NBOME

Obstetrics / Gynecology

Content Outline and Assessment Objectives

The Obstetrics/Gynecology examination is designed for end-of-course or end-of-clinical rotation/clerkship assessment for students enrolled at a college of osteopathic medicine (COM). Individual COMs may also administer the examination at other times in accord with their curriculum goals and mission. This examination emphasizes core knowledge and elements of osteopathic principles and practice in the discipline of Obstetrics/Gynecology that are essential for the pre-doctoral osteopathic medical student.

The exam blueprint below contains the Obstetrics/Gynecology topics covered in two dimensions: Dimension 1 – Patient Presentation and Dimension 2 – Physician Tasks.

Dimension 1: Patient Presentation

Topic%
Abnormal Obstetrics20–30%
General Gynecology25–35%
Gynecologic Oncology5–15%
Normal Obstetrics15–25%
Reproductive Endocrinology10–20%

Dimension 2: Physician Tasks

Topic%
Diagnosis & Management / Pap Smear & DNA testing35–45%
History & Physical Examination / Communication & Interaction40–50%
Preventive Care / Health Maintenance10–15%
Secondary Overarching Topics1–5%

General Learner-Centered Objectives

Based on general learner-centered objectives, as outlined in the Obstetrics/Gynecology Examination Blueprint, the examinee will be required to demonstrate the ability to apply:

  1. Foundational content knowledge to situations and patient presentations encountered in clinical settings and important to Obstetrics/Gynecology.
  2. Foundational content knowledge and clinical problem-solving ability related to particular physician tasks critical to Obstetrics/Gynecology.
  3. Knowledge and clinical problem-solving as related to the Fundamental Osteopathic Medical Competency Domains, including osteopathic principles and practice and OMT, osteopathic medical knowledge, interpersonal and communication skills, practice-based learning and improvement, systems-based practice, professionalism and patient care.
  4. Osteopathic principles and practice in commonly encountered patient care scenarios.

Selected Specific Learner-Centered Objectives for Obstetrics/Gynecology

For Obstetrics and Gynecology, the examinee will be required to demonstrate the ability to diagnose and manage selected patient presentations and clinical situations involving, but not limited to:

  1. Abnormal Obstetrics: abnormal labor, spontaneous abortion, ectopic pregnancy and third-trimester bleeding
  2. General Gynecology: normal gynecology, family planning, adolescent issues and development, issues of domestic violence and sexual assault, breast diseases, vulvar/vaginal diseases, sexually transmitted infections, urinary tract disorders, screening and preventive care, menstrual cycle and premenstrual syndrome, somatic dysfunction and viscerosomatic relationships
  3. Gynecologic Oncology: cervical, uterine and ovarian disease and neoplasm and gestational trophoblastic neoplasia
  4. Normal Obstetrics: preconception, antepartum, intrapartum, and postpartum care; history and physical examination; maternal-fetal physiology; preventive care, nutrition and lactation
  5. Reproductive Endocrinology: menopause, normal/abnormal uterine bleeding, and infertility

Selected Student and Faculty Learning Resources for Obstetrics/Gynecology

In addition to the aforementioned objectives, examples of supplementary resources used by the NBOME to inform the development of the Obstetrics/Gynecology exam are listed below:

Practice Examination

The Obstetrics and Gynecology Practice Exam is primarily designed to assist the candidate in navigating through the examination, and it is provided to facilitate the actual testing experience. It is not designed to give the candidate a score or provide information about how a candidate might actually perform on the examination. When an answer choice is selected, it will not be recorded for scoring and the selection will not be saved once another item is viewed. If you wish to track your answer choices, you must record them on your own. A special function is provided that allows you to view the correct answer for each item by clicking on the “Show Answer” button located below the answer choices. The “Show Answer” button will not appear on the actual examination.

Launch the Obstetrics and Gynecology Practice Exam

Additional Resources

Following is a select number of resources related to the discipline of Obstetrics/Gynecology:

TitleAuthorEditionYear
Comprehensive GynecologyLentz6th Edition2012
Obstetrics: Normal Problems and PregnanciesGabbe7th Edition2016
Essentials of Obstetrics and GynecologyHacker6th Edition2016
An Osteopathic Approach to Diagnosis and TreatmentDiGiovanna3rd Edition2004
Foundations of Osteopathic MedicineAOA3rd Edition2010
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