Northwestern University Feinberg School of Medicine
MD Education

Obstetrics & Gynecology Clerkship

The OB-GYN clerkship rotation will expose you to medical and surgical principles of patient care. You will deliver babies and learn how reproductive changes across the life cycle affect a woman’s health and the manifestation and treatment of diseases. What you learn about reproductive health and skills during this clerkship will enable you to care for women throughout their lives, and the principles you learn will be integral in whatever area of medicine you ultimately practice.

You will be assigned to either Prentice or Stroger as your clerkship site. Hours vary by the site and the service you are on. Your senior resident on service will set clear expectations when you rotate.

 Goals & Objectives

Detailed Goals and Objectives

Find comprehensive Obstetrics-Gynecology Clerkship Goals and Objectives.

 Grading & Evaluation

Our goal in grading is to ensure that each student achieves a basic level of competency in women's health.

There will be a mid-clerkship evaluation with the site director during the fourth week of the clerkship. This is not part of the grading process, but rather is meant to provide constructive feedback and give direction. 

Students should ask for feedback from their residents and attendings throughout the clerkship.

Specific requirements for each evaluation component are as follows:

Clinical evaluation:
Faculty and residents from each rotation will fill out an evaluation form used to calculate this grade; the student may also request evaluations from additional faculty members or residents and submit them for use in assessing the final clinical grade
50 points
National Board of Medical Examiners exam:
Given the last Friday morning of the clerkship
25 points
Objective Structured Clinical Exam (OSCE):
  • A 90-minute exam given the last Friday afternoon of the clerkship
  • The six stations are designed to assess knowledge application, clinical skills and information literacy
20 points
Clinical passport, observed H&P, attendance at didactics and peer/nurse evaluations:
  • Students must visit the clerk log website to document their exposure to and participation in various reproductive health problems and procedures
  • They must also complete an observed reproductive health history and physical exam and have a direct observation form filled out by the faculty member or resident
  • Students are required to hand out two professionalism evaluations to nurses and patients on Labor and Delivery, the Gyne floor or PAC clinic
  • Each student rotating in a “team” must fill out a clinical performance evaluation for each member of their team
5 points

Final grades will be determined by the clerkship director. Honors are 85-100 points, high pass is 78-84, pass is 60-78 and fail is less than 60.

Students will receive a final grade, a narrative for the MSPE, a summary of strengths/weaknesses, OSCE feedback, peer/nurse evaluation comments and their individual scores with means, ranges and standard deviations for the group. Students are welcome to meet with the clerkship director to review their performance after grades have been submitted.

 Tools & Readings

Download the clerkship clerklog.

Tools

  • Clean white coat
  • ID badge
  • Stethoscope

Books

Beckmann, Charles R. B. Obstetrics and Gynecology. Philadelphia: Lippincott Williams & Wilkins, 2002.

  • A good reference text for third-year students. Readable and doable during the rotation.

Gabbe, Steven G. Obstetrics: Normal and Problem Pregnancies. Philadelphia, PA: Elsevier, 2017.

  • An excellent reference for obstetric information. Current, concise and readable, but not within the time frame of the rotation.

Gibbs, Ronald S., Beth Y. Karlan, and Arthur F. Haney. Danforth's Obstetrics & Gynecology. Philadelphia: Wolters Kluwer Health, 2012.

  • Recommended for students. Clear, concise and authoritative. Well worth the money if one wants a textbook for more than six weeks.

Novak, Emil, Jonathan S. Berek, Paula A. Hillard, and Eli Y. Adashi. Novak's Gynecology. Philadelphia: Lippincott Williams & Wilkins, 2002.

  • Profusely illustrated with a very strong leaning toward Pathology.

Williams, J. Whitridge, Jack A. Pritchard, Paul C. MacDonald, and Norman F. Gant. Williams Obstetrics. Norwalk, CT: Appleton-Century-Crofts, 2001.

  • This is the acknowledged standard reference for the specialty but too much for any student to get through during the time allotted.

Wylen, Michele, and Mark I. Evans. Obstetrics and Gynecology: Pretest Self-assessment and Review. New York: McGraw-Hill, 2003.

  • Features 500 board-type multiple choice questions with answers, explanations and current references.

Beck, William W. Obstetrics and Gynecology. Baltimore: Williams & Wilkins, 1997.

  • Outline for independent study. Board type questions for exam review; annotated answers to clarify materials.

Hacker, Neville F., Joseph C. Gambone, and Calvin J. Hobel. Hacker & Moore's Essentials of Obstetrics and Gynecology. Philadelphia, PA: Elsevier, 2016.

Rock, John A., Howard W. Jones, and Te Linde Richard W. Te Linde's Operative Gynecology. Philadelphia, PA: Lippincott Williams & Wilkins, 2008.

  • A very good illustrated reference book for gynecologic surgery procedures.

Lentz, Gretchen M. Comprehensive Gynecology. Philadelphia: Mosby Elsevier, 2013.

  • A great comprehensive gynecology text.

 Frequently Asked Questions

What are the daily expectations for a M3 on this clerkship?

This varies by which service you are on during the rotation as well as which clerkship site you are assigned to (Prentice vs Stroger)

Labor and Delivery Days

Postpartum rounds - see avg two to three patients - write note in Powerchart. Teaching Sessions. Attend morning sign-out. Divide patients with your fellow classmates. Follow patients on L&D (nullips and multips, priority should be PAC/Winfield Moody (WM) patients at Prentice). Write H&Ps, intrapartum notes (every 4 hrs in latent labor and every one to two hours in active labor). Participate in vaginal deliveries and cesarean sections. Write delivery notes. Attend evening sign out to the night team (ideally students should present their patients).

Labor and Delivery Night Float

Attend evening sign-out. Divide patients with your fellow classmates. Follow patients on L&D (nullips and multips, priority should be PAC/Winfield Moody (WM) patients at Prentice). Write H&Ps, intrapartum notes (every four hours in latent labor and every one to two hours in active labor). Participate in vaginal deliveries and cesarean sections. Write delivery notes.

Inpatient General Gynecology

Round on patients you operating on the previous day(s)- write postoperative notes in Powerchart. Review pelvic anatomy and H&P prior to all surgical cases. Scrub into your assigned surgeries. Write the operative note. Present an educational topic during morning rounds. See consultations in the ED (schedule permitting).

Inpatient Gynecologic Oncology

Round on patients you operating on the previous day(s)- write postoperative notes in Powerchart. Review pelvic anatomy and H&P prior to all surgical cases. Scrub into your assigned surgeries. Write the operative note. Attend gyne oncology clinic as instructed. See consultations in the ED (schedule permitting).

Inpatient Urogynecology

Round on patients you operating on the previous day(s)- write postoperative notes in Powerchart. Review pelvic anatomy and H&P prior to all surgical cases. Scrub into your assigned surgeries. Write the operative note. Attend urogynecology clinic as instructed. See consultations in the ED (schedule permitting).

Outpatient Clinics

Varies by clinic. Review eMerg to determine if there is any required reading.

What is the typical schedule (number of days worked/hours per day) for this clerkship?

Please note these are approximate times and may vary by assigned clerkship site and service. Your senior resident on service will set clear expectations when you rotate with us.

  • Inpatient L&D: Monday through Thursday, approximately 5:45 a.m. (Postpartum Rounds) to 6:45 p.m. (end of evening patient signout)
  • Gen Gynecology: Monday through Thursday, approximately 5:30 a.m. to 5:30 p.m.
  • Gynecologic Oncology: Monday through Thursday, approximately 5:30/6 a.m. to 6 p.m.
  • Urogynecology: Monday through Thursday, approximately 5:45 a.m. to 5:30 p.m.
  • Night Float (three nights): 6 p.m. to 6 a.m.
  • Outpatient Clinics: M-Thurs 8am to 5pm
  • Fridays: Morbidity & Mortality (M&M) 7 to 8 a.m., Grand Rounds 8 to 9 a.m., Didactics: 9 a.m. to 5 p.m. (varies). NO clinical responsibilities on Fridays.
  • Weekend Call: one weekend call shift (either Saturday or Sunday) approximately 9 hours

What is pre-rounding? Rounding? Note writing expectations for this particular clerkship?

Pre-rounding refers to assessing and evaluating patients prior to formal teaching rounds with the team. While on Labor and Delivery days you will postpartum round on an assigned floor with your designated resident. Together, you will select two to three patients for you to see that morning. You will be expected to write a note in their charts as well. While rotating on general gynecology/urogynecology/gynecologic oncology, students are expected to round on any patient they operated on until the patient leaves the hospital or the student rotates off service. You DO NOT round on Fridays (protected academic/didactic time) and you do not round on the weekends.

Ideally, you will evaluate the patient before the resident and write a note. This way, you will receive feedback and develop your ability to independently create assessments and plans. 

Sample notes are provided in the purple book given out during Intro to Phase 2.

You are always expected to read about your patients ahead of time (PAC clinic, GYN OR cases, review Prenatal Records on Labor and Delivery).

What does “Call” mean on this particular clerkship?

  • One weekend call day- either a Saturday (7 a.m. to 4 p.m.) or Sunday (8 a.m. to 5 p.m.), spent on Labor and Delivery (NO postpartum rounding for students on the weekend).
  • Three nights of scheduled night float- no other overnight call
  • No home call

What do I do if I have a question about my clerkship grade?

If you have a question about your clerkships grade you should discuss this directly with the clerkship director. 

What do I do if I have experienced or witnessed Student Mistreatment during this clerkship?

If you have experienced or witnessed student mistreatment, there are many avenues to report this. You can discuss this with the clerkships director, mentor, any of the deans or Lisa Rone, MD, the ombudsperson.

What do I do if I feel burnt out or overwhelmed during this clerkship?

If you feel burnt out or overwhelmed during a clerkship there are a number of people you can speak with.  The clerkship director, your mentor or anyone in the dean’s office are available to talk.   CAPS can also be extremely helpful in this situation.  You can contact CAPS at 847-491-2151.

Who do I contact if I am sick or have a personal appointment?

If you know of an appointment prior to the clerkship, please contact the clerkship director and clerkship coordinator so we can make every effort to accommodate this with your assigned schedule or assist you in finding a better day/time so as to minimize any distractions from your clinical responsibilities.

For illness, please email the clerkship director and clerkship coordinator. You should web page your senior resident (if on an inpatient service) and your fellow classmates to arrange for coverage of any cases you may have been assigned.

If you are ill for two or more days, you must receive written clearance from Student Health Services or your doctor prior to returning to work.

Any required equipment?

Clean white coat, ID badge, and stethoscope

Contacts

Susan Goldsmith, MD
Director and Prentice Clerkship Site Co-Director
Pager: 312-695-1176

Marybeth Lore, MD
Prentice Clerkship Site Co-Director
Pager: 312-695-7382

Mallori Kelley
Coordinator
Prentice 5-2179
312-472-4672