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Department of Obstetrics and Gynecology
Clinical Responsibilities

Bellevue Hospital

Bellevue Hospital Night Float: Ob and Gyn

  • Signout:
    • No prerounding.
    • Prompt 6pm signout everyday (Sun-Thurs).
    • Pay attention to the signout. What is the labor curve for the patients that you will follow? What labs need to be checked and charted?
  • Triage:
    • See triage patients (obtain history and perform physical - with the exception of the vaginal exam) and present to the intern.
    • Goal: perform pelvic exams (with resident supervision) on non-ruptured, non-preterm patients.
  • ER Consults: Obtain H&P for all Gyn consults and present to the intern/resident.
  • Deliveries:
    • Actively follow patients during their labor course prior to participation in the delivery.
    • Have scrubs, gown, and gloves ready for delivery.
    • Scrub for all CSXN.
  • Mg Checks: inquire about symptoms (chest pain, SOB, N, V, blurry vision, double vision) and perform full physical exam.
  • Followup and chart CBCs and other labs discussed at signout.
  • Help with phlebotomy and IV placement if necessary.

Bellevue Hospital Obstetrics

  • Prerounding:
    • Call 562-2760 the Sunday night before the rotation to find out what time to round in the morning.
    • Round on postpartum patients and present to the intern before rounds.
  • Triage:
    • See triage patients (obtain history and perform physical - with the exception of the vaginal exam) and present to the intern.
    • Goal: perform pelvic exams (with resident supervision) on non-ruptured, non-preterm patients.
    • Help with phlebotomy and IV placement if necessary.
  • Deliveries:
    • Actively follow patients during their labor course prior to participation in the delivery.
    • Have scrubs, gown, and gloves ready for delivery.
    • Scrub for all CSXN.
  • Followup and chart CBCs and other labs discussed at signout.
  • Mg Checks: inquire about symptoms (chest pain, SOB, N, V, blurry vision, double vision) and perform full physical exam.

Bellevue Hospital Gynecology

  • Call 562-2760 the Sunday night before the rotation to find out what time to round in the morning.
  • Round on any patients assigned to you, usually the patients you operate on.
  • Read about the cases that you are going to scrub on the night before.
  • Chart CBCs and other labs during the day.
  • Short simple presentation: 1 x/rotation on given topic.
  • Usually you will need to miss lectures on this Tuesday as you are a vital part of the operating team.

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Tisch Hospital

Tisch Hospital Night Float

  • No prerounding.
  • Prompt 6 o'clock signout everyday (Sun-Thurs).
  • Write the H&Ps for newly admitted patients.
  • Know about all of your patients: CBC, T&S, labor curve. When the resident finishes a cesarean section, you should be prepared to present the labor curve of your patients to the resident.
  • One medical student should always be scrubbed for a cesarean section.

Tisch Hospital MFM: High-Risk OB

  • Call 263-8278 the Sunday night before for time to round.
  • Round on patients with the supervision of the OB resident.
  • Short simple presentation: 1x/rotation on given topic.

Tisch Hospital Obstetrics

  • Call 263-8278 the Sunday night before for time to round.
  • Round on postpartum patients and present to the intern before 7am rounds.
  • Write the H&Ps for newly admitted patients.
  • Know about all of your patients: CBC, T&S, labor curve. When the resident finishes a cesarean section, you should be prepared to present the labor curve of your patients to the resident.
  • Assist on all vaginal and cesarean deliveries.

Tisch Hospital Gynecology/Oncology

  • Call 263-8278 the Sunday night before for time to round.
  • Round on any patients assigned to you, usually the patients you operate on.
  • Read about the cases that you are going to scrub on the night before.
  • Be prepared to present thoroughly to resident and succinctly to the senior team.

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Clinic

  • Arrive at 9am.
  • Wear white coats and professional attire.
  • Write H&P on computer and present the patient to the resident/attending. Perform the physical exam: heart and lungs. With supervision, perform the pelvic exam and pap smear.

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H&P

  • OB TRIAGES:
    29y G2P1001 @ 33.5 (d,18) presenting with painful ctx since 8am. Denies LOF or vaginal bleeding. Reports +fetal movement.
    EDC: 7/13/05 LMP 10/18/04

    POBHX: csxn at 39wks for breech presentation in 1/03. No pp complications.
    PGYNHX: 12/28/4-5. Denies cysts, fibroids. H/o LGSIL pap s/p colpo in ’00, all paps wnl since. Remote h/o chlamydia, s/p treatment in ’98. Monogamous relationship with spouse x 3yr.
    PMHX: asthma (no hospitalizations, intubations or steroids; prn nebulizers. Overall improvement of asthma during preg.
    PSHX: csxn 1/03. Rhinoplasty ’97.
    Meds: PNV, FeSO4, albuterol prn.
    ALL: PCN à rash
    SocHx: prior tob use, 1ppd x4y. quit during first preg. Soc etoh. Denies IV drug use.
    FamHx: mother and father A&W. No fam h/o breast, colon, ovarian or uterine cancer.

  • CLINIC PATIENTS:
    55y G4P2022 postmenopausal since age 50 presenting for her annual exam. Denies postmenopausal bleeding or hot flashes. Reports vaginal dryness with painful intercourse. Prior HRT use from 2000-2002, terminated secondary to relief of hot flashes.
    Cont with above History.

    35y G3P2012 with LMP 6/30 presenting for routine annual exam. Denies irregular vaginal bleeding, dysuria or discharge.
    Cont with above History.

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