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THE ORAL EXAMINATION

Procedure

2. Gynecology Patients

A list of all gynecologic patients should be prepared in the format accompanying the application and listed in order as follows:

List all gynecologic patients managed during the same 12-month period (or 18-month period, if an extended time case list is submitted and/or patients chosen from the senior year of residency).

The preoperative diagnosis should appear for all major and minor surgical procedures. The size of ovarian cysts and neoplasms must be recorded. For non-surgical conditions, the admission diagnosis should be recorded.

The treatment recorded should include all surgical procedures, as well as primary non-surgical therapy. Surgical diagnosis refers to pathology diagnosis.

For hysterectomy specimens, the uterine weight in grams must be recorded. In cases without tissue for histologic diagnosis, the final clinical diagnosis should be listed.

Days in hospital on this listing of patients, as well as on all other lists, is the arithmetic difference between date of discharge and date of admission. Specific dates of admission and discharge must not be provided

A minimum of twenty (20) gynecological patients is required, and a candidate can not count more than two (2) patients from each of the categories listed below.

For example, if a candidate has five (5) patients who have had diagnostic laparoscopies, they all must be reported on the case list, but only two (2) of the five (5) will be counted as meeting the minimum requirement of twenty (20) gynecological cases.

Group patients together under each separate category (1-30) then list the remaining patients who do not "fit into" categories 1-30.

GYNECOLOGICAL CATEGORIES

1. Abdominal hysterectomy

2. Laparotomy (other than tubal sterilization)

3. Vaginal hysterectomy (including laparoscopically assisted)

4. Diagnostic laparoscopy

5. Operative laparoscopy (other than tubal sterilization)

6. Operative hysteroscopy

7. Uterine myomas

8. Defects in pelvic floor

9. Endometriosis

10. Tubal sterilization

11. Invasive carcinoma

12. Carcinoma in situ

13. Urinary incontinence (medical management)

14. Urinary and fecal incontinence (operative management)

15. Ectopic pregnancy

16. Operative management of pelvic pain

17. Congenital abnormalities of the reproductive tract

18. Pelvic inflammatory disease

19. Adnexal problems excluding ectopic pregnancy and pelvic inflammatory disease

20. Abnormal uterine bleeding

21. Vulvar masses

22. Vulvar ulcers

23. Adenomyosis

24. Postoperative wound complications

25. Postoperative thrombophlebitis and/or embolism

26. Postoperative fever for greater than 48 hours

27. Rectovaginal or urinary tract fistula

28. Abnormal cervical cytology and colposcopy

29. Preoperative evaluation of coexisting conditions (respiratory, cardiac, metabolic
diseases)

If, BUT ONLY IF, a candidate can not acquire the necessary twenty (20) gynecological cases in the above categories, they may use an 18-month case list and/or select an appropriate number of cases from their fellowship or senior residency case list. (See item 3.c. under Written Exam Requirements, and item 6 under Oral Exam Requirements and Admission to the Oral Examination, Patient Lists for the Oral Examination, Procedure, Office Practice Patients, Gynecology, Obstetrics, Cover Sheets, and Summary Sheet).

Gynecological Case List Forms

*Patients' names, initials, hospital names must not be used. Also, patients who are over 89 years of age must not have their age listed.

# refers to a sequential ordering which is assigned by the computer for ALL patients from all hospitals, i.e. 1-xxx.

Hospital # refers to the sequential ordering of hospitals being reported from, i.e.,
Hospital A = First hospital from which patients are being reported;
Hospital B = Second hospital from which patients are being reported;
Hospital C = Third hospital from which patients are being reported.

Patient # refers to a sequential ordering of patients reported from a given hospital, i.e., Hospital A, patients 1-x; Hospital B, patients 1-xx.

The American Board of Obstetrics and Gynecology offers a case list collection and reporting software package for the oral examination (e-mail - caselist@abog.org or phone 214-871-1619).

Next: Procedure: Cover Sheets

Also see:

• Patient Lists for the Oral Examination
• Procedure
• Office Practice Patients
• Obstetrics
• Case List Software

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