Obstetrics and Gynecology
Labor and Delivery
You are expected to round every morning with your assigned team. The first red highlighted column of your daily schedule tells you which service you will be rounding on. Rounds generally begin between 5:45 and 6:00 a.m. with the intern. The time that you have to arrive will depend on the patient volume. After the first day you can ask the intern what time they would like you to show up. DO NOT arrive late. I expect you to see at least two patients during morning rounds and be prepared to present if the faculty asks.
|Rounds||Hospital Floor||Charts Labels|
|Antepartum (covered by L&D team)||3rd (sometimes 4th)||Yellow|
|Comp OB||3rd (sometimes 4th)||Orange or Orange and White|
|Gynecology||5th (sometimes 6th)||Look for "GYN" patients on the roster at the front desk. Get the room numbers. The patients charts will be outside the room.|
ALL patients that you see MUST be checked out with a resident. If time and your clinical skills permit you may and are encouraged to see more patients on morning rounds. EXCEPTION when you are assigned to round with the certified nurse midwives on routine postpartum patients you will begin rounds at 7:00 a.m. on the third floor of Thomason (therefore, you will not be at morning report). Once rounds with the midwives are complete you will then go to your assigned daily activity (see Daily Schedule).
Morning report begins promptly at 7:00 a.m. in the multi-purpose room on the third floor of Thomason adjacent to Labor and Delivery. This is a time where patients who were delivered or cared for during the night are presented. If you were on call the night before, be prepared to present the patients that you cared for. Morning report is Monday thru Friday 7:00 to 7:30 am.
Board checkout is done in Labor and Delivery with a maternal fetal medicine physician. Those students who are assigned to Comp OB and Labor and Delivery will be present. This will occur Monday thru Friday 7:30 to 8:00 am. During this time the night resident (usually a second year) will present all the patients who are in Labor and Delivery ("On the board") and discuss management.
Obstetrical faculty teaching rounds
The students who are assigned on Comp OB and Labor and Delivery will do teaching rounds with the OB faculty and residents following board checkout. After faculty teaching rounds, ask the residents if any work needs to be done before leaving for your assigned activity (see Daily Schedule).
Labor and Delivery
You will be assigned to 5 night shifts on labor and delivery ("night call"). Your shift will begin at 7:00 pm and will end after morning activities are completed (rounds on antepartum, morning report, board check out, and OB faculty teaching rounds). You will be able to leave between 8:30 and 9:00 am Monday thru Thursday. You will be expected to stay for lectures on Friday morning as long as you are not assigned to work Friday night.
Labor and Delivery is on the 3rd floor of Thomason Hospital. This is a locked unit and you will need to use your identification badge to gain access. Medical student call rooms are provided in the basement of Thomason Hospital. Students utilizing the basement call rooms will be required to be immediately available. You MUST notify the resident on L&D if you leave the unit for any reason.