Flushing OBGYN

Flushing Hospital.jpg

 

General 

So this rotation is broken down into 3 sections. You are on each section for 2 weeks. They are labor and delivery, clinic, and gyn surgery. You will visit the student coordinator on your first day of the rotation. The coordinator is a stickler for time so do not be late! The coordinator is really kind and intelligent who will tell you to go into any specialty other than OB/GYN. All of the residents told me not to let him discourage me and still be open about the field. If you love it tune him out! Alright to the important stuff. There’s a group of around 15 residents who are all really kind and want you to learn. Don’t be afraid to speak up and ask questions to them individually.

 

On our first day of the rotation, the coordinator let us pick which department we wanted to do first. There were 6 students, and I was in the group of 2 students. It really worked out because we could take turns doing surgeries or deliveries and had lots of time to study.

 

The main flow of the rotation is that you arrive at 5:45am, meet in a conference room at 6am-6:30 to discuss each patient and the plan for the day. A resident may ask you to present a patient, but normally it’s only if you want to and ask them. When this is done you go to your assigned section you are on. The exception is if you are on clinic, you are allowed to skip rounding and come in at 7am. If a resident tells you to leave early, leave early but don’t let anyone see you. The coordinator and Dr. To (the program director) really notice if you aren’t present. Lunch is provided around noon on a buffet style tray given to everyone. If you are free, eat, if you aren’t, do not leave what you’re doing unless dismissed to go to lunch.

 

Students have weekly meetings with the coordinator every Thursday at 7am (get there at 6:45am). He picks a topic and tells us ahead of time that we discuss. He goes one by one and asks direct questions, but just give it your best shot. On the 3rd Thursday of the rotation he gives us feedback told by the other residents and what we can improve on. This is one on one. The last Thursday we are expected to give him 9 one sentence cases summaries (ex- 25 yr old G1P0 36 weeks and 1 day, came in with clear leakage of fluid) and he asks a few questions about it to you. This is your oral report and it is one on one. I printed out my sentences for him and he loved it.

 

Friday mornings you arrive at the same time and round, but at 7am there are teaching lectures for the residents and students from attendings in the auditorium. There are 2 or 3 different lectures and they last until noon. Snacks are normally provided.

 

You wear scrubs with your white coat for labor and delivery and business casual with your white coat for clinic. 

 

Studying

You get the most study time in gyn surgery and the least in clinic. It is somewhat a mix in labor and delivery depending on how many patients are delivering that day.

You get the day before your shelf off to study.

I used online med ed videos as well as the ob/gyn section in the kaplan text book and it was more than enough to do well on the shelf. 

 

Labor and delivery

1 week of nights 8pm-7am

  • You are given an on call room to sleep in that has 2 beds. Normally around 11 the residents’ will tell you to go to sleep and they’ll text you if they need something (a triage ect)

  • GET A PARTNER FOR THIS SHIFT. Me and the other medical student could take turns so we each got to sleep in 5 hour shifts. It was glorious

  • I have heard of some other students who did not get that option and one student was on days while the other was on nights. But at least you can try if you have another student with you!

1 week of day shift 5:45am-4pm

  • This is where you will see most c sections than on nights. Fast paced, lots of patient interaction.

Triage Room

  • This is for both night shift and days. Residents will ask you to get a H&P from patients in triage.

  • Present as “so and so is a 33 yo 33 weeks and 1 day G3P2001 presenting with ____ . (ask if pt has felt a gush of fluid or had an vaginal bleeding)  past 1 vaginal delivery and 1 c section (if it’s a c section ASK WHY IT WAS DONE). Abortions? If so then at how many weeks and surgical or not. PMH. diabetes in pregnancy? HTN in pregnancy? PSH. allergies. Medications.

  • You will then be asked to set up the ultrasound next to the patient. Just wheel it over, plug it in and push the on button. (takes forever to turn on so the residents will be happy you did it)

Clinic

2 weeks 7am-4pm

  • You pick an attending to follow around that morning. The attendings are located on the whiteboard by the patient rooms.

  • After lunch you pick a resident to work with. This is where I did the majority of hands on things in the clinic.

  • Check the schedule that day to see what time the patient arrives. That is the time you start for the day (it’s normally around 8 so it gives you some time to study)

  • The attending/resident will sit on a stool in the room and you have one where you can sit also

  • This part of the rotation I had the least amount of time to study. Probably an hour a day max.

Gyn surgery

 2 weeks 5:45am-4pm (or until the last case is over.)

  • Each morning the medical student on gyn needs to go to the basement where the OR is and get the surgery list for the day from the clerk.

  • Bring the list to the conference room for the residents, and grab one for yourself

  • Find the ob/gyn cases and see which to scrub in on

  • Scrub nurses are scary here… tell people if it’s your first time!!

  • Introduce yourself to the patient and ask the attending if you can scrub in (they will likely say yes)

  • In the OR follow directions and try not to contaminate anything. If you ask a question get ready for a follow up question by the attending. 

Pro Tip

On day 1, if there are more than 3 students, latch on to someone and say we should do our sections of the rotation together. When Dr. Lam asks what you want to start with, raise your hand as fast as you can and tell him you both want to do _____. It helped so much with giving more time to study and sleep. Starting with L&B to get nights out of the way first was also great. 

Best of luck with your rotation, 

Madeline Bruman, MS3 

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