Jump to content

Case List Instructions

The candidate must list 40 patients with conditions that fit into the listed Office Practice categories:


Follow these rules when listing office practice patients:


a. Do not list more than two patients in any one category;


b. It is not necessary to include a patient in every category;


c. Do not include any patient that appears as an admitted patient on the Obstetrics or Gynecology lists; and


d. Do not include any patients that had procedures performed in any location except the office. Specifically, patients who had an outpatient procedure in a surgical center must be listed on the Gynecology case list. Patients who had virtual visits may be listed if they fit into one of the categories in the following list.



Office Practice Categories

  1. Preventive care and health maintenance
  2. Wellness counseling (smoking cessation, obesity, diet, exercise, substance abuse, etc.)
  3. Sexual health and dysfunction
  4. Family planning (individual reproductive priorities, contraception, optimize fertility, and pre-pregnancy health)
  5. Preconception evaluation, prenatal and genetic diagnosis
  6. Geriatric care
  7. Disorders of menstruation (amenorrhea, dysmenorrhea, abnormal uterine bleeding, premenstrual dysphoric disorder)
  8. Infertility evaluation and management
  9. Immunizations
  10. Endometriosis: diagnosis and office management
  11. Perimenopausal and menopausal care
  12. Pediatric and adolescent gynecology
  13. PCOS
  14. Evaluation and management of acute and chronic pelvic pain
  15. Vaginal disease (infections, dermatosis, VAIN, etc.)
  16. Vulvar disease (infections, dermatoses, vulvodynia, pediatric issues, VIN, etc.)
  17. Breast disease, benign and malignant
  18. Gynecologic care for women with HIV
  19. Urinary tract infections
  20. Sexually transmitted infections
  21. Uterine myomata
  22. Office surgery (biopsy, hysteroscopy, sterilization, LEEP, etc.)
  23. Cervical cancer screening, including abnormal results
  24. Ultrasonography (gynecologic and first-trimester pregnancy)
  25. Galactorrhea
  26. Hirsutism
  27. Adnexal abnormalities
  28. Sexual assault and intimate partner violence
  29. Office evaluation and management of pelvic floor disorders
  30. Primary care issues (e.g., hypertension, hyperlipidemia, diabetes mellitus, osteoporosis, psychiatric illness)
  31. Reproductive tract cancer
  32. Sexual development disorders (structural, chromosomal)
  33. Early pregnancy disorders (ectopic pregnancy, recurrent pregnancy loss, abortion, pregnancy of unknown location)
  34. Psychiatric disorders (depression, anorexia, bulimia, etc.)
  35. Diagnosis and management of hypercholesterolemia and dyslipidemias
  36. Amniocentesis
  37. Cancer genetic screening and preventive measures
  38. Ovarian preservation counseling
  39. Patients with unique obstetric or gynecologic needs (LGBTQI patients, substance and alcohol abuse)
  40. Reproductive tract congenital anomalies
  41. Gynecologic care for women with Hepatitis B / C
  42. Structural uterine abnormalities (polyps, hyperplasia, adenomyosis)
  43. Uncategorized (cases in this category do not count toward the required 40 cases)


List each patient separately and include the problem (one of the categories listed above), diagnostic procedures, treatment, results and number of office visits during the 12-month period.

A minimum of 20 gynecologic patients must be entered. All hospitalized and short-stay gynecological patients must be entered as follows:


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


b. A minimum of 20 gynecologic patients are required. In order to meet the minimum requirement, a candidate cannot count more than two patients from any one of the gynecology categories listed below.

Example: A candidate has 5 patients who had a diagnostic laparoscopy. They all must be entered on the case list, but only 2 of the 5 will be counted as meeting the minimum requirement of 20 gynecological cases.


c. A 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. Non-surgical admissions will not have a surgical pathological diagnosis. The treatment recorded should include all surgical procedures, as well as primary non-surgical therapy. “Surgical diagnosis” is the final 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. If the preoperative and postoperative diagnoses are the same and there is no pathology, you do not need to relist the diagnosis.


d. “Nights in hospital” is the arithmetic difference between the date of discharge and the date of admission. Specific dates of admission and discharge should not be provided. If a patient had an outpatient procedure and was not admitted, list the number of nights in hospital as “0.”


e. List any remaining patients that do not fit into any of the listed categories in the “Uncategorized” category.


Gynecology Categories

  1. Abdominal hysterectomy, any type
  2. Laparotomy
  3. Vaginal hysterectomy (including laparoscopically assisted)
  4. Diagnostic laparoscopy
  5. Operative laparoscopy (other than tubal sterilization and hysterectomy)
  6. Operative hysteroscopy
  7. Uterine myomata
  8. Surgical repair of pelvic floor disorders: urinary incontinence, accidental bowel leakage, and pelvic organ prolapse
  9. Surgical management of endometriosis and adenomyosis:
  10. Laparoscopic sterilization
  11. Manage intraoperative findings consistent with neoplasia
  12. Evaluate and diagnose genetic risks of neoplasia
  13. Surgical management of ectopic pregnancy and pregnancy of unknown location
  14. Surgical management of pelvic pain
  15. Proximal fallopian tube cannulation (chromopertubation)
  16. Inpatient and surgical management of pelvic inflammatory disease/TOA
  17. Surgical management of adnexal problems (excluding ectopic pregnancy and PID)
  18. Surgical management of abnormal uterine bleeding
  19. Surgical management of vulvar disorders
  20. Postoperative complications (hemorrhage, wound, urinary tract, gastrointestinal, pain, thrombotic, embolic, neurologic, fever, etc.)
  21. Surgical management of vesicovaginal fistula
  22. Preoperative evaluation of coexisting medical conditions (respiratory, cardiac, metabolic diseases)
  23. Gestational trophoblastic disease
  24. Inpatient and surgical management of incomplete, septic, complete, and other abortion
  25. Intraoperative complications (e.g., blood loss, hemorrhage, bowel injury, urinary tract injury)
  26. Dilation & Curettage
  27. Emergency care (e.g., gynecologic trauma, adnexal torsion, acute bleeding, etc.)
  28. Laparoscopic hysterectomy (e.g., total, supracervical, robotic)
  29. Lysis of intrauterine adhesions
  30. Surgical management of Bartholin gland
  31. Cervical conization
  32. Hymenectomy
  33. Labia minora reduction and vestibulectomy
  34. Uncategorized (cases in this category do not count toward the required 20 cases)


If a candidate cannot list 20 gynecological cases in the above categories, an 18-month case list and/or an appropriate number of cases from fellowship or senior residency case logs may be included. If prior fellowship or senior resident cases are used, only list 20 cases.


If a candidate cannot meet the minimum number of cases after using an 18-month case list and/or using fellowship or residency cases, they should email the Associate Executive Director in charge of examinations at exams@abog.org as soon as possible to gain assistance in meeting the case list requirements.

A list of a minimum of 20 obstetrical patients must be entered. Separately enter each patient with a complication or abnormality, as well as medical and surgical intervention during pregnancy, labor, delivery, and the puerperium. Normal, uncomplicated obstetrical patients should not be listed.


The term “normal obstetrical patient” for this listing implies that the:


a. pregnancy, labor, delivery, and the puerperium were uncomplicated; and labor began spontaneously between the 39th and completion of the 41st week of gestation; patients delivering before 39 weeks gestation should be listed in the “preterm,” “late preterm” or “early term” categories;


b. membranes ruptured or were ruptured after labor began;


c. presentation was vertex, position was occiput OA, LOA or ROA, and labor was less than 24 hours in duration;


d. delivery was spontaneous with or without episiotomy, from an anterior position;


e. the infant had a five-minute Apgar score of 6 or more and weighed between 2500 and 4500 grams and was healthy, and


f. placental delivery was uncomplicated, and blood loss was ≤ 500 mL


All deliveries not fulfilling these criteria must be listed individually. Include the gestational age at admission.


A minimum of 20 obstetrical patients is required. In order to meet the minimum, a candidate cannot count more than two patients in any of the categories listed below.


Example: A candidate has 5 obstetrical patients with diabetes mellitus. They all must be entered on the case list, but only 2 of the 5 will be counted as meeting the minimum requirement of 20 obstetrical cases.


The “nights in hospital” includes all prenatal and postnatal nights. The number of nights listed is the arithmetic difference between the admission and discharge date.


If a candidate cares for a patient in the hospital, but does not deliver the patient, the information on the delivery and infant should not be listed. For example, a patient who has preterm labor without delivery would not have delivery or infant information listed.


List any remaining patients that do not fit into any of the listed categories in the “Uncategorized” category.


Obstetrical Categories

  1. Preconception evaluation, prenatal, and genetic diagnosis
  2. Initial management of co-existent medical diseases (e.g., cardiovascular, hypertension, renal, endocrine, psychiatric, obesity)
  3. Patients at risk for preterm delivery
  4. Common antepartum complication (e.g., hyperemesis, first-trimester bleeding)
  5. Antepartum abnormal fetal presentations (e.g., external cephalic version)
  6. Cerclage
  7. Preterm delivery (before 34 weeks gestation)
  8. Late preterm delivery (34 weeks 0 days to 36 weeks 6 days gestation)
  9. Early term delivery (37 weeks 0 days to 38 weeks 6 days gestation)
  10. Postterm delivery (pregnancy at or beyond 42 weeks 0 days gestation)
  11. Thrombophilias
  12. Debridement and repair of perineal dehiscence
  13. Induction and augmentation of labor
  14. Labor abnormalities (e.g., preterm labor, dystocia, PROM, abnormal presentation)
  15. Fetal heart rate abnormalities
  16. Surgical management of uterine atony
  17. Cord problems (e.g., prolapsed cord, cord entanglement)
  18. Operative vaginal delivery (e.g., vacuum, forceps)
  19. Obstetrical hemorrhage (e.g., antepartum, intrapartum, postpartum)
  20. Obstetrical lacerations (e.g., 3rd and 4th degree, cervical, vaginal)
  21. Vaginal or perineal hematoma
  22. Primary cesarean delivery
  23. Repeat cesarean delivery
  24. Vaginal birth after cesarean delivery
  25. Peripartum hysterectomy
  26. Complications of cesarean delivery (e.g., hemorrhage, wound infection, wound disruption, or hematoma)
  27. Complications of OB anesthesia (e.g., epidural hypotension, general anesthesia complications)
  28. Intrapartum or intra-amniotic infection (e.g., amnionitis, chorioamnionitis)
  29. Puerperal infection (e.g., post cesarean endometritis)
  30. Second-trimester spontaneous abortion
  31. Third-trimester fetal loss
  32. Hypertensive disorders of pregnancy (e.g., gestational hypertension, preeclampsia with or without severe features, eclampsia)
  33. Cardiovascular or pulmonary disease complicating pregnancy
  34. Renal or neurological disease complicating pregnancy
  35. Hematological or endocrine diseases complicating pregnancy
  36. Autoimmune disorders of pregnancy
  37. Infectious diseases antepartum (CMV, HIV, Group A streptococcus, COVID-19 virus, etc.)
  38. Psychiatric disease complicating pregnancy
  39. Pregnancies complicated by human immunodeficiency virus infection (HIV)
  40. Fetal growth abnormalities
  41. Pregnancies complicated by fetal anomalies
  42. Placental abnormalities (e.g., low lying, previa, accreta, abruption, vasa previa)
  43. Thromboembolic complications
  44. Non-obstetric emergencies during pregnancy (e.g., trauma, intimate partner violence, sexual assault)
  45. Multifetal pregnancy
  46. Diabetes and gestational diabetes
  47. Shoulder dystocia
  48. Surgical conditions (e.g., acute abdomen, adnexal masses)
  49. Medical disorders unique to pregnancy (e.g., hyperemesis, cholestasis of pregnancy, acute fatty liver, peripartum cardiomyopathy, PUPPS, herpes gestationis)
  50. Acute maternal decompensation (e.g., amniotic fluid embolism, septic shock)
  51. Interoperative cesarean complications (e.g., cystotomy, enterotomy, hysterotomy extension)
  52. Uncategorized (cases in this category do not count toward the required 20 cases)



If a candidate cannot list 20 obstetrical cases in the above categories, an 18-month case list and/or an appropriate number of cases from fellowship or senior residency case logs may be included. If prior fellowship or senior resident cases are used, only list 20 cases.


If a candidate cannot meet the minimum number of cases after using an 18-month case list and/or using fellowship or residency cases, they should email the Associate Executive Director in charge of examinations at exams@abog.org as soon as possible to gain assistance in meeting the case list requirements.