OBGYN – Rotation Reflection

I did my OBGYN rotation at Queens Hospital Center. During the 5 weeks, I rotated through Labor and Delivery, OBGYN clinic, and GYN surgery. When I was in Labor and Delivery, I scrubbed into plenty of c-sections and saw a couple of NSVDs. I was able to see the induction process and practiced interpreting the fetal tracing. I would go to the ED on night shifts with the residents to see consults. I usually went to interview the patient and get the patient ready for exams, then report back to the resident. I enjoyed seeing these consults because I learned more about bedside ultrasound and saw many procedures, including manual vacuum aspiration and endometrium biopsy. During the week of GYN surgery, I scrubbed into a myomectomy, observed a few dilation and curettage, and one laparoscopic cystectomy. I spent 2 weeks in the clinic, where I got a lot of hands-on experiences. There were many opportunities to do fundal height, fetal dopplers, pelvic exams, Pap smears, cultures, and breast exams. At least half of the appointments were prenatal visits, so I got more familiar with the recommended lab tests for each trimester. Contraceptive counseling is another big part of clinic cases. Seeing PAs counseling the patients and putting in devices like IUD and Nexplanon helped solidify my knowledge about different birth control methods. After this rotation, I better understood PA’s role in OBGYN. PAs work independently in the clinic and follow through with their patients. They were also able to manage patients on the labor and delivery floor. Compared to my last rotation, which is internal medicine, this rotation is more specialized in one patient population. The differential diagnosis is narrower. In my future rotations, I would continue to work on developing differential diagnoses and know how to work up the patient with diagnostic tests when necessary.

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