Rotation – OBGYN

Avg. time commitment – 45-60 hours/week

Clerkship Director
Veronica Gillispie, MD, FACOG

Clerkship Coordinator: Kim Benoit

Residency Program Director: Rajiv Gala, MD, FACOG

Dress Code

  • Scrubs most times
  • Clinic dress may be required at specific sites  (ask in advance)

Things to Know Beforehand

  • SOAP Presentation
  • Master Daily Schedule on EPIC
  • Well woman exam

Typical Schedule

Varies significantly among the three major services: Gyn, Gyn Onc/Urogyn and Obstetrics
(Labor & Delivery, Maternal Fetal Medicine)

All services except Gyn Onc are at Baptist Hospital. Gyn Onc is primarily at Main Campus.

External sites – Kenner, West Bank, Baton Rouge

Gyn and Gyn/Onc starts 0500-0530

  • 0500-0600 – pre-round on all your patients
  • 0545-0630 – present and discuss your patient with resident
  • 0630-0730 – rounds with attendings
  • 0700-1700 – procedures
  • 0730 on Wednesdays – Morbidity & Mortality Conference

Gyn and L&D/MFM starts 0530 (pre-rounding on patients that stay overnight for Gyn varies)

  • 0530-1730 – 12 hour shift with team of residents
  • 0530 – handover from Night Float
  • 0600 – ward work/rounds
  • 0700 – conference
  • 0800-1700 ward work/rounds
  • 1700 – handover to Night Float

Night Float is 1700-0600 with no particular schedule.

3-4 weeks of the rotation may be done in Baton Rouge, typically split between L&D and Gyn. The hospital will provide a furnished apartment for you. You will need your own transportation to BR.

3-4 weeks of the rotation may be done at Kenner or West Bank, each week contains a variety of Gyn/OB clinic, L&D, and surgery.

Lectures are usually Wednesdays and Fridays mornings for 2-3 hours, but this is subject to change based on the schedules of the lecturers.

Recommended pocket resources

  • Lubricant

Most used clinical skills

  • Well woman exam
  • Breast exam
  • H&P and surgical skills

Recommended Study resources

  • Create APGO account for UWise access online (OB/Gyn QBank)
    • 500 high-quality MCQs that cover a large variety of topics.
    • QBank, videos, CBL material
  • UWorld Step 2CK QBank
  • Blackboard resources
    • The MCQ assessment at the end of the rotation is taken almost entirely from the Blackboard resources.

Assessments

Graded components:

  • Obstetrics OSCE (3x mini-OSCE) – 33%
  • Gynecology OSCE (3x mini-OSCE) – 33%
  • Obstetrics MCQ exam (30 min) – 17%
  • Gynecology MCQ exam (30 min) – 17%

Non-graded components:

  • Clinical Participation Assessment – CPA x2
  • Weekly Comment Cards
  • Delivery log
  • Skills checklist

Pearls for success

  • Relearn the Well Woman Exam.  You will do it many times
  • Learn the timeline of testing & screening during pregnancy.  This is tested on exams and is also necessary for a fluid understanding of the progression of pregnancy
  • For operations, know your patient – name, age, chief complaint, PMHx, meds, allergies, etc. – as well as the relevant anatomy.  The gynecologists love to pimp! And some will ask you to leave the OR if you do not know the patient’s personal details and have not met the patient before their procedure.
  • Same goes for deliveries.  If you want to make a “catch,” introduce yourself to the laboring patient early and ask permission to attend the birth.  Then be sure to accompany the resident to the labor room for check-ups.  Know your patient’s PMHx and details of the course of the pregnancy. If you are well-informed, residents and attendings will be more likely to set you up for a catch.
  • No one likes starting at 5am.  But every intern and resident does it . . . . and so must you.  Tardiness will be perceived as immaturity and lack of dedication and reflect poorly on you and your classmates.  Even if you don’t want to go into OB/Gyn, respect the rotation!
  • Not getting to do much in the OR? Then ask. Be polite, respectful – but definitely ask.