September 27th, 2020

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A Curriculum for the Fourth Year of Medical School: A Survey of Obstetrics and Gynecology Educators
Authors:  David A. Forstein, D.O., Samantha D. Buery-Joyner, M.D., Jodi F. Abbott, M.D., LaTasha B. Craig, M.D., John L. Dalrymple, M.D., Scott Graziano, M.D., Brittany S. Hampton, M.D., Laura Hopkins, M.D., Sarah Page-Ramsey, M.D., Archana Pradhan, M.D., Abigail Wolf, M.D., and Margaret Mckenzie, M.D., for the Undergraduate Medical Education Committee, Association of Professors of Gynecology and Obstetrics
  OBJECTIVE: To generate recommendations for a fourth-year rotation curriculum for medical students going into obstetrics and gynecology (Ob/Gyn).

STUDY DESIGN: A 16-item survey was distributed to all academic Ob/Gyn chairpersons, program directors, and clerkship directors in the United States and Canada inquiring about their recommendations for a fourth-year
medical school curriculum for a student who wished to pursue a residency in Ob/Gyn. The survey was also distributed to the faculty and second-year residents at 12 residency program sites.

RESULTS: Two Ob/Gyn rotations were recommended by 51.2% (175/342) of respondents. When asked to design a 10-rotation fourth-year curriculum for the student pursuing an Ob/Gyn residency, the 10 most frequent responses were critical care, maternal-fetal medicine, emergency medicine, general Ob/Gyn, anesthesiology, gynecologic oncology, radiology, boot camp, general surgery, and general internal medicine. Furthermore, 60.1% (208/346) of respondents recommended that the students from their institutions should do audition rotations.

CONCLUSION: Ob/Gyn educators support senior medical students interested in pursuing an Ob/Gyn residency to do between 2–3 rotations in women’s health-related fields. Based on the survey, educators recommend students schedule a final year that includes both Ob/Gyn-specific rotations as well as rotations that further support a general medical education that prepares them for residency. In addition, audition rotations are commonly recommended by educators.
Keywords:  curriculum; education, medical, undergraduate; gynecology; internship and residency; medical education; medical residency; medical students; medicine; obstetrics; specialization
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