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OB-GYN Self History Form
The Ob-Gyn Clerkship: Your Guide to Success
The Ob-Gyn Clerkship: Your Guide to Success Tools for the Clerkship, contained in this document: 1. Sample obstetrics admission note 2. Sample delivery note 3. Sample operative note 4. Sample postpartum note a. Vaginal delivery b. Cesarean section orders/note 5. Sample gynecologic history & physical (H&P) 6. Admission orders 7. Commonly-used[PDF]
Preparing for your first rotation
• Primary OB/GYN Provider: • PCP: • IDENTIFICATION and CHIEF COMPLAINT: • Ms. _ is a _ year old G_ P_ who presents with _. • PROBLEM LIST • 1. _ • 2. _ • HISTORY OF PRESENT ILLNESS • Pt. with a pregnancy complicated by the above problem list. _ • PAST MEDICAL HISTORY • 1. _ • • PAST SURGICAL HISTORY • 1. _ • PAST
Annual GYN Exam Medical Transcription Sample Reports
HISTORY OF PRESENT ILLNESS: This is a pleasant (XX)-year-old gravida 2, para 2, postmenopausal female who presents today for a routine GYN exam. She was last seen by Dr. John Doe on MM/DD/YYYY. Pap smear at that time was negative for malignancy. The patient has no current GYN complaints and denies any postmenopausal bleeding.
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