst<strong>and</strong>, <strong>and</strong> be aggressive in picking up patients as newadmissions, doing their work-ups, <strong>and</strong> following them closely throughout their hospitalstay. Alternatively, students who show no enthusiasm, simply “go through the motions”<strong>and</strong> have marginal interest may lose the opportunity to really experience whatobstetrics <strong>and</strong> gynecology is all about.Presentation of PatientsWhen you present patients, the best generally format is (which will differ slightly fromresident to resident) is as follows:Mrs._____ is a ____ y/o G_P_ _ _ _ at ____wks gestation by (sure LMP <strong>and</strong> 1 st /2 ndtrimester ultrasound) who presents with the chief complaint of __________, Shereports (insert the answers to the FOUR QUESTIONS here – see Part B of thissection)Her prenatal course has been complicated by: 1. _________ 2. __________, etc.Past OB history is significant for (dystocia, post-partum hemorrhage, preterm delivery,etc)Past GYN history significant for (abnormal Pap, HSV, PID)Her PMH is significant for __________________.Current medications include _________________.Her physical exam revealed _________________(non OB/GYN)Pelvic exam:Normal external female genitalia (NEFG)Vulva/Vagina (without lesions, with fluid in vault, etc)CervixUterus (firm, tender, etc)Adnexae (if appropriate; typically early pregnancy)Assessment:Plan:Labor <strong>and</strong> DeliveryMost patients come to “the labor deck” for one of two complaints: ruptured membranesor because they believe they are in labor. There are only a few things that youabsolutely MUST do for each of these, <strong>and</strong> if you know what those are, you’ll beseveral steps ahead of everyone else.First of all ALWAYS ask these four questions to every pregnant woman who walks in:1. Are you having any BLEEDING?
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