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
- Preventive care and health maintenance
- Wellness counseling (smoking cessation, obesity, diet, exercise, substance abuse, etc.)
- Sexual health and dysfunction
- Family planning (individual reproductive priorities, contraception, optimize fertility, and pre-pregnancy health)
- Preconception evaluation, prenatal and genetic diagnosis
- Geriatric care
- Disorders of menstruation (amenorrhea, dysmenorrhea, abnormal uterine bleeding, premenstrual dysphoric disorder)
- Infertility evaluation and management
- Immunizations
- Endometriosis: diagnosis and office management
- Perimenopausal and menopausal care
- Pediatric and adolescent gynecology
- PCOS
- Evaluation and management of acute and chronic pelvic pain
- Vaginal disease (infections, dermatosis, VAIN, etc.)
- Vulvar disease (infections, dermatoses, vulvodynia, pediatric issues, VIN, etc.)
- Breast disease, benign and malignant
- Gynecologic care for women with HIV
- Urinary tract infections
- Sexually transmitted infections
- Uterine myomata
- Office surgery (biopsy, hysteroscopy, sterilization, LEEP, etc.)
- Cervical cancer screening, including abnormal results
- Ultrasonography (gynecologic and first-trimester pregnancy)
- Galactorrhea
- Hirsutism
- Adnexal abnormalities
- Sexual assault and intimate partner violence
- Office evaluation and management of pelvic floor disorders
- Primary care issues (e.g., hypertension, hyperlipidemia, diabetes mellitus, osteoporosis, psychiatric illness)
- Reproductive tract cancer
- Sexual development disorders (structural, chromosomal)
- Early pregnancy disorders (ectopic pregnancy, recurrent pregnancy loss, abortion, pregnancy of unknown location)
- Psychiatric disorders (depression, anorexia, bulimia, etc.)
- Diagnosis and management of hypercholesterolemia and dyslipidemias
- Amniocentesis
- Cancer genetic screening and preventive measures
- Ovarian preservation counseling
- Patients with unique obstetric or gynecologic needs (LGBTQI patients, substance and alcohol abuse)
- Reproductive tract congenital anomalies
- Gynecologic care for women with Hepatitis B / C
- Structural uterine abnormalities (polyps, hyperplasia, adenomyosis)
- 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
- Abdominal hysterectomy, any type
- Laparotomy
- Vaginal hysterectomy (including laparoscopically assisted)
- Diagnostic laparoscopy
- Operative laparoscopy (other than tubal sterilization and hysterectomy)
- Operative hysteroscopy
- Uterine myomata
- Surgical repair of pelvic floor disorders: urinary incontinence, accidental bowel leakage, and pelvic organ prolapse
- Surgical management of endometriosis and adenomyosis:
- Laparoscopic sterilization
- Manage intraoperative findings consistent with neoplasia
- Evaluate and diagnose genetic risks of neoplasia
- Surgical management of ectopic pregnancy and pregnancy of unknown location
- Surgical management of pelvic pain
- Proximal fallopian tube cannulation (chromopertubation)
- Inpatient and surgical management of pelvic inflammatory disease/TOA
- Surgical management of adnexal problems (excluding ectopic pregnancy and PID)
- Surgical management of abnormal uterine bleeding
- Surgical management of vulvar disorders
- Postoperative complications (hemorrhage, wound, urinary tract, gastrointestinal, pain, thrombotic, embolic, neurologic, fever, etc.)
- Surgical management of vesicovaginal fistula
- Preoperative evaluation of coexisting medical conditions (respiratory, cardiac, metabolic diseases)
- Gestational trophoblastic disease
- Inpatient and surgical management of incomplete, septic, complete, and other abortion
- Intraoperative complications (e.g., blood loss, hemorrhage, bowel injury, urinary tract injury)
- Dilation & Curettage
- Emergency care (e.g., gynecologic trauma, adnexal torsion, acute bleeding, etc.)
- Laparoscopic hysterectomy (e.g., total, supracervical, robotic)
- Lysis of intrauterine adhesions
- Surgical management of Bartholin gland
- Cervical conization
- Hymenectomy
- Labia minora reduction and vestibulectomy
- 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
- Preconception evaluation, prenatal, and genetic diagnosis
- Initial management of co-existent medical diseases (e.g., cardiovascular, hypertension, renal, endocrine, psychiatric, obesity)
- Patients at risk for preterm delivery
- Common antepartum complication (e.g., hyperemesis, first-trimester bleeding)
- Antepartum abnormal fetal presentations (e.g., external cephalic version)
- Cerclage
- Preterm delivery (before 34 weeks gestation)
- Late preterm delivery (34 weeks 0 days to 36 weeks 6 days gestation)
- Early term delivery (37 weeks 0 days to 38 weeks 6 days gestation)
- Postterm delivery (pregnancy at or beyond 42 weeks 0 days gestation)
- Thrombophilias
- Debridement and repair of perineal dehiscence
- Induction and augmentation of labor
- Labor abnormalities (e.g., preterm labor, dystocia, PROM, abnormal presentation)
- Fetal heart rate abnormalities
- Surgical management of uterine atony
- Cord problems (e.g., prolapsed cord, cord entanglement)
- Operative vaginal delivery (e.g., vacuum, forceps)
- Obstetrical hemorrhage (e.g., antepartum, intrapartum, postpartum)
- Obstetrical lacerations (e.g., 3rd and 4th degree, cervical, vaginal)
- Vaginal or perineal hematoma
- Primary cesarean delivery
- Repeat cesarean delivery
- Vaginal birth after cesarean delivery
- Peripartum hysterectomy
- Complications of cesarean delivery (e.g., hemorrhage, wound infection, wound disruption, or hematoma)
- Complications of OB anesthesia (e.g., epidural hypotension, general anesthesia complications)
- Intrapartum or intra-amniotic infection (e.g., amnionitis, chorioamnionitis)
- Puerperal infection (e.g., post cesarean endometritis)
- Second-trimester spontaneous abortion
- Third-trimester fetal loss
- Hypertensive disorders of pregnancy (e.g., gestational hypertension, preeclampsia with or without severe features, eclampsia)
- Cardiovascular or pulmonary disease complicating pregnancy
- Renal or neurological disease complicating pregnancy
- Hematological or endocrine diseases complicating pregnancy
- Autoimmune disorders of pregnancy
- Infectious diseases antepartum (CMV, HIV, Group A streptococcus, COVID-19 virus, etc.)
- Psychiatric disease complicating pregnancy
- Pregnancies complicated by human immunodeficiency virus infection (HIV)
- Fetal growth abnormalities
- Pregnancies complicated by fetal anomalies
- Placental abnormalities (e.g., low lying, previa, accreta, abruption, vasa previa)
- Thromboembolic complications
- Non-obstetric emergencies during pregnancy (e.g., trauma, intimate partner violence, sexual assault)
- Multifetal pregnancy
- Diabetes and gestational diabetes
- Shoulder dystocia
- Surgical conditions (e.g., acute abdomen, adnexal masses)
- Medical disorders unique to pregnancy (e.g., hyperemesis, cholestasis of pregnancy, acute fatty liver, peripartum cardiomyopathy, PUPPS, herpes gestationis)
- Acute maternal decompensation (e.g., amniotic fluid embolism, septic shock)
- Interoperative cesarean complications (e.g., cystotomy, enterotomy, hysterotomy extension)
- 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.