Overall this rotation was a great learning experience. Each week I was scheduled to a different service in OB/GYN which exposed me to a variety of diagnoses and procedures. For example, during week 1 I was in labor and delivery, week 2 was GYN, and week 3 and 4 was clinic. In labor and delivery, I triaged patients, conducted pelvic exams, learned how to read transabdominal and transvaginal sonograms, experienced fetal non-stress tests, and assisted in vaginal deliveries and cesarean sections. This week was challenging as I learned how to effectively conduct a thorough OB history and physical, but felt more confident in my abilities as a provider as the days went on.

During my second week in gynecology service, I saw many consults in the ED, assisted in total hysterectomies, a salpingectomy for a ruptured ectopic pregnancy, and observed many TOP (terminations of pregnancies). Each morning, I would pre-round alone on any patient that underwent a procedure the day prior and present overnight events to the GYN team. Afterward, we would conduct a plan for the patient and continue to check on them throughout the day.

My last 2 weeks were in the outpatient clinic. Each day I was assigned to a different section of the clinic, such as OB High Risk, Diabetic Clinic, or regular ob/gyn clinic. Some patients I came into contact with included those who were pre-eclamptic, IUGR, and multiple gestations. I was able to perform fundal heights, use the fetal doppler, learn Leopold maneuvers, and do many pelvic exams and PAP smears.

This rotation was challenging but an overall great experience. I will continue to work on my history taking and physicals, and continue asking questions when I need clarity. What I loved most about this rotation and OB/GYN, in general, was the versatility of the specialty. I enjoyed the surgical aspect of the specialty, along with the continuity of patients in the clinic. I would love for my future career as a PA to be in OB/GYN.