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we all have our likes and dislikes. I personally loved OB and surg and pretty much despised IM...
...............rofl!i actually had a pretty good time in ob/gyn because my attending was great. A tiny little asian man who constantly made bad jokes but let me first assist on pretty much everything. Yes, my main job was to use the retractors or "drive the uterus" but i think he made it worth it. I did, however, have a bad experience with another doctor who attempted every day to belittle me with sidelong comments and harsh criticism. Since he had no control over my grade i got him back one day:
Doctor: (asking some pointless pimp question)
me: "i don't know...its not x...but i really can't remember..."
doctor: "ooooooooooooooo, not x huh?? Tell me about x...where does x come from, huh? What is the nerve supply of x? Man you must like getting stuff wrong don't you??"
me: "doesn't really bother me, that is why i am standing here because i don't know everything."
doctor: "where would you be standing if you knew everything then??"
me: "well, where you are. Don't you know everything?"
doctor: (no response)
my attending: (laughing his ass off).
wow.... First my doctor tries to shatter my hopes of becoming an OBGYN surgeon by telling me that she couldn't handle the smell (which of course I hadn't previously even thought much about...), and now almost everyone posting here refers to the rotation as "hell." This is great.
- There are bad smells in all fields of medicine, not just OB. Different things bother different people. The smells in OB/gyn don't bother me, but the smells of old men, diabetic feet, and old urine bother me A LOT.
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why should i as a medical student have to do OB?
I know I am never going to do OB/GYN nor do I want to deal with the lawsuits of the field.
Don't waste my time is how I feel.
why should i as a medical student have to do OB?
I know I am never going to do OB/GYN nor do I want to deal with the lawsuits of the field.
Don't waste my time is how I feel.
The issue is, however, where do you draw the line about what specialties do you need to be well rounded?
I saw a lot of chronic knee and hip pain on Family Medicine, as well as kids who had recently broken bones or injured joints. However, my school does not require an Ortho rotation.
My school does not require an Anesthesia rotation or a radiology rotation. But how many patients are we going to have who need surgery but are worried about anesthesia risks. How many CTs and MRIs and USs will the average clinician order and have no formal education on when to order what?
Now, I'm somewhat facetious here because there are a lot of fields where a good understanding of OB/GYN is fundamental and I think every student should spend SIME time rotating through it. But I also think it has somewhat of a "sacred cow" status among many schools with students spending far too much time on OB/GYN relative to spending NO time on other equally important fields.
Part of the problem is that rotations are not standardized even among students rotating at the same hospital, let alone at different hospitals or at different medical schools. To use your example, I did more Paps during my family medicine rotation than a lot of people at my school do during a gyn rotation, and I would be perfectly happy to never do another one for the rest of my life. It was just my luck of the draw to get several attendings who do a lot of women's health. But like you said, other people may get through these rotations without doing any Paps. In fact, some of my classmates on gyn, especially the guys, were asked to leave the room by patients during female exams. This has never happened to me.I think that some Ob/gyn rotations DO focus too much on the L&D and surgery parts of the field, and none on the outpatient stuff - so people don't really get to do a lot of speculum and pelvic exams. And those are the things that they'll actually NEED to know, even as an IM/FM/EM/peds resident. (Even 14 year olds get yeast infections!) Even as an MS4, I feel that I'm more comfortable doing pelvics than any IM resident, many of whom have only done pelvics on standardized patients/mannequins.
L&D is honestly one of the most disgusting things that I've ever seen; I'm not usually squeamish but when I witnessed the "beauty" of my first birth I almost vomited. A kaleidoscope of the smells of fresh feces, urine and blood filled my nostrils, providing the background for a piece of meconium arching through the air, freshly delivered per vagina, and skidding across that mess of fluid into the nearest wall. Screams of agony, whaling baby and general chaos completed the picture.
While the issue is about becoming a well rounded physician, it is NOT about catching babies. Far from the actual act of delivery, the real reason it's required lies in the fact that no matter your field (unless it's Andrology or Geriatrics) you're likely going to care for a number of pregnant women in your career. THAT'S the crux of it.
And given the (sometimes drastic) changes in treatment that it causes, it becomes important for ALL of us to be aware of the emergencies associated with it.
And even if you learned absolutely nothing else in your 4-8 weeks on OB/Gyn, hopefully you'll remember to order a urine pregnancy test on every one of your patients who is a female of reproductive age...
But as the above poster mentioned... with a few exeptions, whatever field you go into, you'll have pregnant patients.... including pediatrics.
Just started gyn today. Drove the uterus around the block a few times. OB doesn't start for 3 more weeks, but I've got OB call tomorrow.
True to form, both of my chief residents are quite pregnant
I'm in week 2/6 of OB/GYN and I'm finding it generally sucks except when you're working and then it really sucks.....
It probably wouldn't be so bad if someone who knew what the hell they were doing would take charge and organize the clerkship for incoming students. Our lecture on childbirth was done by a midwife who hated the fact that she wasn't a physician and didn't have physicians privileges so she dogged them every chance she got during the lecture. Everything a physician did went 'against nature' and there was 'no reason' to ever have
a child in the hospital, period, end of story.
Another point -- when I'm new to the rotation in a field that is significantly different -- like OB -- please buy a clue and tell me how you want the PE and SOAP note done. Please don't assume I know what the heck an SVE is nor that I know how to do one. I'm really not squeamish about sticking my hands into body orifices but I am a little squeamish about jamming a plastic hook into an area I can't see down into and maybe driving it, just by chance, through a fontanelle into, oh, maybe a lateral ventricle?
If you want me to deliver a placenta, it's all good. but don't jump my ass about not getting it out fast enough when you've just lectured me in a very condescending fashion about uterine prolapse or breaking the cord, K?
And also, I'm not telepathic. I don't know the schedule and your lame, circumlocutous explanation that jumped from Monday to wednesday, back to monday, pit-stopped at thursday and then trailed off into the joys of ultrasound didn't do it.
Oh, by the way, don't get pissed off if no students scrub in on a c-section. You never tell us when one is going back until they're opening the doors of the OR and you get pissed if we camp out in the hallway waiting on a C. Hint: If you treat and include us like members of the team, we'll generally act like it. We really want to learn some of this but you d*(*heads make it impossible.....
Part of the problem is that rotations are not standardized even among students rotating at the same hospital, let alone at different hospitals or at different medical schools. To use your example, I did more Paps during my family medicine rotation than a lot of people at my school do during a gyn rotation, and I would be perfectly happy to never do another one for the rest of my life. It was just my luck of the draw to get several attendings who do a lot of women's health. But like you said, other people may get through these rotations without doing any Paps. In fact, some of my classmates on gyn, especially the guys, were asked to leave the room by patients during female exams. This has never happened to me.
I agree that everyone should have a month of OB/gyn. This is in part because medical school is an undergraduate education, and you're supposed to come out of it with a well-rounded medical education. You have the rest of your career to specialize in whatever you like best. But it's also important to do rotations like OB/gyn because you can't know before you try it how you will feel about that field. There have been some specialties that I liked more than I had expected, and others that I expected to like and realized pretty quickly that they weren't for me. Women's health definitely falls into the latter category.
I have found that medical school goes by alot easier when you honestly just don't give a f*ck. I began this mindset after gross anatomy.
I will also not give a f*ck in my clerkships. Oh no, I got a P instead of H in a rotation I will never do ever in my life!!!! Oh no!!!
Listen to Hoover at medschoolhell.com
He is spot on 100%.
I would disagree 100%.
If I know I will be a radiologist, then I should not have to do anything other than Radiology, since I will never be doing anything else.
The 3rd year of med school should be optional. For example, if you know you want to do Pathology, you should do an entire year (your 3rd year) doing Path electives and Path training and be able to enter PGY-1 path residency instead of doing 4th year.
Actually, they have something like this already - it's called "residency."...The 3rd year of med school should be optional. For example, if you know you want to do Pathology, you should do an entire year (your 3rd year) doing Path electives and Path training and be able to enter PGY-1 path residency instead of doing 4th year.
There's a student at my school who supposedly said something similar on his gyn rotation. The OBs tore him a new one on his evals. He went all the way to the deans of the school, but he couldn't get them erased. Did not match in rads....If I know I will be a radiologist, then I should not have to do anything other than Radiology, since I will never be doing anything else.
It's a defense mechanism - they blend in to avoid and confuse predators....When I did the vag rotation the male residents acted pregnant too.
Funny, you speak as if clerkships are in the future. But you supposedly are a 2nd year at Duke - which SHOULD mean that you are almost done with a year of clerkships.
We do a research year during our 2nd year here....
Way to have no idea what you're talking about
that's awesomeIt's a defense mechanism - they blend in to avoid and confuse predators.
I agree. The radiologists I have come into contact with have an astounding level of anatomical knowledge that I will never possess even if I study anatomy for the rest of my life. They also want a tentative diagnosis before interpreting the film, so they're definitely incorporating clinical info into their decision-making process.Hate to break it to you, but knowing medicine and surgery are incredibly important when going into rads.
I would disagree 100%.
If I know I will be a radiologist, then I should not have to do anything other than Radiology, since I will never be doing anything else.
The 3rd year of med school should be optional. For example, if you know you want to do Pathology, you should do an entire year (your 3rd year) doing Path electives and Path training and be able to enter PGY-1 path residency instead of doing 4th year.
Jamers, that guy has been banned as a troll, so there's no need to keep arguing with him anymore.Thinking like this creates a society of specialists that cannot communicate with each other which results in poor patient care. In addition, what if you spend the entire 3rd year doing Path rotations and...oh no, you don't get into Path?
So I have read through this entire thread but I still don't understand what it is that makes OB/GYN such a widely-hated rotation? It's been my lifelong dream to go into OB/GYN and I want to make sure I'm not in for a rude awakening!
Jamers, that guy has been banned as a troll, so there's no need to keep arguing with him anymore.
All kidding aside, I don't think that any of us would disagree with you. Like you said, it's important to rotate through multiple specialties, because there's no way you can hope to be a competent physician in any specialty if you don't have a good grasp of what your colleagues in other specialties are doing.
We do 8 weeks at my school.
I'm just finishing up week 1/8. It's OK so far IMHO.
Tacrum, that might be the nicest thing I've ever heard anyone say about an OB rotation.
Well, I've only had one week of gynecology so far...so...
I have night float starting tonight. We'll see how that goes.
Because you are training to become a well-rounded physician....Regardless of whether you plan to go into OB/GYN or not, it is important to have at least delivered a few babies, performed several pelvic exams, etc. I doubt as a medical student you will be "dealing with the lawsuits of the field"....that's why you have preceptors & supervising residents. If you're not getting something out of your rotations, you are wasting the preceptor's time....not the other way around. I can understand if you didn't like your OB/GYN rotation, but what bothers me is that you assume because you want to do x, y, or z that doing one OB/GYN rotation is a waste of your time.
ok why is OB bad?
Well, in English, the indefinite is feminine, so he is correct.
did you read the thread?
yeah i did. nothing really stands out as a proper explanation as to why its so bad.