FM Residency - Obs/Gyn Rotation

[moonwalker2099]

Hey all - so, I'll be starting off my first rotation in July in Obs/Gyn for 4 weeks as a PGY-1 FM resident.  What's the best way to prepare ahead of time to not look like a fool?  Also, any advice/experiences as to what to expect?  Thanks and looking forward to the feedback

[Birdy]

Read cases. 

Know common guidelines from the SOGC.

Would be helpful to have an approach to initial assessment for as many of the following as possible BUT DON’T FEEL LIKE YOU MUST KNOW ALL OF THIS:

- abnormal uterine bleeding + post-menopausal bleeding
- amenorrhoea
- dysmenorrhoea +/- chronic pelvic pain
- menorrhagia
- contraception counselling
- bleeding/pain 1st/2ed/3rd trimesters
- assessment of labour
- postpartum assessment
- STIs and Vulvovaginal complaints (discharge, itching, dysuria, dyspareunia, lumps and bumps, etc.)

Thats the super common stuff. You don’t need to be an expert, you don’t need textbooks on this stuff memorized. But have a general idea about what you should figure out and know your important “don’t miss” diagnoses like ectopic pregnancy.

Sounds like a lot but honestly as you see the clinical cases it’ll sink in super quick. Remember, the whole point of you being there is to learn. You’re not expected to know everything on day 1. 

[JohnGrisham]

18 hours ago, Birdy said:

Read cases. 

Know common guidelines from the SOGC.

Would be helpful to have an approach to initial assessment for as many of the following as possible BUT DON’T FEEL LIKE YOU MUST KNOW ALL OF THIS:

- abnormal uterine bleeding + post-menopausal bleeding
- amenorrhoea
- dysmenorrhoea +/- chronic pelvic pain
- menorrhagia
- contraception counselling
- bleeding/pain 1st/2ed/3rd trimesters
- assessment of labour
- postpartum assessment
- STIs and Vulvovaginal complaints (discharge, itching, dysuria, dyspareunia, lumps and bumps, etc.)

Thats the super common stuff. You don’t need to be an expert, you don’t need textbooks on this stuff memorized. But have a general idea about what you should figure out and know your important “don’t miss” diagnoses like ectopic pregnancy.

Sounds like a lot but honestly as you see the clinical cases it’ll sink in super quick. Remember, the whole point of you being there is to learn. You’re not expected to know everything on day 1. 

I would echo this - the above is what you reasonable would see, no different than your medical student OB rotation.  Maybe a quick review of NSTs the day before the rotation to refresh your mind, and the practical aspects like swabs/blood-work for common problems, and quick review of common OB medications.   A quick review of normal labour and signs of abnormal labour to refresh your muscle memory from clerkship if its been a while.

Maybe take a quick watch of some youtube videos on some of the normal/abnormal birthing "maneuvers" in case you find yourself in a situation with no backup and need to do a McRoberts? Very unlikely you should find yourself in that situation, and the RN with you should be able to help(they have a lot more experience in this than you do!); until backup arrives. 

[Intrepid86]

Know how to find the cervix. Very important.