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COMAT Clinical – Obstetrics/Gynecology


Core Knowledge & Elements of Osteopathic Principles in the Discipline of Obstetrics and Gynecology

Content Outline and Assessment Objectives

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 Percentage
Abnormal Obstetrics 20-30%
General Gynecology 25-35%
Gynecologic Oncology 5-15%
Normal Obstetrics 15-25%
Reproductive Endocrinology 10-20%

Dimension 2 – Physician Tasks

Topic %
Diagnosis & Management / Pap Smear & DNA testing 35-45%
History & Physical Examination / Communication & Interaction 40-50%
Preventive Care / Health Maintenance 10-15%
Secondary Overarching Topics 1-5%

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:

Sample Questions

The Obstetrics and Gynecology Practice Questions are 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 perform on the examination.

Additional Resources

Comprehensive Gynecology

Author: Lobo, Gershenson, & Lentz, 8th Edition, 2021

Gabbe’s Obstetrics: Normal and Problem Pregnancies

Author: Landon et al. 8th Edition, 2020

Essentials of Obstetrics and Gynecology

Author: Hacker, 6th Edition, 2016

An Osteopathic Approach to Diagnosis and Treatment

Author: DiGiovanna, Amen, & Burns, 4th Edition, 2020

Foundations of Osteopathic Medicine

Author: Seffinger, 4th Edition, 2019