The case list advantage.
Built into your workflow from day one.
The oral certifying examination is built from your submitted case list. The physician who documents strategically from July 1 walks in with an edge no review course can replicate. PDI Med is the first scalable oral board infrastructure built for the board-eligible OB/GYN — not a study tool, not a checklist, but a system that reads your cases the way an examiner does, starting the day you commit your first encounter.
The exam is your case list.
Each 1-hour session (OB, GYN, Office) is divided into two halves. The first 30 minutes: standardized scenarios written by ABOG examiners — same for every candidate. The second 30 minutes: questions built exclusively from your submitted case list. The examiner has read your cases before you walk in. They have selected which ones to probe. Every case you submitted is fair game.
Three sections. Three sets of rules. Zero ambiguity.
These are the requirements per the current ABOG Specialty CE Bulletin. PDI Med monitors ABOG bulletins and updates this page when requirements change — you don't have to track it separately.
- Gestational age at admission (not at delivery)
- Delivery type
- Complication documented
- Nights in hospital
- Pre-operative and post-operative diagnosis
- Procedure(s) performed and surgical route
- Uterine weight in grams (all hysterectomies)
- Cyst diameter in cm (all ovarian cases)
- Number of office visits for this case
- Primary diagnosis
- Management plan summary
What "complicated" actually means — and what ABOG explicitly excludes.
"Complicated OB case" is not a judgment call. ABOG has a defined list. Most new attendings don't know it in detail until they're three months into collecting cases and discover they've been logging cases that don't qualify. Every OB case must have a documented complication from the categories below — the complication is what makes it eligible.
- Preeclampsia / eclampsia / HELLP syndrome
- Gestational hypertension with severe features
- Placenta previa or accreta spectrum
- Placental abruption
- Postpartum hemorrhage (requiring intervention)
- Shoulder dystocia
- Operative vaginal delivery (vacuum or forceps)
- Malpresentation (breech, transverse, compound)
- Cord prolapse or cord accident
- Preterm labor or preterm PROM (<37 weeks)
- Prolonged labor with intervention
- Chorioamnionitis requiring treatment
- Fetal distress requiring operative intervention
- Uterine rupture
- Multiple gestation with complication
- Maternal medical complication (diabetes, cardiac, etc.)
- Postpartum complication (endometritis, wound, PE, etc.)
- Abnormal fetal surveillance requiring delivery
- Uncomplicated vaginal delivery (no documented complication)
- Routine repeat cesarean with no complication
- Elective primary cesarean for maternal request with no indication
- Normal spontaneous vaginal delivery with episiotomy only
- Scheduled repeat cesarean, uncomplicated, routine postpartum course
Every subcategory across all three sections. Maximum 2 per subcategory — no exceptions.
ABOG's subcategory list determines what counts against your maximum-2-per-category limit. Cases are grouped by their primary diagnosis or procedure category. A preeclampsia case and a preeclampsia with severe features case are in the same subcategory — you can submit at most 2 from that group. This rule trips up nearly every physician who doesn't have a system tracking it automatically.
You don't need to track it. PDI Med does.
Commit your cases — including the third preeclampsia, the fourth LEEP. Each commit takes about 30 seconds: PDI Med parses your clinical note, you review what was extracted, confirm the subcategory looks right, and commit. That review step is the work — and it's the right work, done at the moment when your chart is open and the clinical context is still fresh. Once a case is verified and committed, PDI Med handles the subcategory count. When you're ready to submit or practice, it applies the max-2 rule across your full vault and surfaces your strongest cases automatically.
- Hypertensive disorders
- Obstetric hemorrhage
- Placental abnormalities
- Preterm labor / PPROM
- Operative vaginal delivery
- Abnormal fetal presentation
- Shoulder dystocia
- Multiple gestation
- Fetal surveillance / distress
- Obstetric infection
- Maternal medical complication
- Postpartum complication
- Uterine rupture / scar
- Other obstetric complication
- Hysterectomy (by route)
- Myomectomy
- Adnexal surgery
- Endometriosis / adhesion
- Cervical dysplasia / surgery
- Pelvic organ prolapse
- Urinary incontinence
- Hysteroscopic procedure
- Laparoscopic procedure (other)
- Vulvar / vaginal surgery
- Bartholin / vulvar lesion
- Sterilization procedure
- Oncologic procedure
- Other gynecologic procedure
- Abnormal uterine bleeding
- Cervical dysplasia management
- Contraception management
- Pelvic pain / endometriosis
- Vulvar / vaginal disorder
- Menopause management
- Urinary incontinence
- Pelvic organ prolapse
- Infertility evaluation
- STI / infectious disease
- Prenatal care (applied management)
- High-risk OB consultation
- Genetic counseling / testing
- Other office / applied management
Can the same patient count in Office, GYN, and OB? Yes. And examiners know it.
A patient can appear in your case list more than once — across different sections — if she represents distinct, documentable clinical encounters in each category. The woman you managed in the office for abnormal uterine bleeding, then took to the OR for a hysterectomy, then managed postoperatively through a complication: that is three legitimate case entries, one per section, all from the same patient. ABOG does not prohibit this. The sections are distinct.
More importantly: the oral board examiner knows this too. One of the most common examination arcs is exactly this pattern — the examiner starts in the office ("you see a 42-year-old with heavy menstrual bleeding…"), moves to the surgical decision ("she fails medical management — what now?"), then escalates to the complication ("intraoperative bleeding, what do you do?"). That single patient arc covers three sections of your clinical reasoning. A physician whose case list reflects this continuity — who documented the office visit, the GYN case, and the postoperative complication separately — walks into that exam line with depth the examiner can actually probe.
PDI Med's multi-commit architecture lets you log each clinical encounter for a patient separately, tagged to the correct section and subcategory. Each commit is scored independently for examiner strength. When you build your deck, you can carry all three entries, two of them, or one — depending on which sections need cases and which subcategories still have room. The cross-section clinical arc the examiner is trained to probe becomes an asset in your case list, not a tracking problem. You log the encounters. PDI Med manages the architecture.
Every deadline is hard. There are no extensions.
Dates below reflect the 2025–2026 collection cycle. PDI Med tracks ABOG deadline changes — this page is updated when the bulletin changes. Missing the July 31 case list deadline means waiting a full year to sit for boards.
How the oral certifying exam is actually scored. What pass, fail, and condition mean.
The oral certifying exam is scored by section. Each examiner evaluates the physician's performance across their assigned session using a structured scoring model — not a subjective impression. ABOG uses trained examiners with calibrated criteria. The ~85% pass rate reflects that the system is designed to certify physicians who demonstrate safe, competent practice — not to fail people on technicalities.
Applying for the certifying exam. What you need, when, and what happens if you have to come back.
The board application is separate from the case list submission and has an earlier deadline. Missing the application deadline means waiting a full year — you cannot submit a case list for a cycle you didn't apply to.
If you have to come back: what the retake looks like
A failed certifying exam is recoverable. Roughly 15% of candidates do not pass on the first attempt. The retake process depends on how many sections were failed.
You retake only the failed section in the next examination cycle. The two sections you passed are credited permanently — they do not expire while you remain in the certification window. A new case list submission is required for the retake, but only the failed section's cases need to be new. You do not restart the collection year from scratch.
All three sections must be retaken. A completely new case list is required — you must collect a new year of cases; the previous submission cannot be reused. This resets the practical preparation cycle, though your 7-year window from first attempt continues to count down.
Where examiners are going.
Synthesized from America's Board Review tip archives (Aug 2024 – Mar 2025) and physician experience reporting. Relative frequency reflects examiner emphasis, not pass/fail risk.
The shift examiners are watching — and probing.
Robotic hysterectomy has expanded significantly over the last decade. Vaginal hysterectomy rates have declined. Examiners are acutely aware of this shift — route selection justification is one of the most reliably probed decision points in the GYN session. [ABR Mar 2025]
The 8 most common case list mistakes — and how PDI Med catches them.
Synthesized from the ABOG Certifying Examination Bulletin (July 2024, updated August 2025), America's Board Review archives (2024–2025), and physician experience from SDN and ABOG forums.
ABOG requires uterine weight in grams from the pathology report for every hysterectomy case — no exceptions. Physicians discover this missing field months after the operation when the chart is difficult to retrieve and pathology results may have been archived. ABOG rejects the case without it.
Office must be exactly 40 cases submitted — not 38, not 42. If you submit more than 40, ABOG silently takes the top cases by their own internal ordering and does not tell you which cases were dropped or that your submitted count differs from what you intended. The physician walks in thinking they have 40 cases and may find the examiner referencing fewer than expected — without ever understanding why. Submitting fewer than 40 is an immediate blocker with no extension available.
Cases accumulate naturally — you see what you see. End up with 3 preeclampsia cases, 3 hysterectomies, 3 LEEPs. ABOG rejects the excess without notifying you which subcategory is over the limit or how many cases were dropped. There is no rejection notice with a specific reason. The physician submits believing they have 80 cases. ABOG counts 77 — and the physician enters the exam not knowing their OB section is short. This is the most consequential silent failure mode in the entire case list process.
Uncomplicated vaginal deliveries and routine repeat cesareans are explicitly ineligible for OB. New attendings frequently assume any delivery counts. Every OB case must document the specific complication — preeclampsia, shoulder dystocia, fetal distress, abruption, etc.
GA at admission is required — distinct from gestational age at delivery. This field is commonly omitted when logging and nearly impossible to retrieve retroactively from an 8-month-old operative or delivery note. It is a required ABOG field, not optional.
Cases documented as "c-section" or "hysterectomy" without specifics invite aggressive examiner follow-up on areas the physician may not be prepared to defend. The examiner reads exactly what you wrote. Vague entries signal incomplete reasoning — not safety. "Case construction is a painful process — the ABOG is very vague." [SDN]
Physicians collect what they happen to see in their practice. Without strategic awareness, they end up with no urogyn cases, no vaginal hysterectomy, no oncology management — all high-yield examiner topics. If those case types are absent, prepare to defend why with the cases you do have. [ABR Mar 2025]
Memory degrades. Required fields become impossible to retrieve from operative notes 6 months later. Physicians who batch-log in February face unrecoverable pace deficits and chart review weekends that don't actually recover what they've lost. Missing the July 31 deadline means waiting a full year.
Common misconceptions — and what's actually true.
What PDI Med builds for you — automatically.
Every feature below exists because a physician somewhere lost a year to a preventable mistake. PDI Med is the system that prevents it.
Where PDI Med fits — and where it's going.
If you are collecting cases, FLS, EMIGS, and the qualifying exam are already behind you. Those are residency-era milestones. By the time you are an attending documenting your first clinical year, the prerequisites are done. What isn't done — and what nothing else adequately addresses — is everything below.
The first 30 minutes of each oral board session uses ABOG-written structured cases — not your case list. Preparing for that half still requires a dedicated board review course: America's Board Review, ExamPro, or an equivalent. PDI Med covers the documentation layer, the compliance layer, and the case-specific prep layer completely. The structured case half is where a board review course remains essential today, and we say so plainly.
The structured case library is on the roadmap. Until it is built, the combination that produces the best outcome is PDI Med for everything case-list-related, paired with a structured case course for the remaining half.
PDI Med eliminates the documentation burden — hours per week reduced to minutes per case — ensures compliance, and prepares you for exactly half the oral board examination. That half is the one built from your cases. That half is the one most physicians are least prepared for.
The physician who walks into the exam with a bulletproof case list and a rehearsed defense of every case on it has done the work that PDI Med exists to make possible. Add a structured case course for the first half, and the preparation is complete. The documentation is handled. The compliance is handled. The case-specific intelligence is handled. What's left is studying — and that is a much better problem to have.
We don't replace the board review course.
We make everything you bring to it count.
Your collection year starts July 1.
You should already be set up.
30 days free. No card required. The founding cohort price — $49/month, locked forever — closes when it closes.
PDI Med monitors ABOG bulletins, case list requirements, and oral board updates on an ongoing basis. This page reflects the most current available requirements. Last reviewed: May 2026.