Saint Louis University

Obstetrics, Gynecology and Women's Health Clerkship

Welcome to the Obstetrics and Gynecology Rotation!


We are looking forward to your participation on the Obstetrics and Gynecology Service. The Phase 3 Obstetrics and Gynecology rotation incorporates a wide range of medical care. It offers obstetrics, GYN surgery, elements of primary care, preventive medicine, and psychiatric and psychological problems. The highlights of the course are bringing a new life into the world and providing health care for women.

St. Mary's Health Center is the clinical base for the Saint Louis University Department of Obstetrics and Gynecology. St. Mary's offers good experience in obstetrics, including high risk obstetrics, general gynecology and GYN oncology, and a rich outpatient experience.

At orientation, you will receive the Clerkship Book which gives detailed information. You are encouraged to become familiar with this book. If you have any questions, please call Peggy Richmeyer in the Department of Obstetrics and Gynecology at 314-781-1505.

We wish you much success during your Phase 3 experiences and in particular, on our service.


Michael Thomure, M.D.
Donald G. Ward, M.D.
Co-Directors, Obstetrics and Gynecology Clerkship



Course Directors
Educational Coordinator
Michael Thomure, M.D, Professor

Department of Obstetrics, Gynecology, and Women's Health
Division 2-SW, Suite 235
6420 Clayton Road
St. Louis, MO 63117
(314) 781-1505
FAX: (314) 781-2840
Amanda Barnard

Department of Obstetrics, Gynecology, and Women's Health
Division 2-SW, Suite 230-A
6420 Clayton Road
St. Louis, MO 63117
(314) 781-1505
FAX: (314) 781-2840
Clinical Site Used for Third Year Clerkship
St. Mary's Health Center 18-22 6


Call Schedule and Weekend Activities: The Educational Coordinator will set the schedule for the students after receiving preference forms from students. Students will work one weekend day ONLY during the GYN or CLINIC week. The student's day on the GYN Surgery/OB-GYN Clinic service will terminate generally at 18:00 p.m.

Clerkship Overview: The clinical experience is widely based. This experience includes rotations through inpatient Obstetrics, inpatient Gynecology, and Out-Patient clinical experiences at the hospitals. Our goals and objectives coincide with those of the Association of Professors in Obstetrics and Gynecology (APGO). In addition, Gynecological Teaching Associates (GTAs) are used to teach pelvic and breast examinations during the first week of the rotation.

Hospital Assignments: Each student should complete the OB/GYN Preference Form. All students will complete three weeks on the In-Patient OB Service, one week on the GYN Surgery , one week on Subspecialty Gyn Surgery and one week on the Clinics.

Orientation: A general orientation takes place at St. Mary's Health Center from 0700 to 1200 on the first day of the rotation. Dr. Robert Blaskiewicz and Dr. April Tritto will conduct this orientation. Students will be assigned to a specific resident to attend the resident's continuity clinic. Students will be assigned to the General Division of Obstetrics and Gynecology for the in-patient experience.

Description of a Typical Day: For students assigned to the In-Patient OB services the three-week period is divided into Day Shift, Evening Shift and Night Float. The Day Shift begins at approximately 0600 with rounds. Ward activities will follow. The Day Shift ends at approximately 1700. The student on the Evening shift comes in at 1500. The Evening ends approximately 2300. Night Float arrive at 2300student remain until 0800. For students assigned to the GYN Surgery, a normal day begins at 0600 to make inpatient rounds. At 0700, work rounds are made with the resident staff. Surgery, outpatient clinics, or other activities may follow. The student's day on this service will terminate generally by 1700. Students on the clinic week will arrive at 0800 and remain until 1700. Specialty surgery students generally begin at 0600 and remain until 1700. Specific times depend on surgical and inpatient rotations in respective services.

Lectures: There are a series of didactic sessions, departmental Grand Rounds, and special conferences devoted to residents and students. Lectures are on Fridays at 0830 at St. Mary's Health Center in Meeting Room 3 behind Kohler Auditorium. Students will receive a lecture schedule the day of orientation and will be advised of any changes by the Educational Coordinator. Students are expected to attend Grand Rounds at St. Mary's Health Center in Kohler Auditorium at 7:30 am on Fridays. In addition, students will be expected to access Internet sites, electronic databases, and other computer programs as integral components of their learning experience. A newsletter will be distributed to students that will include articles and announcements pertinent to the rotation.

Readings:   The recommended text is Beckmann, Obstetrics & Gynecology. Othere suggested readings are: Fundamentals of Gynecology and Obstetrics, Dunnihoo (suggested use to study for the OB/GYN NBME-format examination); Williams' Obstetrics and Gynecology, 19th ed., Cunningham, et al; Novack's Textbook of Gynecology, 10th ed., Jones and Jones; Principles and Practice of Clinical Gynecology, Kase and Weingold; Instructional Objectives for a Clinical Curriculum in Obstetrics and Gynecology, 4th ed.; Obstetrics and Gynecology: The Clinical Core, Wynn; Obstetrics and Gynecology, Danforth; Obstetrics and Gynecology, Beck; Clinical Gynecologic Oncology, DiSaia and Creasman; Novak's Gynecologic and Obstetric Pathology, Novak and Woodruff; Clinical Gynecologic Endocrinology and Infertility, Speroff, Glass, Kane; High Risk Pregnancy and Delivery, Arias; Essentially OB/GYN, Nevill Hacker. Suggested journal references are American Journal of Obstetrics and Gynecology ("grey journal"), Journal of Obstetrics and Gynecology ("green journal"), and Obstetrical and Gynecological Survey. These texts and journals are available at the hospital library.

Quizzes/Tests: The students will take weekly quizzes based in part on their lectures and the newsletter distributed the previous week. The students will complete a series of six OSCE stations in the Clinical Skills Center on the last Thursday of the rotation. The students will also take a final written examination, which is supplied by the National Board of Medical Examiners on the last Friday of their rotation.

Projects and Papers: Students are required to complete a series of five Evidence-Based Medicine exercises that are to be submitted weekly. Students are also required to submit three history and physical exams. This may be handwritten or typed, but it must be an H&P on a patient that the student personally evaluated. With each H&P, the student must pose a clinical question, and using the tenets of evidence-based medicine, supply information from the literature that answers their questions.

Evaluation and Grading: The final grade is based on a number of elements including clinical performance evaluation (This clinical evaluation is comprised of information from the resident and attending staffs), National Board of Medical Examiner's written examination and the weekly quizzes, Script Concordance, evaluation of the H&Ps, Evidence-Based Medicine Exercises, and Student Portfolio items, critical assessment of clinical skills using the five OSCE stations, and a peer review evaluation.

A narrative summary of the student's performance accompanies the clinical evaluation. This summary will be included with exam scores and clinical grades in the final evaluation.

Inappropriate professional behavior at any time on this rotation will prompt corrective action up to and including removal from the service.

Higher purpose. Greater good.
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