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Obstetrics and Gynecology, Maternal-Fetal Medicine Subinternship (Minnesota)


This subinternship is designed for the fourth-year medical student who is seriously interested in pursuing a career in obstetrics and gynecology. This rotation should provide an experience comparable to a month of obstetric internship, during which you function as an intern under the supervision of the senior or chief resident and maternal-fetal medicine consultant.

This rotation provides an intense experience in high-risk obstetrics, but also offers exposure to prenatal ultrasound diagnostic and evaluation techniques. Much of the teaching is one-on-one with the consultant.

Specific goals

  1. Learn to participate as an integral part of the high-risk obstetrical service
  2. Refine history and physical examination skills
  3. Formulate a detailed problem list and prioritize management
  4. Learn cost-effective evaluation of obstetrical, medical and surgical problems during pregnancy
  5. Learn the best management of problems encountered during pregnancy
  6. Learn postoperative management of complicated post-surgical obstetrical patients
  7. Learn the development of an ongoing help plan for complicated obstetrical patients

Activity outline


  • Understand the maternal and fetal implications, clinical course, management and complications of:
    • Common endocrine disorders of pregnancy (diabetes and thyroid)
    • Hypertensive disorders of pregnancy (essential, preeclampsia, collagen vascular disorders)
    • Common infectious disorders of pregnancy
  • Participate in the evaluation of inpatient and outpatient high-risk consultations with the attending physician
  • Perform histories and physical examinations, radiologic and laboratory review, and plan development and daily rounding on assigned patients admitted through the Antepartum Obstetrical Service
  • Discuss necessary treatment recommendations with the senior or chief resident
  • Review work-ups with the appropriate consultant and perform and document an appropriate history and physical on all assigned patients
  • Document patient progress with daily notes to be done before morning rounds
  • Review literature appropriate for the obstetrical, medical or surgical conditions of the patient
  • Understand the normal anatomy that can be seen on routine obstetric ultrasound
  • Understand the sonographic findings and implications of the more commonly noted fetal anomalies seen during an obstetric ultrasound
  • Understand the sonographic markers used for evaluation of aneuploidy
  • Acquire operative skills as an assistant on the obstetrical team
  • Be available to scrub on all procedures performed by the obstetrical team
  • Review appropriate obstetrical pathology
  • Learn obstetrical procedures for prenatal diagnosis, antepartum intervention and obstetrical delivery
  • Follow postoperatively patients you surgically assisted
  • Manage postoperative patient problems appropriately
  • Round on the patients in the late afternoon or after surgery and follow-up on problems
  • Participate in postoperative outpatient visits


  • Attend and participate in all obstetrical conferences and morning rounds
  • Present cases and papers to peers for educational purposes
  • Communicate with cross-coverage, appropriately "signing out" patients
  • Maintain good communication with the consultant, senior or chief residents, patients, and family members to discuss progress and problems
  • Carry a service pager all days and nights on call
  • Ensure that all hospital orders are co-signed by a senior resident on the service or on-call resident
  • Maintain the highest standards of integrity, efficiency and dependability as the acting surgical intern
  • Perform procedures when possible, such as arterial blood gases, nasogastric tubes, central lines and intubations
  • Not schedule any absences during the subinternship

Method of evaluation

Students are assessed with formative verbal feedback halfway through the rotation, as well as with summative feedback and evaluation (verbal and written) at the end. The course director collates the written evaluations and provides a summary for the student.

Additional application requirement for Obstetrics/Gynecology

Each applicant must have USMLE Step 1 score; COMLEX cannot replace USMLE Step 1.