Welcome to the OB/G rotation

1.We hope that you have a pleasant and educational experience during the clerkship and that you make great progress in your knowledge of women’s health. OB/G is a field that combines surgery, medicine and primary preventive care into a single practice. Our objectives are to make you aware of the possible significance of gynecologic and obstetric symptoms and to assist you in acquiring proficiency in the examination of obstetric and gynecologic patients. With this knowledge you will be able to provide significant assistance to any of your patients who may experience these conditions, regardless of the field in which you will practice.

2.Here is the contact detail of the supervise teacher (李伊婷) during your internship. She usually stays in room 1305 building 1.Her email address is jysjs@zju.edu.cn. You need to contact with her in the first day you come to our hospital, because a schedule of your assignments will be distributed to you. If you have any questions about your rotation in our hospital, you can contact with her. The chief resident of different departments will be in charge of your clerkship during your rotation. Each department will arrange one senior teacher to guide you clerkship. Please be sure to wear professional cloth when you come to our hospital.

3.Obstetric or gynecologic problems are particularly sensitive matters for patients, as are the examinations necessary to investigate these problems. Any clinical procedure should be supervised by the senior doctor. Please be aware of these sensitivities and remember to be considerate of these patients at all times. Please do your best to avoid disturbing them any more than necessary and remember the importance of gentleness and consideration during your interviews and examinations.

During clerkship，hope you will:

(1) Keep learning chinese, because you need to see patients that speak another language.

(2) As a medical student, you are an adult learner. Now is a good time for you to consider your knowledge and abilities, and set some individual learning goals. Share your goals with your team and your clerkship director, so they can provide you with appropriate assistance and support.

(3) Understand the expectations for the rotation. You need to familiarize you with goals, objectives and the expectations for your performance. Prepare for the rotation. Review notes on women’s health topics from your first few years of medical school. It will help you to understand clinical problems you will see on the rotation.

(4) Active participation

①Be initiative. “How can I help out? I’ll write the note on that patient” goes a long way to make the team function better and gives the residents more time to teach you.

②Learn from every patient —This may be your only opportunity to experience OB/G, if you’re not going into OB/G. Reading about, discussing and seeing patients with different clinical problems reinforces and consolidates your knowledge base. Seek out opportunities to practice your physical exam and technical skills, whenever possible.

③Be part of the team! Introduce yourself to nurses, scrub techs and others on the team. Follow through on patient care tasks and check in frequently with the residents.

④Emulate the interns — they’re doing the kind of work that you can do to be most helpful to the team.

⑤Be available! If you are not around, you may miss out on procedures, deliveries or teaching, and the residents or nurses may not have time to track you down.

⑥Come in early, if you know that it takes you longer to see patients and write notes.

(5) Be punctual. Being on time shows your enthusiasm for learning and respect for your team members. Come in early if possible.

(6) Being respectful makes you a more valuable team member. All team members, including nurses and other ancillary personnel, can teach you and they will be more likely to do so if you respect them.

Don’t

(1) Complain about working too hard. The entire team works hard to get patients the quality care they need.

(2) Disappear when things are busy; stay around until things slow down. Soon enough, you will get some teaching and you may get the opportunity to assist in a procedure.

(3) Leave a surgical case in the middle, unless you are ill or have discussed it with the residents and/or attending ahead of time. This suggests a lack of interest.

(4) Be afraid to be wrong. Make an educated guess, even if you’re not sure. This is your opportunity to come up with a differential diagnosis and learn how to think like a doctor.

(5) Gossip!

PS：Please obey the regulations of zhejiang university and the hospital. No leave should be given without any solid reasons during clerkship. If indeed there is any significant issue or illness and other reasons, the student must apply for leave procedure (the detail included in the practice record book) and should also keep record of leave on the Practice Record Book. You can’t change the schedule of the obgy clerkship rotation by yourself. According to school regulations, those students who undergo unauthorized practice, violate teaching regulations, absent or leave the school without permission will be subjected to the following punishments:

①Those more than 3 days but less than a week will be given warning.

②Those more than a week but less than two weeks will be given severe warning.

③Those more than two weeks but less than three weeks will be given record of demerit.

④Those more than three weeks will be kept in school but placed under surveillance.

4.The clerkship is divided into four portions - Obstetrics, Gynecology, Ambulatory care and Labor and delivery room. A schedule of your assignments to these departments will be distributed to you in the first day of the OB/G rotation. 

(1) Obstetrics: Those of you assigned to Obstetrics should report to the obstetric ward each weekday morning as scheduled by your chief resident (usually at 7:30 ) in order to participate in the review of patients in labor and in the ward (usually need to measure the blood pressure and fetal heart rate of the gravid). Individual patients will be assigned to you. Students will be expected to round one day on the weekend as determined by your chief resident.

(2) Gynecology: When assigned to the Gynecology (Blue) Service, please report to gynecologic ward scheduled by your chief resident (usually around 8:00 ) for rounds on the inpatients. Individual patients will be assigned to you by members of the housestaff. Students will be expected to round one day on the weekend as determined by your chief resident.

(3) Outpatient clinic: Experience with ambulatory patients will be gained.The surgery room for outpatient--5^th floor of outpatient building (use the elevator near the emergency room)

(4) Labor and delivery room: It is quite different from other departments.

(5) Educational Conferences: A schedule of the topics to be considered will be distributed to you in the first day of your clerkship. There are also many other educational conferences holded in our hospital. You are welcome to join them.

5.Safety education: Please pay attention to personal and property security.

(1) Comply with Chinese law and regulations and must not engage in activities endangering national security of china or in violation of Chinese law and relevant public security regulations. Please leave your contact information in the first day of your rotation.

(2) Comply strictly with traffic rules and regulations to avoid road accident. Smoking is prohibited in the hospital. Properly keep your values safety.

(3) If you are unable to come to the hospital due to illness or private business, you must go through the ask-for-absence formalities in accordance with the relevant student status management regulations.

6.During rotation, the group head need to apply the cards of the refectory and ID card of rotation for all of your group members in the first day.

7.Clerkship exam：You need to accept an examination at the end of the rotation. Please give back the ID card for rotation at the same time.  Hope you complete the OB/G clerkship successfully.