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Day in the Life of an Obstetrics-Gynecology Resident

A Day in the Life of a First Year Resident on Labor & Delivery

6:00 am Wake up to the pleasant sound of my ever so eager alarm clock.  Shower, get dressed and out the door I go headed towards the land of labor and delivery…
7:00 With my extra large Dunkin Donuts coffee in hand, I arrive at morning rounds just in time as the night float intern is about to start presenting the patients on the low risk list.  Dr. Burkmann eagerly listens to her and after going over key learning points with us, its time to divide and conquer.  Before heading out, we get our assigned chapter reading for the week from our chief in preparation for Jeopardy on Friday. 
8:00 Met with the midwife and third year Tufts medical student.  We divide the list evenly and its off to do postpartum rounds and meet the laboring patients.  Today it so happens that our list is busy with eight patients in active labor and many postpartum patients to see.  The midwives are an integral part of our team as they not only help tremendously with postpartum rounds and new admissions but they teach a lot as well.  Our team is responsible for the low risk list.  More complicated patients are followed by the upper levels.
8:45 It’s a BOY!  Just finished delivering the first baby of the day.  Mom and baby are doing well.  Mom has requested a circumcision which will be done later or tomorrow by me since today looks to be a busy day.  Speaking of busy, my pager just went off…
9:15 It’s a BOY again!  Just delivered another baby.  And once again, they didn’t name him after me…oh well, I guess not everyone can have such a cool name as mine. :)
noon Just finished postpartum rounds and off to lunch I go.  The midwife is covering my pager as I go down to the Lundy boardroom to grab a quick bite and listen to a lecture.  Different topics on different days… MFM, REI, Chairman’s Rounds, Genetics.  Wednesday afternoons are the best though because we have protected time from 1-5pm.  Our pagers are blocked, we are served a delicious lunch (chicken parm is my favorite) and we have lectures on a variety of topics and have different teachings labs as well.  This week we will practice performing endometrial biopsies and inserting IUD’s with papayas playing the role of the uterus.  Should be fun!  Last week we were given a tour of the state-of-the-art simulation lab here on campus at our disposal 24 hours a day. 
1:00 pm Back on the floor and check in with midwife.  Seems like there is a patient about to deliver over POD C. 
1:45 It’s a GIRL!  Third baby of the day and we still have five patients actively laboring.  As the med student writes the delivery note on the patients electronic medical record, I’m putting in postpartum orders as well.  It’s great to have help!
2:50 It’s another GIRL!  Mom and baby are doing fine.  Wonder if they will name her after me :)
4:30 Yet another delivery and another BOY!  This delivery was a bit challenging though, since it was a shoulder dystocia.  I can’t say it enough, but having both a midwife at your side and attending in the room is a great asset in these situations.    Mom and baby are doing great!
5:30 Get paged that our overnight inductions have arrived.  Meet up with midwife and medical student, and we each go do one admission. 
6:30 Just finished my admission and in between delivered my sixth baby of the day!  Another GIRL!   The midwife has already updated the list in preparation for sign out as the night float intern arrives.  Once my classmate is all set, we go over the low risk list, I sign out my pager and off I go to my awaiting bed.
7:15 I’m home now, have some dinner in the microwave, a little TV and some reading and then its off to bed with dreams of shoulder dystocias and FHR tracings…