Maternal-Fetal/High-Risk

Location

Rush

# Weeks

4

Hours/week on site

61-70, 71-80

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

0, 1

Prerequisites

Core OB/Gyn

Interviewing/Step 2 flexibility

2

Overnight call?

no

Work weekends?

no

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

variable

Teaching hours/day

1-4

Teaching style

Patient rounds, Morning report/Case conference, Lecture given by resident or attending, Student presentations

Suggested reading/pocket contents

Burrow/Duffy - Medical Complications of Pregnancy.

All you need the fourth year is one book that has questions for the step II CK.

Structure of rotation

Team-based.  Service is a senior resident, and you. (And attendings during rounds, of course.)

Amt/quality of time residents/attendings

The way it is structured you spend 95% of your resident time with a single resident (the 3rd year on antepartum) which allows you to really get into a rhythm with that resident.  You spend the large majority of your day working with that resident.  2 days a week the resident has clinic and you can tag along.  Also, Thursdays the third year is in charge of L&D, and you get to help run the board, while also pretty much covering antepartum yourself.  Attending time: Every day you spend about 1-2 hours on rounds, rounding with 2 different attendings (one for non-high risk patients, one for high risk patients).  Every day is different attendings as they rotate coverage.  Also, 2-3 days a week you meet with a different attending for lecture.  These can sometimes get blown off if things are too busy, but Dr. Pombar's Friday lecture is usually very consistent, and he has you do a short weekly presentation on an assigned subject, and will then ask you questions.

Proportion of time evaluating pts alone

25-50%, 50-75%

# pts evaluated/day

4-10

Procedures

Once a day, A few times/day

Typical day

Come in around 5:45-6:00am, gather vitals and pre-round.  Go over info with resident.  Add any new patients and their data to the list.  Go to board rounds at 7:30-8:30.  Round with attendings (usually finishes up by 11:00).  Take care of any floor responsibilities and/or patient care things.  Eat lunch.  Continue to take care of floor responsibilities, and admit any patients coming to service.  Cover any C-sections from antepartum.  Some afternoons will consist of either clinic or ultrasound clinic with Dr. Pombar.  Not much downtime.  Day usually finishes by 5:30-6:00.  However, if you are still there at 6:30, you'll be expected at 6:30 board rounds.

Lots of ultrasounds.  Can spend time in OR if interested.  Rotation is pretty chill.  Attendings are the best.

Usefulness for any residency

3 of 5 stars, 5 of 5

Usefulness for this residency

3 of 5 stars, 5 of 5

Useful for other specialties

OB/Gyn, Family Medicine, Internal Medicine

Overall rating

5 stars

Recommended to other students

5 stars

Other comments

Great rotation.  Not easy, but a lot of teaching/learning.  Great people to work with.

This is a good one to do.