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Reddit mentions of Comprehensive Handbook Obstetrics and Gynecology

Sentiment score: 1
Reddit mentions: 2

We found 2 Reddit mentions of Comprehensive Handbook Obstetrics and Gynecology. Here are the top ones.

Comprehensive Handbook Obstetrics and Gynecology
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  • OB GYN handbook, obstetrics, gynecology, pocket book, intern survival book, ob gyn clerkship, operative techniques, operative dictations, infertility, gynecologic oncology
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Found 2 comments on Comprehensive Handbook Obstetrics and Gynecology:

u/WrksInPrgrss ยท 18 pointsr/medicalschool

You do not want to stand out. You want to minimize your intrusiveness and maximize your utility. Be the triage monkey. Always always always prioritize seeing triages and consults over sitting on laboring patients. Internalize this: you're not there to catch babies; you're there to see triages, present them to the chiefs, and have the notes written quickly and thoroughly. In the 7 total weeks I spent on my home institution's labor floor, I saw--note, saw, not did--exactly one vaginal delivery. Expect no better.

You should be stalking the board for new triages, announce (this is key, OB/Gyn residents will assume the worst of you if you just leave) to the room that you'll see the new triage, snag a COW and (away from the view of the residents) give yourself 5-6 minutes to do chart biopsy. Go see the patient, get the HPI (emphasis on PRESENT, basically, 'Ho, why is you here?'), always ask the 4 cardinal questions, if there's concern for pre-E, ask those 4 questions too, know their Gs, Ps, Ts, As, and Ls, how this pregnancy was dated, any complications of this or prior pregnancies, where they get their pregnancy care, what their vaccination status is, blood type, GDM status, STI status, etc (most of this you should've gotten from chart biopsy). Always look at the strip. Know the strip.

Then, once you're done in 6 minutes, quickly flip through your handy guide--or barring this, UpToDate--and come up with a plan. Bonus points if you can reference the ACOG bulletin that supports your plan. Return to your residents and ask the chief if this is a good time to present the new triage. If so, present fast, clearly, and in a specific order. If not, find a nearby workstation, and start cranking out the note (using a template you've swiped from one of the residents in EPIC). Then when they're ready, present. This might be as the two of you walk to the room, or they'll take over your note and you dictate. As you and the resident go to see the patient, grab an ultrasound on the way, making sure that it has both gel and cotton hand towels. If the patient is coming in with bleeding or is leaking fluid, also grab the spec kit.