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Gynecology Rotation Objectives

The emphasis in this rotation is on office/ambulatory gynecology rather than operative gynecology.  The resident should learn to manage common gynecologic complaints and understand preventive health maintenance as it applies to the female reproductive system.  The resident must learn to counsel and manage concerns relating to family planning and to venereal diseases.  The ability to relate to patients with gynecologic complaints in a sensitive and reassuring manner is emphasized.


  1. The resident should have a thorough understanding of female reproductive anatomy and physiology.
  2. The resident should be knowledgeable in the signs, symptoms, potential etiologies and management of the following problems:
    • Bartholin's cyst or abscess
    • Vaginitis
    • Cervicitis
    • Cystocele
      Ectopic pregnancy
    • Endometriosis
    • Infertility
    • Menopause
    • Pelvic Inflammatory Diseases
    • Rectocele
    • Uterine Prolapse
    • Abnormal Pap smear
    • Menstrual irregularity
    • Ovarian cysts
    • Reproductive Carcinoma
    • Venereal Disease
    • Galactorrhea
    • Fibrocystic breast disease
  3. The resident should be familiar with the evaluation of the infertile couple and should be able to provide appropriate counseling or referral.
  4. The resident should be able to demonstrate competency in family planning counseling and be knowledgeable in all modalities of birth control.
  5. The resident should be able to carry out sexual counseling of patients; as well as recognize sexual dysfunctions and concerns.
  6. The resident should be aware of pediatric gynecological problems and their management; in particular, the resident should be able to carry out a competent pediatric gynecologic exam.
  7. The resident should be aware of the legal requirements for examining patients subjected to sexual abuse.
  8. The resident should be able to perform the following gynecologic procedures and list their indications and contraindications:
    • Pap smear
    • Endometrial aspiration
    • KOH prep
    • Wet prep
    • Basal body temperature
    • Ferning test
    • IUD insertion and removal
    • Bartholin's cyst drainage
    • Breast cyst aspiration
  9. The resident should be competent in the recognition and management of female hirsutism and its etiologies.
  10. The resident should have an understanding of the surgical approaches to the following:
    • Cystocele
    • Rectocele
    • Enterocele
    • Prolapsed uterus
    • Congenital anomalies
    • Imperforate hymen
  11. The resident should be aware of the broad range of gynecologic tumors and how they present.
  12. The resident should be aware of his/her knowledge and limitations in the field of gynecology and know when and how to initiate proper referral or consultation.