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Ob/Gyn Books

What Students Said...


Textbooks
- Essentials of Obstetrics A very good textbook. Easy to read. Try to read
and Gynecology within first month of rotation. Has many good
(Beckmann) pictures.

Review Books
- First Aid for Ob/Gyn Good overviews
and/or First Aid for Step II
CK
- Blueprints for Ob/Gyn Absolute must! Nice overviews and quick read.

Case Books
- Case Files for Ob/Gyn Absolute must! Excellent book. Worked well
throughout the rotation. Try to read twice with rapid
read through second time 2 days before test.

Question Books
- Pretest for Ob/Gyn Nice selection of questions with good explanations.

Question Banks
- USMLE World Great questions (about 200), similar to shelf exam.
- APGO questions (online) Very nice-requires password from Dr. Page

Other Resources Students Used: Kaplan Q book, Q bank (ok), First Aid OR
(especially if first rotation/before surgery), First Aid Wards (especially if first
rotation), High Yield

Fill Your Pockets…


- Maxwell’s Nice outlines for SOAPs, OR notes
- Pharmacopeia/ePocrates Great to look up dosages and classes of drugs.
- Mini Spiral Notebook Jot down notes from the day to jog your memory. You
can also write down assignments/tasks and stay
organized. Good way to keep track of patients for
Campus Mobility.
- L&D “wheel” A must!
- The pocket “red book” Lots of quick reference on almost all areas of the field;
(Obstetrics, Gynecology, nice diagrams
and Infertility, Handbook
for Clinicians)
What to Do the Weekend Before/First Few Days

If you start with OB or nights, try to learn the stages of labor early on (Dr.
Christianson will give you a great lecture on this during your first day). It is very
helpful to learn how to read monitors (fetal heart tones and how they relate to
maternal contractions, i.e. different types of decelerations). If you start with clinic,
it is helpful to review what labs/checks are done at prenatal visits. Also, review
your STDs, bacterial vaginosis, and Candida infections. If you start with Gyn,
review ectopic and molar pregnancies, what a D & C is, indications for a
hysterectomy and the relevant anatomy. If you do OB/GYN before your surgery
rotation and have no other experience in the OR, it’s a good idea to review OR
procedure and etiquette either in a book like First Aid for OR, the first chapter of
Surgical Recall, or with classmates/fourth years that can pass along advice.

What to Do on the Floors


Be assertive and try to see patients as much as possible. Show genuine interest
and try to be there for the procedures (OR or deliveries) as it often is recognized
and appreciated by the residents. Keep an open mind even if you’re 100% not into
OB/GYN-the experience can be very rewarding and surprising.
It is good to keep a book on hand (like Case Files) so that you can read during
downtime, especially since a lot of sites have very demanding hours.

Ob: Memorize the cardinal movements of labor within the first few days. It will
help you understand the birthing process and be able to practice how to really
deliver properly right from the start. Understand the monitors!

Gyn: If you are going to be scrubbing into a surgery, participate in the pre-op
evaluation and try to read about the indications for the procedure for your
particular patient prior to the surgery. Be prepared to be a bystander but also be
ready to jump in and help when given a chance to do so.

Generally speaking, each hospital is different, but days on the floor commonly go
as follows:
Ob: pre-round/round on patients in the morning, review of the L&D “board,”
monitoring of laboring patients/deliveries/C-sections/triage throughout day
Gyn: pre-round/round on patients, surgeries through morning/early afternoon or
ER consults, lectures

Preparing for the Ob/Gyn OSCE & SHELF


OSCE: Not very difficult so do not stress about it. It consists of conducting an H &
P on an Ob or Gyn patient and then performing a pelvic exam on a model (do not
pop out the uterus! )

SHELF: Study all of Ob during the Ob month and all of Gyn during the Gyn month
(if your rotation is split up this way). You can review both during the last week
(since you generally tend to have the week of the SHELF free of rotation due to the
OSCE and SHELF Review by Dr. Christensen).
If you use the textbook, try to read through the respective section during the first
2-3 weeks of the rotation to get an orientation to the general principles then re-
emphasize the concepts with the other review books you choose to use. Case files
is great to go through twice before the exam.

Dr. Christensen’s review at the end is money for the SHELF. Try to attend
it as he will review the major concepts of Ob/Gyn.

Ob/Gyn Site-Specific Advice


Site What Students Said…
Harper/Hutzel Try to read during downtime because you really do not
have much study time outside the hospital. However,
you see a lot so try to learn from each patient you see.
Dr. Christensen’s weekly sit-down rounds were very
good and he practically grooms you for the SHELF.
Watch out for the DO students-they can snipe patients!
Be aggressive and interested.
Great patient diversity!
St. John Try to read during downtime because you really do not
have much study time. Not as much student
autonomy as other places but still a great site. There
was free food too!
HFHS Generally a good site-sees a lot of unique cases. Be
nice to the nursing staff-they can make or break you!
Can be a tougher/more boring time for male students
on L&D (lots of Muslim patients). Long hours (6AM-7PM
while on L and D, 7PM-8AM while on nights; can get
late while on surgery and consults too) but good
teaching from midwives and residents while there. You
do 1 week of L & D, 1 week of nights, 1 week of clinic,
1 week of Gyn Onc, 1 week of consults, and 1 week of
Gyn surgery. You choose who you will evaluate you
(give them evals and follow up to make sure they do
it). While on nights, split up your time between
consults and L&D (variety makes the night go faster).
Will be at West Bloomfield campus for 2 weeks, which
is nice. If you live near the area, may want to request
nights and L&D there since those have the longest
hours. If you want to be involved w/care instead of
shadowing, must be vocal about it. No formal didactics
(just student presentations w/faculty facilitating
discussion), so be prepared to do more independent
reading than w/other rotations.
Providence The teaching is good but somewhat inconsistent; take
advantage of the better hours for more home study.
Be proactive in your learning.
St. Joe (Ann Arbor) The residents and staff are very nice and willing to
teach. If you’re proactive, there is good opportunity to
get involved. Be prepared to read on more unique
situations/patients since less volume than other
hospitals often means more “run of the mill” cases.
Oakwood You must be aggressive and go after what your interested in
or you may fall through the cracks. Bring a book/notes to
read and be proactive. Make your own opportunities and
ask lots of questions. Lots of OR experience.
Beaumont Be very proactive and aggressive or you won’t get to do
much. The teaching can be lack-luster but Dr. Kwaiser and
his group were great

Sinai Grace There can be lots of down time, so bring materials and
be ready to study. The staff are very student friendly.
Very nice hours (no weekends), but two weeks of
nights that can be very slow.

Useful Note Templates


Maxwell’s has outlines for an Operative Note, Delivery Note, for Vaginal & C-
Section Deliveries, and SOAP Note for when you round on patients who had
delivered the previous day. These are very useful.

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