Medical Student OB/GYN Clerkship Guidelines

Welcome to WakeMed. Here are some guidelines to help you have a better understanding
of your clinical duties and our expectations during your rotation. We enjoy teaching and
getting to know our medical students and hope you have a rich learning experience.
Morning Rounds
1. Begin at 6:30am on the B side
2. Please place your initials next to at least 2 postpartum patients on the master list.
After examining those patients, present them to a supervisor (resident or PA);
they will cosign your note and cross the patients name off the master list.
Resident physicians must write the notes on all anterpartum, patients. You may
follow these patients to learn how they are managed, but only write notes on the
postpartum and postoperative patients.
3. Once all A & B side patients have been seen, you may get breakfast before 8:15
attending rounds in the resident lounge. You must be in the resident lounge by
8:15am.
4. Morning conferences: Each month we have scheduled conferences. You will
receive a conference schedule at the beginning of your rotation. On those days
meet at 6:15 am on the B side for morning rounds. Breakfast is served at each of
these morning conferences.
5. If there are any questions about what time to report to work, you may ask the
chief resident in charge of the service. If you are going to be late or absent for
any reason, you must call the chief resident and me.
Daytime Responsibilities
1. L&D Medical Student (to be on call that night)
a. Check TO DO list with residents after rounds
b. See triage patients, write triage notes, H&Ps, and orders to be cosigned by
residents; (do cervical examinations, interpret FHT, etc under direct
resident supervision)
c. Follow at least 2 patients on labor and delivery; write 2-hour notes to be
cosigned by the residents.
d. Perform supervised, uncomplicated vaginal deliveries; write delivery
notes, postpartum orders, and delivery summaries.
e. Attend teaching service cesarean sections; write operative notes and
postoperative orders with residents supervision and to be cosigned by the
residents.
2. Post Call Medical Student
a. Round on postpartum patients, and attend morning rounds
b. Once all clinical duties are finished, you may sleep.
c. Once all lectures are done for the day you may go home; you may not
leave before the lectures and conferences are concluded for the day.

3. GYN Medical Student

a. The day prior to being on GYN, get the next days OR schedule. (You may
get this from the chief resident)
b. Discuss the cases with the GYN resident to see which cases you should
attend. Read about the case the night prior to surgery.
c. The morning of surgery, preop the patient with the GYN resident and write
a preop note.
d. Participate in OR cases as directed by the resident and attending
physicians
e. Write postoperative note and orders; to be cosigned by the resident
f. If there are no OR cases, you may read or participate in clinical duties as
directed by the chief resident.
4. Clinic Medical Student
a. Our clinic can only accommodate 2 students. There are usually no
residents in morning OB clinic (Monday, Tuesday, Thursday, and Friday).
Please see the clinic-attending physician for your assignment when there
are no residents in the clinic.
b. When residents are available, you should see at least 3 patients in the
clinic
c. Present the patients to the residents (or attending as instructed). Present
complete history; develop a differential diagnosis, and a plan for
treatment. You may not perform breast or pelvic examinations without
supervision. Discuss the differential and treatment plan with the resident
or attending prior to discussion with the patient.
5. On Call Responsibilities
a. Dinner with the team when clinical duties permit
b. Admit and follow at least 2 laboring patients, (write admission H&P,
orders, 2 hour notes, delivery notes and delivery summary, postpartum
orders); all to be supervised and cosigned by the resident.
c. Perform supervised, uncomplicated deliveries
d. Attend cesarean sections and other obstetrical procedures as directed by
the residents
e. See triage patients, help with histories and admissions as appropriate
f. Always let the intern and/or upper level know where you are; ask where
you may be most useful.
g. If we have a slow OB night (extremely rare) or the intern does not need
help, ask the upper level to include you in all floor and ED consults so you
can gain more GYN experience. You may also scrub on GYN cases at
night as directed by the residents.
h. You have very few clinical duties the day after call, (you do need to stay
through your lectures and conferences) so please try to stay up with the
residents while on call. OB is a fast-paced specialty and you will miss
valuable learning experiences if you sleep on call. We will not look for
you or page you to come do deliveries if you are sleeping. The residents
and interns are too busy to try to find you. Remember, you are adult
learners and are responsible for your own learning experiences
6. Honor Performance

a. Arrive on time
b. Have a pleasant and positive attitude
c. Accept guidance and suggestions to improve your learning experience and
your clinical performance
d. See more than the required number of patients
e. Give focused, knowledgeable presentations on rounds and in clinic and
triage
f. Anticipate resident duties and help without being asked
g. Read and ask thoughtful questions
Remember your final grade is determined by the entire group of attending and
resident physicians, we also consider feedback from the providers and the nursing
staff.
There will be no call on Tuesday or Wednesday nights, as all students will return to
Chapel Hill for lectures Wednesday afternoon. You will report to WakeMed
Wednesday am as scheduled then go to Chapel Hill each Wendesday afternoon.
We will meet with you periodically through the rotation to follow your progress. We
will spend time discussing clinical cases and any concerns you have with the rotation.
*** Please come directly to us, or the chief resident with any concerns or
problems so that we can address them immediately.
You may call us anytime at 350-8535 (office) or by pager, 393-0136 Dr. Gantt and
393-6137 Dr. Sandhu.
If any urgent issues arise after hours, you may contact Dr. Gantt on her Cell phone
919-619-4334 or Dr. Sandhu Cell phone 919-740-9994.
We are very excited to have you join us for your Ob/Gyn rotation!
Angela Gantt, MD
Clinical Assistant Professor
UNC School of Medicine
Department OB/GYN, Wake AHEC

Ritu Sandhu, MD
Clinical Associate Professor
UNC School of Medicine
Department OB/GYN, Wake AHEC

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APGOs uWISE
uWISE was developed by the Association of Professors of Gynecology and Obstetrics
(APGO) to help students prepare for the shelf exam.
WEBSITE:
http://www.apgo.org/elearn/uwise/index.cfm?doc=uWISE%20Intro
also linked from the clerkship website:
http://syllabus.med.unc.edu/yr3/obgclerk/resources_lectures.htm
Your department user name is: unc
Your department password is: uwise