General OBGYN Certifying Exam Case List (2025 ABOG Bulletin)

ABOG 2025 Certifying Examination Bulletin

Obstetrics Case List Guidelines and Categories

• Enter a minimum of 20 patients into the listed categories, but all patients must be listed. This includes all admitted as well as all short-stay and outpatient surgical patients, even if not officially admitted to a hospital.

• In order to meet the minimum, a candidate cannot count more than two patients in any of the categories listed below.

• If a candidate cannot list 20 obstetric cases in the categories listed below, an 18-month case list and/or an appropriate number of cases from fellowship or senior residency case logs may be included. If prior fellowship or senior resident cases are used, only list 20 cases.

• Separately enter each patient with a complication or abnormality, as well as medical and surgical intervention during pregnancy, labor, delivery, and the puerperium. Include the gestational age at admission. Normal, uncomplicated obstetrical patients should not be listed. The term “normal obstetrical patient” for this listing implies that the:

• pregnancy, labor, delivery, and the puerperium were uncomplicated; and labor began spontaneously between the 39th and completion of the 41st week of gestation; patients delivering before 39 weeks gestation should be listed in the “preterm,” “late preterm” or “early term” categories;

• membranes ruptured or were ruptured after labor began;

• presentation was vertex, position was occiput OA, LOA or ROA, and labor was less than 24 hours in duration;

• delivery was spontaneous with or without episiotomy, from an anterior position;

• the infant had a five-minute Apgar score of 6 or more and weighed between 2500 and 4500 grams and was healthy, and

• placental delivery was uncomplicated, and blood loss was ≤ 500 mL.

• The “nights in hospital” includes all prenatal and postnatal nights. The number of nights listed is the arithmetic difference between the admission and discharge date.

• If a candidate cares for a patient in the hospital, but does not deliver the patient, the information on the delivery and infant should not be listed. For example, a patient who has preterm labor without delivery would not have delivery or infant information listed.

Obstetrical Categories:

Gynecology Case List Guidelines and Categories

• Enter a minimum of 20 patients into the listed categories, but all patients must be listed. This includes all admitted as well as all short-stay and outpatient surgical patients, even if not officially admitted to a hospital.

• In order to meet the minimum, a candidate cannot count more than two patients in any of the categories listed below.

• If a candidate cannot list 20 gynecological cases in the categories listed below, an 18-month case list and/or an appropriate number of cases from fellowship or senior residency case logs may be included. If prior fellowship or senior resident cases are used, only list 20 cases.

• Patients who had an outpatient procedure in a surgical center must be listed on the Gynecology case list, not the Office Practice case list.

• A preoperative diagnosis should appear for all major and minor surgical procedures. The size of ovarian cysts and neoplasms must be recorded. For non-surgical conditions, the 13 admission diagnosis should be recorded. Non-surgical admissions will not have a surgical pathological diagnosis. The treatment recorded should include all surgical procedures, as well as primary non-surgical therapy. “Surgical diagnosis” is the final pathology diagnosis. For hysterectomy specimens, the uterine weight in grams must be recorded. In cases without tissue for histologic diagnosis, the final clinical diagnosis should be listed. If the preoperative and postoperative diagnoses are the same and there is no pathology, you do not need to relist the diagnosis.

• “Nights in hospital” is the arithmetic difference between the date of discharge and the date of admission. Specific dates of admission and discharge should not be provided. If a patient had an outpatient procedure and was not admitted, list the number of nights in hospital as “0.” Gynecology Categories

Gynecology Categories:

Office Practice Case List Guidelines and Categories

• Enter a total of 40 patients into the listed categories.

• Do not list more than two patients in any one category.

• List each patient separately, and include diagnostic procedures, treatment, results, and number of office visits during the 12-month period.

• Patients seen in the emergency room or triage area of labor and delivery may be listed.

• Do not include a patient that appears in the Gynecology or Obstetrics case lists.

• Do not include any patients that had procedures performed in any location except the office. Specifically, patients who had an outpatient procedure in a surgical center must be listed on the Gynecology case list.

• Patients who had virtual visits or COVID-19 patients for whom they were primarily responsible for care if they fit into one of the categories in the following list.

Office Case Categories: