OBGYN Core Rotation

Written By Seun Adebagbo

Your OBGYN rotation will hopefully be a rewarding rotation. On my first week, I got to deliver my first baby! I genuinely enjoy the rotation.

  1. I also made this printout/fill out for taking H&P or gyn history in the order I would write a note or present. It just gave me structure for how to just ask questions and them give the info back.

  2. Pimped: OB/Gyn podcast – on 1.5 speed on the drive to rotation great resource to understand quick clinical approach to for sure things you will see or questions you may get asked. I highly recommend. It’s a very passive yet easily way to get info without having to look for it, then you can from there do a deeper delve for studying

  3. I’ve attached an Ultrasound/ imaging textbook pdf – Read it. Read it. Read it. Attendings don’t expect any med student to have imaging skills, so as a med student at least having basics of knowing how to hold the transducer (with the ridge facing maternal cephalic and knowing that on the screen that view is sagittal and what to expect to see on screen) can be impressive and you at least will have a slight idea what your looking at and you’ll feel confident to ask for opportunities to scan mothers to check to see if the baby is cephalic or breeched at 36wk prenatal visits, etc. , you’ll feel comfortable finding fetal heart on U/S. SO JUST READ THE BOOK, it also explains basics like AFI, explains echogenicity (all things you get tested on on uworld and shelf anyways.) Watch this video too.

  4. I’ve attached this like master OBGYN study guide I found on the internet. Its pretty comprehensive, super super super comprehensive. It covers a lot! I’d start here after going through my study guide for like the big things.

  5. I’ve attached pdf of OBGYN case files, it goes through cases that you may come across then walks you through the disease and management – I used this to prep before the beginning of rotation and never touched it again. But I think it is a helpful tool

  6. Gyn surgery – know you abdomen anatomy and pelvic --- know your vessel 😭😭 NOTHING MORE embarrassing than not knowing the common aortic comes before internal iliac artery. *cries in robotic TLH* . There’s a study guide on canvas.

  7. QBanks – UWORLD priority for shelf. 10-20 questions/weekday, with 40-60/weekdays will get you to finish uworld. Uwise is okay, but I felt like it would better serve you for success in more real life practice than NBME medicine. I suppose if you know the information, you’ll do well on uwise as well, I did uwise after having done most of uworld – it definitely structures questions differently than uworld and shelf, I’d maybe do 5/day.

  8. In planning your studying, check out the content break down represented on the NBME shelf exam.

  9. The OBGYN girlies LOVE ACOG practice bulletin. Before you ask, check the ACOG bullietin for your answer, lol. 

I think I’ve literally provided everything you need to succeed. I really don’t think you will need anything else to be completely honest. It totally up to you, and site dependent what ends up working for you. I hope this all helps. Thats all. I hope you enjoy OBGYN as much as I did. Don’t let anyone phase you, sometimes people are just crabby for whatever reason. Show up excited to learn and take every opportunity to learn something new. Definitely show initiative to help everyone. Getting towels, pads, ice anything to make nurses job easy. Check in with nurses before walking into patients rooms, after you know your resident or attending has said you can meet patient. Help with pushing, lifting her leg, etc. If you hear that a patient is coming into LD ask if you can do the H&P, really gotta be assertive in these streets or they will literally leave you in the dust on OBGYN. But also know when to stand down, cus the girlies can be mean. Just ask how you can be helpful or what you can do to make everyone’s job easier or how you can help with patient care. Don’t let anyone bully you or talk at you crazy! 

 Pro Tips: when helping with push, them little wet towels don’t do shit, for patient comfort, what I started doing was, I’d get a cup of ice, wet towel in cold water and put the ice chips in the towel and wrap it. I let the towel get really ice cold. That provides a lot cooler relief, then I would recool the towel by rewrapping in ice. Small thing that makes a huge difference for patients pushing or in labor. 

In OR, help with set up, walking patient in, getting patient set up, cleaning patient up or if they tell you to stand in the corner, then stand your ass in the corner. ask if you can put foley in, if you can close subcuticular incision at end of surgery or tie knot (obviously only if you know how to or feel comfortable doing so)  

Let me know if you have any questions.

Seun Adebagbo