Medicine continues to attract the brightest and most dedicated students to its ranks. The opportunity to nurture the talented young minds that will one day rise up to lead the medical community remains the single greatest privilege for the academic clinician. Nowhere is this privilege – and challenge – more apparent than in obstetrics and gynecology, a discipline that remains more art than science. Although clinicians in all disciplines aspire to practice rational evidence-based medicine, many basic questions in the field of obstetrics and gynecology remain unanswered. While cardiologists measure changes in calcium flux within a single myocardial cell and nephrologists estimate changes in osmotic gradient along a single nephron, obstetrician–gynecologists continue to debate such questions as: How is the LH surge regulated? What causes endometriosis? Why is there still no effective screening test for ovarian cancer? What triggers labor?

This text is written primarily for medical students starting their clinical rotations. It is designed to give the reader a succinct yet comprehensive review of obstetrics and gynecology. Each chapter consists of two pages: a page of text and an accompanying set of images or algorithms that serve to complement the text. It is the sincere hope of the authors that the readers will find this book interesting, easy to read, and informative. Not all questions can be answered in a formal text format. Students should be encouraged to question and challenge their clinical teachers. Only then can the field move forward. Remember: “We need women and men who dream of things that cannot be and ask why not.”

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