Now that I am done with my rotations until the New Year, I am catching up on posts about my third year rotations. Expect more frequent posts from me now that things are –somewhat– slower for me.
Name/Location of Clinical Rotation
2 weeks of GynOnc, 2 weeks of private practice (urogyn/reconstructive) and 2 weeks of L&D
What did I like most about this specialty?
The number of immigrants and refugees that we saw on a regular basis; finding fetal heart tones, deliveries! I got to catch a lot of babies, there were even several cases of twins, I got to use the Ultrasound machine and help run triage in L&D, and I felt like a part of the team.
We used the DaVinci robotic unit in GynOnc surgery, which was cool… but the first time I scrubbed in on a robotic surgery, I’m sure the resident thought I was the dumbest med student ever because I asked if scrubbing in was the same as for non-robotic surgeries…. because you just stand in the corner while the surgeons have their backs to the patient, working with the robot, and at the end of the surgery you might get to place a few sutures on the laparoscopic sites.
When I was on Labor & Delivery I was the only unpaired student, so instead of seeing half of the triages, births, and doing half of the morning rounds and prescriptions, I did ALL of them. I was exhausted all the time but I got some of my best evaluations of the year on that service. The one bonus was that my chief let me go home a couple hours early on the Sunday of Mother’s Day because I rocked my job, so I got time to spend with my own baby instead of catching someone else’s.
What did I like least about this specialty?
It basically meant another 4 weeks of surgery…. ug.
Did this clinical rotation give me a good sense of what practice in this specialty would be like?
I think we got a very well-rounded view of what OBGYN entails, with having two-week sub-rotations in the clerkship, with time in the outpatient clinic as well.
Did my interests, values, kills and personality fit with this specialty? If yes, how did they fit? If not, why might they not be compatible?
There are a lot of ethical issues in OBGYN, which can be draining if you get lots of them back to back. There were cases that I was in on that made me question a lot of my beliefs, which I found to be a good — if not essential, really — experience for me as I develop into a physician.
What are the possible practice settings exist for this specialty? Do any of them interest me and do I know enough about them?
Inpatient and outpatient, community-based with hospital privileges; lots of options.
What info do I still need?
None–I feel like I got enough experience to understand their work and their thought process in regards to the services they offer to know that it is not a specialty for me.
Has my perception of this specialty changed? If yes, how?
So, parts of it I really liked, like L&D. Other parts, like GynOnc that were mostly surgical, I didn’t like so much. Overall though, it was a great experience.
Did my clinical rotation experience influence the likelihood of choosing this specialty?
I know that OBGYN is not the specialty for me because I am not surgically-motivated or enthused, and there is a TON of surgery involved in OBGYN.
Right now, how interested am I in this specialty?
It’s actually higher up on my list than I anticipated, but still below Pediatrics and Internal. One of my attendings even told me that she hoped that I went into OBGYN because I would be great at it (and it was my second highest shelf score).
What information do I still need to evaluate this specialty? Any other comments or reflections?
There were times that babies died. We had several pregnant ladies that came in with vaginal bleeding and absent heart tones. That part is heartbreaking. There is a scream that only expectant mothers can emit, and it is the most heart-wrenching sound I have ever heard. There is nothing like it.