Where you trained sounds like it may have stifled learning then? At my program, IM consulted us for Gyn complaints on inpatients because we were always there (we had distinct FM service, as well as multiple IM services). But then we taught the IM residents and walked them through any procedures needed.
And then we turned around and staffed the “medicine service” at the Women’s hospital as Moonlighters in our spare time, and for extra money, where the Gyns consulted us for all the non Vaginal issues. The only IM folks there were a few Hospitalist attendings, and an “OB medicine” fellow. But the FM residents did most of the shifts.
There apparently isn’t a Gyn requirement for IM. At my FM residency however we had a TON of gyn: 6 months of maternal-fetal rotations (2 each year). Outpatient Gyn, tons of women’s health in our continuity clinic, and Family Planning clinic duties. I think I’d placed 90 IUD’s by graduation, and about as many Nexplanons. We didn’t even count Pap’s, but every resident had done tons by graduation. PD said “we don’t track them, but the assumption when you’re out there applying for privileges is that you’ll be competent in basic office Gynecology if you’ve graduated from an FM program”.
Now in practice I do almost all the non-operative Gyn for my patients. A few have established with an OBGyn for that (out of preference for a female provider, which I am not). My panel is overwhelmingly young, and probably 65% female, so I do a fair bit of that type of thing though. Clinic tomorrow is already 2 well woman exams, a vaginitis, IUD placement. Yesterday was breast/pain, OCP management, and a bunch of peds.
I don’t do OB, as an attending, but that’s by personal preference. I could (and I’m urban/suburban), but it never appealed to me to be in the delivery room. I do a TON of peds though. It’s a byproduct of seeing young families. A patient becomes pregnant, I send her off to my OB colleague, and then I see the baby once born. I’ve developed a professional relationship with a local OBGyn clinic, and they send me their patients for general medical complaints, and I tend to send them all my OB’s and operative Gyn cases. This has been skewing my panel toward female as well.