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so today what were going to do is were going to go over um a typical for the most part ob gyn exam and what im going to do is im going to act like i am the doctor in one scenario but also im going to have somebody volunteer to show me that they are vma okay so what i mean by that is you need to know not only your job duties here as the ma handing whatever equipment or whatever supplies that the physician needs when theyre doing a gyn exam but also you need to know what their job is okay your job and their job so you can anticipate what to give them okay or you can think about whats the next thing that i need to do okay so in this first role when you are introducing yourself to the patient im going to be taking a little bit extra we dont usually have as much conversations im about to have but what i want to do is i want you to get into the practice of asking permission before you do something not just doing something because sometimes that can be a little off-putting for a pat