The obligation to promote the good of the patients is a basic presu- tion of medical care giving a de? ning feature of the physician s ethical responsibility. To promote the patient s good is to provide care in which bene? ts outweigh burdens or harms American College of Obstet- cians & Gynecologists (ACOG) Committee Opinion #156, 1995]. How does the busy clinician balance this with the con? icting pressures of time, regulation, paperwork, increased costs, declining reimbursements, burnout, and ever-changing knowledge? These issues have affected us at all levels: the medical student, the resident, and the established practitioner. This second edition of this book has been designed to address the issue of changing knowledge and to touch on some of the other issues as well. Let us begin with medical student training. More infor- tion, clinical application, problem-based learning (PBLs), and oft- times short but succinct obstetrics and gynecology rotations are the current name of the game. How can we train our future physicians to think multisystem? The ability to collate all information and apply it to the speci? c clinical problem at hand remains a challenge. One obj- tive of this book is to tie the gynecologic and the medical knowledge clinical application together and to apply them to the patient who is currently in front of us."