OBGYN Clerkship Logbook

Name:
Rotation: 

Date Patient Seen: 

Patient's Gender: Female Male   Patient's Age:  
Location:  Clinic OR L&D ER Other
Presenting Complaint 1:  (select one)
(Bold entries match to Graduation Objectives -- Appendix A / Italicized entries match to Appendix B)

*None

Abortion (any type)

Abnormal labor

Abnormal uterine bleeding

Amenorrhea/Oligomenorrhea

Antepartum care

Breast disorder

Cervical disease

Cervical neoplasia

Contraception/Sterilization

Dysmenorrhea

Ectopic pregnancy

Endometrial carcinoma

Endometriosis

Fetal death

Fetal growth abnormalities

Fetal distress/non-reassuring fetal status

Genetic & hereditary concerns

Gestational trophoblastic neoplasia

Hirsutism and Virilization

Hyperglycemia/Diabetes Mellitus

Immediate care of the newborn

Infertility

Isoimmunization

Intrapartum care

Issues of Bad News

Lactation

Medical & surgical conditions in pregnancy

Menopause

Modes of sexual expression

Mood Disorder

Multifetal gestation

Ovarian neoplasms

Pelvic pain

Pelvic relaxation/prolapse

Postpartum care

Postpartum hemorrhage

Postpartum infection

Postterm pregnancy

Preconception care

Pre-eclampsia/eclampsia syndrome

Premature rupture of membranes

Preterm labor

Preventive health care & health maintenance

Puberty

Sexual assault/domestic violence

Sexuality

Sexually transmitted disease

Substance abuse

Surgical complication

Third-trimester bleeding

Thromboembolic disorder

Urinary incontinence

Urinary tract infection

Uterine leiomyoma

Vaginal/penile discharge

Vulvar or vaginal disease/disorder

Vulvar neoplasm

Presenting Complaint 2:   (select one)
(Bold entries match to Graduation Objectives -- Appendix A / Italicized entries match to Appendix B)

*None

Abortion (any type)

Abnormal labor

Abnormal uterine bleeding

Amenorrhea/Oligomenorrhea

Antepartum care

Breast disorder

Cervical disease

Cervical neoplasia

Contraception/Sterilization

Dysmenorrhea

Ectopic pregnancy

Endometrial carcinoma

Endometriosis

Fetal death

Fetal growth abnormalities

Fetal distress/non-reassuring fetal status

Genetic & hereditary concerns

Gestational trophoblastic neoplasia

Hirsutism and Virilization

Hyperglycemia/Diabetes Mellitus

Immediate care of the newborn

Infertility

Isoimmunization

Intrapartum care

Issues of Bad News

Lactation

Medical & surgical conditions in pregnancy

Menopause

Modes of sexual expression

Mood Disorder

Multifetal gestation

Ovarian neoplasms

Pelvic pain

Pelvic relaxation/prolapse

Postpartum care

Postpartum hemorrhage

Postpartum infection

Postterm pregnancy

Preconception care

Pre-eclampsia/eclampsia syndrome

Premature rupture of membranes

Preterm labor

Preventive health care & health maintenance

Puberty

Sexuality

Sexual assault/domestic violence

Sexually transmitted disease

Substance abuse

Surgical complication

Third-trimester bleeding

Thromboembolic disorder

Urinary incontinence

Urinary tract infection

Uterine leiomyoma

Vaginal/penile discharge

Vulvar or vaginal disease/disorder

Vulvar neoplasm

Presenting Complaint 3:   (select one)
(Bold entries match to Graduation Objectives -- Appendix A / Italicized entries match to Appendix B)

*None

Abortion (any type)

Abnormal labor

Abnormal uterine bleeding

Amenorrhea/Oligomenorrhea

Antepartum care

Breast disorder

Cervical disease

Cervical neoplasia

Contraception/Sterilization

Dysmenorrhea

Ectopic pregnancy

Endometrial carcinoma

Endometriosis

Fetal death

Fetal growth abnormalities

Fetal distress/non-reassuring fetal status

Genetic & hereditary concerns

Gestational trophoblastic neoplasia

Hirsutism and Virilization

Hyperglycemia/Diabetes Mellitus

Immediate care of the newborn

Infertility

Isoimmunization

Intrapartum care

Issues of Bad News

Lactation

Medical & surgical conditions in pregnancy

Menopause

Modes of sexual expression

Mood Disorder

Multifetal gestation

Ovarian neoplasms

Pelvic pain

Pelvic relaxation/prolapse

Postpartum care

Postpartum hemorrhage

Postpartum infection

Postterm pregnancy

Preconception care

Pre-eclampsia/eclampsia syndrome

Premature rupture of membranes

Preterm labor

Preventive health care & health maintenance

Puberty

Sexuality

Sexual assault/domestic violence

Sexually transmitted disease

Substance abuse

Surgical complication

Third-trimester bleeding

Thromboembolic disorder

Urinary incontinence

Urinary tract infection

Uterine leiomyoma

Vaginal/penile discharge

Vulvar or vaginal disease/disorder

Vulvar neoplasm

OB/GYN Clinical Skills & OB/GYN Procedures  (Choose all that apply)  
(Clinical Skills are in Bold Print. Expected Performance Levels of Clinical Skills are in Parentheses.)

Amniocentesis

Amniotomy

Biophysical profile

Biopsy, cervix

Biopsy, endometrial

Biopsy, vaginal

Biopsy, vulvar

Breast exam, screening (P)

Cancer Staging

Cervical exam for dilation (O)

Circumcision, Newborn (O)

Colporrhaphy

Colposcopy

Conization of cervix (LEEP)

Delivery, Vaginal (P)

Delivery, Cesarean

Delivery, Forceps

Delivery of Placenta (P)

Delivery, vacuum

Dilation & Curretage (D&C)

Document in record:  SOAP format (P)

Episiotomy or laceration repair

Exam, rape trauma

Exam under anesthesia (EUA)

Excision, condyloma

Excision or marsupialization of Bartholin Cyst

Ferning, Identify (P)

Fetal heart tones, Obtain (P)

Fetal heart tracings, Interpret (P)

Fingerstick glucose determination

Fingerstick hemoglobin determination

Foley catheter, Insertion of (P)

Fundal height,  Measure (P)

History, complete medical

Hysterectomy, abdominal

Hysterectomy, vaginal

Hysteroscopy, diagnostic

Hysteroscopy, operative

Incision and drainage

Infertility procedure

IUD insertion/removal

Laparoscopy, diagnostic

Laparoscopy, operative

Leopold’s Maneuver (P)

Lysis of adhesions

Non Stress Test

Pap Smear (P)

Pelvic exam (P)

Pessary insertion/removal

Pregnancy test

Prescription for medications (P)

Salpingectomy

STD testing (P)

Staple insertion/removal (P)

Suturing (P)

Two-handed knots (P)

Ultrasound: OB 1st trimester (O)

Ultrasound: OB 2nd trimester (O)

Ultrasound:  Pelvic (GYN) (O)

Urogynecologic procedure

Vulvar procedure

Wet mount (P)

None

Notes/Comments:

  


For corrections to your logbook, contact: Jean Afflerbach, Web Master
Copyright © 2012, Board of Trustees, Southern Illinois University. All rights reserved.
Revised: May 30, 2012