Case List Preparation
During each hour of the examination, approximately 30 minutes of questions will be developed from the cases you submitted. Selected cases will be displayed on the computer screen for your reference and the examiner’s reference. Some of the questions will specifically address how you evaluated and managed your actual patients.
The examiner will also use the cases to explore the your management of similar patients with different specifications. For example, you might list a 48-year-old woman with an adnexal mass. After discussing the actual management, you might be asked if the management would have been different (and how) if the patient were 18 years old or 78 years old.
Questions will test your ability to:
- develop a diagnosis, including the necessary clinical, laboratory and diagnostic procedures;
- select and apply proper treatment under elective and emergency conditions;
- prevent, recognize and manage complications; and
- plan and direct follow-up and continuing care.
Carelessly prepared or incomplete case lists may contribute to failure to pass the Certifying Exam.All case lists will be submitted electronically. You can't bring a copy of your case list to the Certifying Exam for personal reference.
Case List Entry
All information for the case list for the Certifying Examination must be entered online. The information can be entered through any device with an internet connection, including smartphones, laptops, tablets and desktop computers.
- To enter a case, open your ABOG personal webpage and click on “Case List Entry.”
- The entry process is simple, and common abbreviations are acceptable. See tabbed section on this page titled "Case List Instructions & Approved Abbreviations."
- If a problem is encountered, there is an FAQ button where most questions will be answered. However, if the problem is not resolved, you should call the ABOG Examination Department at 214.871.1619.
You will be asked to enter patient-identifying information on the case list that you print and give to your hospital medical records for verification. This information will be stored on a non-ABOG HIPAA-compliant server. The electronic copy of the case list that is submitted to ABOG must not contain the patient-identifying information.
Case List Submission
You will submit your case list, summary sheets, and case list affidavit(s) electronically to the ABOG office through the Case List Entry System located on your ABOG personal webpage.
- All patients dismissed from your care in all hospitals and surgical centers between July 1, 2017, and June 30, 2018, must be listed.
- During these 12 months of case collection, no more than 12 weeks away from clinical practice is allowed.
- Patient case lists that fail to provide the required information, include an insufficient number of patients, are inadequately or incompletely prepared, are not appropriately de-identified, or fail to provide sufficient breadth and depth of clinical problems may disqualify you from admission to the Certifying Examination. You are personally responsible for the proper preparation, de-identified accuracy, and completeness of the case lists.
- The completeness and accuracy of submitted case lists are subject to audit by the ABOG. All audits will be conducted in accordance with the provisions of the HIPAA Privacy Rule. Permission to conduct on-site audits will be required of you prior to final approval to take the Certifying Exam.
- Falsification of information in the case lists may result in ineligibility to apply for the Certifying Exam for a minimum of 3 years. You must then meet all requirements in effect at the end of the deferred period.
- If the falsification is discovered after you have successfully completed the Certifying Exam, the results of the test will be voided, and your certification will be revoked.
Hospital and Surgical Center Patients
Your case lists must include all patients admitted to all hospitals and cared for at all surgical centers where you held admitting and/or surgical privileges between July 1, 2018, and June 30, 2019.
- The lists must include a minimum of 20 obstetrical and 20 gynecological admissions, but all patients must be listed. This includes all admitted, as well as all short-stay and outpatient surgical patients, even if not officially admitted to a hospital.
- The case lists must demonstrate sufficient number, sufficient breadth, and sufficient depth of clinical experience.
- All patients listed must have been cared for primarily by you. You may not list patients for whom you have only provided a consultation.
Office Practice Patients
The office practice case list is strictly limited to 40 patients. These must be from your practice between July 1, 2018, and June 30, 2019.
- Cases from the senior year of your residency may NOT be used for an office practice case list.
- In rare cases, a former fellow may request to use office practice cases from fellowship.
- Patients seen in the emergency room or triage area of labor and delivery can be listed on the office practice list.
Patient List Inclusion
The patients listed must be only those for whom you have had personal responsibility for professional management and care.
- In the case of a partnership or group practice, the patients listed should be only those you managed. If some portion of the care was provided by a partner, that care should be indicated on the case list.
- If you are back-up for a midwifery group, a midwife delivery may not be listed unless you actually performed the delivery.
- If you're a faculty member for residents, you should list all cesarean deliveries for which you had responsibility even if the resident performed the actual delivery.
Case lists are submitted electronically with obstetric, gynecologic, and office practice patients. You can't reuse any case or case list from a previous exam.
Additional Case Sources
If you don't perform obstetrical procedures, or if you don't perform gynecologic procedures, or if you can't meet the minimum number of cases from your current practice, the minimum number and types of gynecological or obstetrical cases must be obtained from the additional sources listed below. Regardless of the candidate’s current practice or training, the exam will cover all 3 areas. Candidates who limit their practice to outpatient care only will not be eligible for initial certification.
1. Candidates who have been in practice for one year or more
If you've been in practice for one year or more and can't meet the minimum number of cases between July 1, 2018 and June 30, 2019, you have two choices: You can submit a complete 18-month case list beginning January 1, 2018, and ending June 30, 2019, or you can submit a 12-month case list and use cases from your senior year of residency to reach the minimums. If residency cases are used, it is only necessary to add a sufficient number of residency cases to meet the minimum numbers.
- You can't use senior resident cases to meet minimum numbers for both the Obstetrics and Gynecology case lists.
If you believe you can't meet the minimum number of cases in one area after using an 18-month case list and/or using residency cases, you should email the Associate Executive Director in charge of examinations. You must describe the reasons why you cannot meet the minimum requirements. The ABOG ad hoc committee will then review the circumstances for the deficiency. The decision of the committee concerning your eligibility will be final and can't be appealed.
2. Candidates currently in fellowship training
If you're currently in an ACGME-approved fellowship in a field related to Obstetrics and Gynecology, you can collect cases during your fellowship for the Certifying Exam.
- Cases that are part of your fellowship may be used if you were responsible for a major portion of the case.
- Moonlighting cases may be collected during fellowship and may be listed as collected during fellowship under the appropriate category.
- You can collect cases from anytime during fellowship, and the collection can span the entire fellowship in order to meet the minimum required numbers. You should indicate the dates of collection on the case list but should list them only as fellowship cases.
If you're currently in a fellowship that is not ACGME-accredited, but is in a field related to Obstetrics and Gynecology, you may collect cases during fellowship but must have full and unrestricted privileges to practice in the hospital from which you are collecting cases. The collection time can span over the entire fellowship to meet the minimum required numbers. You should indicate the dates of collection on the case list but should only list them as fellowship cases.
3. Candidates who have completed fellowship training
If you've completed fellowship training, you should use cases from your practice. A 12- or 18-month case list may be submitted. If your fellowship training was in a field related to Obstetrics and Gynecology, you may use cases from your fellowship training if you cannot meet the minimum number of required cases from your practice. Additionally, you cam use cases from your senior year of residency training, if needed, but cannot use senior resident cases for more than one of the case lists (Obstetrics or Gynecology).
4. Candidates who may need to use residency cases
If you're entering fellowship or for other reasons are concerned that you may need to use residency cases, you're encouraged to collect information on your patients from residency as early in the process as possible. In some cases, it has been difficult for candidates to obtain the needed information after leaving the hospital where they did their residency.
The following information is needed on residency cases in order to use these patients later:
- history and physical exam
- preoperative test results and preoperative diagnosis
- operative report
- pathology report including uterine weight, if appropriate
- postoperative diagnosis
- postoperative course including number of days of hospitalization
- postoperative complications
If you're having difficulty getting information from your residency hospital’s medical records department, you're encouraged to contact your residency program director for assistance. If the residency program director is unable to help, please contact the ABOG Examination Department at firstname.lastname@example.org.
All case list categories are shown below. Click on any category to access complete instructions for each list.
|A&P||Repair – anterior and posterior colporrhaphy|
|AIDS||Acquired immunodeficiency syndrome|
|ASCUS||Atypical cells of undetermined significance|
|BMI||Body mass index|
|BTL||Bilateral tubal ligation|
|CBC||Complete blood count|
|CIN||Cervical intraepithelial neoplasia|
|D&C||Dilatation and curettage|
|D&E||Dilatation and evacuation|
|DEXA||Dual-energy X-ray absorptiometry|
|DVT||Deep vein thrombosis|
|EBL||Estimated blood loss|
|EFW||Estimated fetal weight|
|EGA||Estimated gestational age|
|FGR||Fetal growth restriction|
|FHR||Fetal heart rate|
|GDM||Gestational diabetes mellitus|
|HIV||Human immunodeficiency virus|
|HCG||Human chorionic gonadotropin|
|HRT||Hormone replacement therapy|
|HSV||Herpes simplex virus|
|IUFD||Intrauterine fetal death|
|IUGR||Intrauterine growth restriction|
|LAVH||Laparoscopic-assisted vaginal hysterectomy|
|LEEP||Loop electrosurgical procedure|
|LGA||Large for gestational age|
|LH||Luteinizing hormone or laparoscopic hysterectomy|
|LMP||Last menstrual period|
|MIS||Minimally invasive surgery|
|MRI||Magnetic resonance imaging|
|OA, OP, OT||Occiput positions – may be preceded by R (right) or L (left)|
|PCOS||Polycystic ovarian syndrome|
|PROM||Premature rupture of membranes|
|S/D (ratio)||Systolic/diastolic ratio|
|SGA||Small for gestational age|
|SROM||Spontaneous rupture of membranes|
|STD/STI||Sexually transmitted disease/infection|
|SUI||Stress urinary incontinence|
|SVD||Spontaneous vaginal delivery|
|TAH||Total abdominal hysterectomy|
|TVH||Total vaginal hysterectomy|
|VBAC||Vaginal birth after cesarean delivery|
Each list of obstetrics and gynecology patients from each hospital and surgical center must be verified on the appropriate affidavit form. The medical record librarian or similar hospital official must submit a statement attesting that:
- The patients listed were cared for by you.
- All of the hospitalized patients dismissed from your care have been separately listed or reported in the totals for the period indicated.
For cases chosen from the fellowship or senior residency year, the affidavit must be obtained from your Program Director or the medical records librarian and must be uploaded to ABOG online through the Case List Entry System located on your Personal Home Page. There is no affidavit for office practice cases.
Verification of Case List and Audit
The list of patients you provide is subject to independent verification and audit by an agent or employee of ABOG. As a condition of candidacy, you agree to cooperate fully with any audit authorized by the Board, including, but not limited to:
- Providing full and unrestricted access to your office records of patients for whom you had personal responsibility for professional management and care during the period for which the lists of patients are required;
- Authorizing access to such hospital or other institutional records as the ABOG deems necessary, in its absolute discretion, to verify the completeness and accuracy of the patient lists you submitted; and
- Using your best efforts to obtain, where necessary and possible, written patient consent to release to the Board information concerning the patient’s condition and treatment.
Any audit undertaken by the Board pursuant to the authority granted by this Section shall be conducted in compliance with the HIPAA Privacy Rule.
De-Identification of Patient Case Lists
The case lists submitted to the ABOG office must not contain the patient hospital number or other identifying information other than age.
- The de-identification of patient case lists doesn't allow the omission of any patients under your care, which are otherwise required to be reported.
- The completeness of your case list is subject to audit.
- If you're found to have not listed any case that is required, you'll be subject to disqualification from the exam and other discipline as appropriate.