obgyn rotation

[ultane123]

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hey - just curius to know how you structured your days while on the rotation? time waking, to work, leaving work, when to study, how much sleep? just trying to trying to set up some sort of plan. it's my first rotation
thanks.

 

[ThinkFast007]

hey - just curius to know how you structured your days while on the rotation? time waking, to work, leaving work, when to study, how much sleep? just trying to trying to set up some sort of plan. it's my first rotation
thanks.

also...could you all tell us what books are the best for the shelf exams? Is first aid for ob any good?

etc.

thanks

 

[daisygirl]

How you structure your day is dependent on where you go to school. You may, or may not, have to take call, a week of nights, etc....

I'm on labor and delivery now, and so far the structure of my day is as follows: I get up at 4:30 to be at the hospital at 6am. I leave the hospital between 7-8pm. I may read for an hour and I'm in bed by 11pm. I've done very little reading so far. I'm on a two week winter break, so I'll read like a maniac during my vacation.

As far as books- I own first aid for ob-gyn, Obstetrics and Gynecology by Beckman, Blueprints for ob-gyn, Appleton and Lange, and Pretest. I'll probably only read Blueprints, use Beckman as a reference book, and I'll do as many questions as possible from A&L and Pretest. Most people I've talked to like all of the books that I listed. However, you need not use them all, pick a book to read from and a book to do questions from and you should be fine.

 

[ultane123]

thanks daisygirl, that's really helpful, especially the books, i'll try to pick those up. i'm surprised you mange so little sleep 🙁

 

[csmith1]

I just took the shelf last Thursday. I can highly recommend Case Files: Ob-Gyn by Toy et al. Compared with peds and surgery, the ob/gyn shelf is the most straightforward. That book was fantastic and easy to read. I also liked the Beckmann for additional reading, further explanation, etc.

At the hospital I rotated through, OB and Gyn were separate months. Ob began with prerounds and notes on postpartum (normal SVDs, sections) patients at 5 am ish. Board check out was at 6:30 am. Chart rounds normally at 8 to 8:30ish with the attending. Hang around patient rooms, L&D triage or maybe go to clinic till board check out at 5pm to the night team. Student on call just stays on but other students, residents, attendings head out till the next morning. Gyn month was cake and was like a typical surgery day but much shorter. Did not work weekends unless on call.

 

[ginger_flower]

I second the recc for Case Files by Toy. dude, that was the only thing that I read for the shelf I just took and it was really really worth the money. Its good because it forces you to think about the problem and it saved my butt on the rotation when getting pimped by some rather bitchy residents.

As for the day, well....get used to waking up when it's dark and getting home when it's dark. And if you wanna do deliveries, make sure that you know where the lady is in her labor eg is she in stage 2 yet? Otherwise, you might not deliver many babies if you're not there at the right time.

Another tip - don't talk unless spoken to. Ob/gyn residents are VERY VERY sensitive and rather bitchy residents at times with some of them I swear are bipolar with personality disorders. They can be the sweetest thing one minute and then turn into some evil green monster the next breath. So, beware.

 

[DarksideAllstar]

It has thus far been the worst rotation of my short-lived career as a 3rd year. Got up at 4:15 to be there by 5AM to round on post-partum patients and high-risk OB. Depending on if I had call, generally let out by 5pm. If you were on call then you were there until 11pm or so (mainly doing C-sections throughout the evening). Fortunately, we did not have overnight call (unless you wanted to sleep on the couch in the residents room). Most of our deliveries came at night, and it was a crapshoot whether or not you made it in time to glove and gown. All I can say is be extra nice to the L&D nurses, as they will generally give you a heads up as to when the patient might deliver (aside from your 2 hour checks). And like someone mentioned before, my residents also were notoriously irritable and bitchy, moreso than the surgical residents (who seem to garner all the heat for being malignant)- so watch what you say and when you joke around. Our program was laden with 11 female residents and 1 male--poor bastard. Between the residents and patients, I am sure he was drowning in estrogen all the livelong day and probably wasnt happy about it.
I read blueprints and did fine (we had an in-house exam vs those that had a Shelf). If you want to go into OB, you may want something with more "meat" in it, but you will be hard-pressed to find time to read. I am predicting that this will be the worst rotation of the year for me and I am glad its over.
Good luck.

PS-
Make sure you know everything about preecclampsia/ecclampsia and how to diagnose it. I also was pimped on the cardinal movements of labor. Know a few things about breech deliveries and dystocia. If you can read a Fetal heart tracing and interpret it (early, variable, late decels, and accels) you will be golden on L&D.

 

[ginger_flower]

Yah, I always kinda wondered about the male ob/gyn residents. Some of them seemed nice, but I always wondered deep down inside if they were just perverts who were starved for female attention or if they had some freudian preversion of needing to reconnect with mommie OR where they some sorta sexual superfreaks cuz they knew all the anatomy down there?! keke. Anyhoo....those poor bastards, they constantly bow down to the estrogen...

OMG, am I so happy I don't have to see those jerks again! 😀 That was the worst rotation so far.....but I do still have surgery coming up next year.

 

[fourthyearmed]

I agree with all the terrible things mentioned above - long hours, no sleep, bitchy residents who act like you are invisible until you mess up, evil L&D nurses, etc. I used High Yield and BRS for OB/Gyn in the little amount of time I had to study.

 

[EM Junkie]

I too wholeheartedly reccommend Case Files : Ob/Gyn by Toy. I was actually on Ob/Gyn at St. Joseph's Hospital in Houston with Dr. Toy, and he went through the book case by case with us. This guy has truly been the best teaching attending I have ever been around. I plan to buy his books for every rotation they are available for from here on out.

After he went case-by-case through the book with us, he also covered about 80 more unpublished cases with us. That too was golden, during the shelf exam, easily 75% of the questions were straight from the book or his unpublished cases!

As far as time on the rotation, I woke up about 4am every day, at the hospital from 5am-5:30pm. Weekends off except when on call. I studied mainly on the weekends I was off.

Good luck!
-Scott

 

[Cpt.Hook Hamate]

Yah, I always kinda wondered about the male ob/gyn residents. Some of them seemed nice, but I always wondered deep down inside if they were just perverts who were starved for female attention or if they had some freudian preversion of needing to reconnect with mommie OR where they some sorta sexual superfreaks cuz they knew all the anatomy down there?! keke. Anyhoo....those poor bastards, they constantly bow down to the estrogen...

OMG, am I so happy I don't have to see those jerks again! 😀 That was the worst rotation so far.....but I do still have surgery coming up next year.

You probably also wonder if child psychologists or pediatricians are pedophiles and if proctologists are gay or stuck in some Freudian anal stage of development. I wonder more about the cynics who even go around contemplating this stuff... when I see a physician, I see a person who has committed her or HIS life to providing healthcare until I am shown otherwise.

 

[tom_jones]

hey - just curius to know how you structured your days while on the rotation? time waking, to work, leaving work, when to study, how much sleep? just trying to trying to set up some sort of plan. it's my first rotation
thanks.

OB/GYN BLOWS

 

[12R34Y]

OB/GYN BLOWS

AMEN!

So far the worst rotation in the whole world at my school. medicine, surgery, peds, psych, neuro all a breeze compared to this doozy.

Overnight call q3-5 for the whole 6 weeks. You can't leave early post-call so you end up staying for a full 36 hours. most malignant and arrogant and mean attendings/residents i've ever met. I have to admit I did learn alot, but the hours were unbearable and I hated my life. Can't imagine doing it forever.

thank heavens it is over FOREVER!

Oh, and pretest was awesome for the shelf.

later

 

[Hoo\/er]

hey - just curius to know how you structured your days while on the rotation? time waking, to work, leaving work, when to study, how much sleep? just trying to trying to set up some sort of plan. it's my first rotation
thanks.

ob/gyn sucks.

 

[giznut12]

Case files by Toy is a great book....much more enjoyable to read than Blueprints. I was able to read it cover to cover in a week and it seems to cover most aspects of OB/GYN....as least the topics that I have been pimped on.

 

[AF_PedsBoy]

AMEN!

So far the worst rotation in the whole world at my school. medicine, surgery, peds, psych, neuro all a breeze compared to this doozy.

Overnight call q3-5 for the whole 6 weeks. You can't leave early post-call so you end up staying for a full 36 hours. most malignant and arrogant and mean attendings/residents i've ever met. I have to admit I did learn alot, but the hours were unbearable and I hated my life. Can't imagine doing it forever.

thank heavens it is over FOREVER!

Oh, and pretest was awesome for the shelf.

later

Ha ha exactly the same at my school, except my year they started letting students go home at noon post-call; the upshot is that the attending and chief as a result made us sit at the nurse's station and stay up the entire night because "If you're going home early, you're not going to sleep." What delightful human beings.

Appleton and Lange was great for OB - we used to sit around in a group doing questions when we weren't busy crying in a corner.

P.S. Best consult - 1:00 AM we get called down to the OR on a consult- when we walk in there's a dead woman on the table. When we ask what the consult is, the two female techs said, "We want to know what's wrong." "She's dead," we say after we study the woman for a second. "But she's bleeding from the vagina." "AND...?" "We want to know what's wrong with her." So they have no idea of history, the woman's problem (besides being dead), and no particular reason except she's bleeding from the vagina after dying in surgery. Priceless, just priceles... good thing they were at least kind of cute

 

[Chris's patient]

How you structure your day is dependent on where you go to school. You may, or may not, have to take call, a week of nights, etc....

I'm on labor and delivery now, and so far the structure of my day is as follows: I get up at 4:30 to be at the hospital at 6am. I leave the hospital between 7-8pm. I may read for an hour and I'm in bed by 11pm. I've done very little reading so far. I'm on a two week winter break, so I'll read like a maniac during my vacation.

As far as books- I own first aid for ob-gyn, Obstetrics and Gynecology by Beckman, Blueprints for ob-gyn, Appleton and Lange, and Pretest. I'll probably only read Blueprints, use Beckman as a reference book, and I'll do as many questions as possible from A&L and Pretest. Most people I've talked to like all of the books that I listed. However, you need not use them all, pick a book to read from and a book to do questions from and you should be fine.

Beckmans sucks. It is long winded and out dated.

Blue prints has everything you need and is concisely written

 

[p20s02u]

Is Case Files by Toy sufficient for the Shelf or do I need to supplement with other books?

 

[bigfrank]

I thought Blueprints was fantastic. Took the shelf today and 95% of the questions were in there. It's a long book, however. Shelf was very difficult. Will post more when I have more time. best

 

[Idiopathic]

Blueprints is great if you have no interest in OB/GYN and want to ace a test.

 

[automaton]

Blueprints is great if you have no interest in OB/GYN and want to ace a test.

in that case it should be good for 99.99999% of all medical students 🙂

 

[Chris's patient]

in that case it should be good for 99.99999% of all medical students 🙂

True, True

 

[bigfrank]

Blueprints is great if you have no interest in OB/GYN and want to ace a test.

That's certainly me. As far as acing the shelf, however, I thought it was very difficult and I'd be happy with the 90th percentile this time.

 

[p20s02u]

Is Case Files by Toy enough for the Shelf?

 

[p20s02u]

From people who used Case Files by Toy, was that book alone enough to study from and do well on the OB/GYN Shelf? Thanks.