Obstetrics and Gynecology Clerkship
By the end of the Obstetrics/Gynecology clerkship, students are expected to be
able to:
Fulfill the “General objectives common to all rotations” above.
Recognize that gynecologic assessment is an integral part of every
woman’s general medical evaluation
Students must log a patient or interactive learning exercise that demonstrates
participation in history/physical exam, differential diagnosis plan, and treatment
plan for each of the following core clinical conditions:
I. Obstetrics
- Diagnosis of Pregnancy, Prenatal Care and Mechanism of Labor &
Delivery
- Diabetes in Pregnancy
- Multiple Gestation
- Hypertensive Disorders of Pregnancy
- Pregnancy Losses
- Prenatal Diagnosis
- Preterm Labor and Rupture of Membranes
- Perinatal Infections
- Obstetrical Hemorrhage
II. Gynecology
- Indications and applications of laparoscopy in gynecology
- Adnexal Masses
- Lower genital tract
- Infections and PID
- Benign Diseases of the Uterus
- Abnormal Genital Tract Bleeding
III. Reproductive Endocrinology and Infertility
- Menopause
- Contraception
- Infertility
- Normal Lactation and Galactorrhea
- Menstruation/Amenorrhea
Page 1 of 4
- Pelvic Relaxation & Urogynecology
- Endometriosis
IV. Oncology
- Ovarian Cancer
- Endometrial Cancer
- Cervical Intraepithelial Neoplasia - Cervical Cancer
Students must cmplete these procedures:
• Pelvic examination
• Pap smear
• Fetal heart monitoring.
Key Contacts
Dr Anwar Nassar (an21@[Link]) Pager 0571;
Dr Joseph Nassif (jn25@[Link]) Pager 0417
Expectations from Students
Fulfill the "General Expectations Common to All Rotations" above
An oral and written presentation of an OBS/GYN topic is expected at the
end of the rotation from each student.
Attendance of all educational and clinically based sessions is mandatory.
Scheduled seminars and meetings take precedence over other activities.
Five points will be deduced from the final grade for unexplained and
unapproved absenteeism from lectures and other requirements. Must-
attend activities include:
Daily attending rounds at 7:00 A.M.
Departmental Grand Rounds: Wednesday at 7:30 A.M. in SB101.
Resident education lecture series: every Wednesday at 1:00
p.m./departmental library
ALL scheduled lectures and case discussions.
Med. III presentations conducted at the end of each rotation
Attend weekly high risk clinics (OPD Obstetrics)
Complete daily examination of the patients and checking of laboratory
results before pm round (Gynecology)
Attend the gynecological surgeries according to a schedule that will be
assigned by the clerkship coordinator the day preceding the surgery
Attend and participate in the weekly Oncology Clinics and twice weekly
Infertility Clinics (OPD Gynecology)
Provide a list of all patients encountered during the clerkship. The list
should include the patient’s initials, medical record number, diagnosis,
treatment and complications. The student should state how he was
involved in the care of the patient. The list should be submitted at the end
of the rotation on standard 8x5 papers and divided in sections i.e.,
Obstetrics/Gynecology/Delivery Suite.
Page 2 of 4
Work Hours
Students will spend approximately three weeks in each of the following
rotations: Obstetrics, Gynecology and Delivery Suite.
1- OBSTETRICS ROTATION:
1.1-In-Patient services:
Morning rounds start at 7:00 am. Students are expected to round on their
assigned patients. A list of pre-assigned talks will be given by the Chief resident
during the afternoon rounds that start at 5:00 pm.
1.2- Out-Patient services:
OPD starts EXACTLY at 8:30 am on all weekdays except Monday while the
afternoon session starts at 1:30 pm on Monday and Wednesday only. Each
session lasts on the average 2 hours. Students will be assigned to examine
normal pregnancies and on Wednesday afternoon session, they will follow up
high-risk pregnancies under the supervision of the residents. Each student will
be assigned, on the average, one case per session.
2- DELIVERY SUITE ROTATION
Morning rounds start at 7:00 am. The ward cases will be divided between the
students on call that day. All students (on call that day, usually 2-3) are expected
to be on the labor floor till 5:00 pm. after which one student will be on call until
10:00 p.m.; exception is weekend days where only one student will be on call
until 6:00 p.m.
3- GYNECOLOGY ROTATION:
3.1- In-Patient services:
Morning rounds start at 7:00 am. Gynecological admissions should be distributed
amongst medical students. Scrubbing on some surgeries is recommended. The
day ends after the afternoon round at 5:00 pm.
3.1- Out-Patient services:
OPD starts at EXACTLY 8:30 pm. On Monday, Wednesday and Thursday and 1:30
pm for the afternoon session on Tuesday and Thursday and 1:00 pm on Friday.
Each session lasts on the average 2 hours. Each student will see on the average
one case per day that will be presented to an attending physician and will be
evaluated for it.
Work Load
Inpatient rotations: work-up of 2 - 4 patients a week.
The expected number of deliveries that the student will attend is 8 vaginal
and 6 cesarean deliveries.
The average number of gynecological surgeries per student is around 12.
Outpatient rotation: 1-2 patients a day according to patient availability.
Page 3 of 4
Page 4 of 4
