My rotation through QHC for OBGYN was a really great experience. I was very excited about this rotation since it would be my first rotation through a hospital setting. I really am now able to see the many differences between working in an outpatient setting versus an inpatient setting. My first week in QHC I was working in the clinic. I was able to work some days in the high risk OB clinic, where women who were either diabetic or who had hypothyroidism came. I was able to perform multiple pap smears, gonorrhea and chlamydia testing, assess the fundal height as well as listen to the fetus’s heart beat via a doppler. At first I was really nervous about performing a speculum exam because all of our experience was via a mannequin. I was then able to truly feel and see how much pressure needs to be applied, how to properly open the speculum and how to better visualize the cervix. I thought it was also really interesting that many of the women didn’t speak english and the hospital uses and interpreter service via the phone. One of the women has a condition called inter-hepatic cholestasis, which is a serious condition that develops during pregnancy. She did not speak english and so the provider was giving her medical advice through the interpreter service. This was not her first pregnancy and she previously had this condition but she explained that she never knew because the previous provider did not use the interpreter service and since the provider spoke in english , the patient did not really understand what she was saying. Then I was able to work on the Labor and Delivery floor. There I was able to see multiple episiotomies, deliver a placenta, and assess to ensure that the placenta was intact. One patient delivered the placenta but still had heavy bleeding. After further exploration they found a small piece of the placenta that remained. This small piece, even though it looked trivial, could have had massive negative consequences and led to a postpartum hemorrhage. I really appreciated being able to see how all the different residents, PAs, and Attendings interacted with their patients and dealt with issues. I really enjoyed being present at team meetings where they reviewed cases to try and see how to better serve the patients. This rotation I believe I was able to get the most hands on learning experience. I was able to insert an IV, a foley catheter, and assist in both vaginal and cesarean deliveries. I am excited to take this experience and bring it to my next rotation. I appreciated that the staff was always so eager to teach and educate me on the different aspects of each procedure and condition. Starting off on this rotation I felt very not confident in my ability to understand fetal heart rate tracings. I believe as the rotation progressed I gained more skills on how to identify different categories of tracings but I still feel like I want to practice more. I know that there is so much more to learn and I hope that I am able to continue to amass knowledge. I really enjoyed this rotation!