What was the OBGYN core like?

Oh OBGYN, why did you have to go and steal a piece of my heart? There is just something special about witnessing the birth of a new little human into this world. There is just nothing that compares to seeing the joy it brings to a mom and her family.

Let’s get to the details.

OBGYN was an intense 6 week rotation. My schedule included 1 week of gynecologic surgery, 1 week of resident clinic, 1 week of ambulatory clinic with an attending, 1 week of labor and delivery nights, and 2 weeks of labor and delivery days. The schedule was more intense than the other rotations with most days going 6:00 am to 6:00 pm. For nights, our shift was 6:00 pm to 6:00 am, but we had to stay for any lectures which sometimes lasted til 9:00 am.

Although most parts of the rotation were not very hands on, there was plenty opportunity to learn and be involved in patient care. Gyn surgery was like general surgery. You scrub in, retract and suction smoke, but it was still interesting to watch gynecologic surgeries, especially robotic procedures. During labor and delivery, I felt like I was able to improve on my interview skills, especially for OB patients which require a more extensive history. During deliveries, there were times we got to deliver the placenta or hold the patient’s leg (which I was happy to be involved in any way during a delivery). Nights were my favorite, because the babies love to come at night! In ambulatory clinic was where I was able to be most involved, I was able to do full interviews and physical exams and sometimes some pap smears! Pointer if you are in OBGYN- JUST ASK! Asking to be involved increased the opportunities allotted to me.

How we studied for the OBGYN shelf.

At the end of our rotation we have an oral quiz with the attending. This affected the way we studied for the shelf, it was a little different than how we usually spend our study time.

The first week of OBGYN we focused on Online Med Ed videos of Obstetrics and Gynecology. We watched and took notes on all of the videos. The second week we started UWorld MCQ’s and took notes in a word document. I was able to get through all of the UWorld questions before the shelf.

We also read the obstetrics and gynecology chapters of Master the Boards. We thought it was just okay, it was like a sprinkle of detail. I think I will use it to study for Step 2 CK, but I don’t think it was a crucial part of my shelf studying.

We purchased and took two of the practice NBME exams. There is 4 total and I wish we would have taken them all.

 

As I said before, because of the oral quiz, the last week before our shelf was spent memorizing details from lectures. The test was approximately four questions on any lecture we had gotten in the past six weeks. Unfortunately many of the details from the lecture were not applicable to the shelf, like specific doses of medications.

Leading up to the shelf exam I felt confident and prepared, I felt like I really had a good grasp of the knowledge I needed to do well. Leaving the test, I felt frustrated. I think there were many questions I was sure about or could work through to my guess at a best choice, but there were around 30-40 questions that frustrated me. The questions were not clear and had little detail. They were not similar to UWorld or to the practice NBME exams. It did not test the crucial information I felt I spent weeks learning.

If I had any suggestions to improve, it would be to do all four NBME exams and go through UWorld wrong answers a second time.

Next up, our final rotation of third year- PSYCH!

Comment below or reach out to me if you have gone through the OBGYN core rotation and have anything to add to this post or if you have any questions.