INTRODUCTION: Global and mobile technology has reshaped communication in our society, impacting our next generation of OBGYNs. Our objective was to determine healthcare communication preferences among medical students entering OBGYN. METHODS: We surveyed medical students attending the American College of Obstetricians and Gynecologists Annual Medical Student Course from 2012-2014 regarding communicating results with patients, communication with other healthcare providers, answering patient questions, and counseling patients. Modes of communication included face-to-face, telephone, physician extenders, voicemail message, e-mail, text messaging, secure messaging, postal mail, and social networking. RESULTS: 454 of 488 (93%) students from 45 states responded. Students would communicate normal results with patients by telephone (70%), physician extender (54%), secure messaging (50%), face-to-face (42%), postal mail (27%), e-mail (26%), voicemail message (19%), and text messaging (9%). For abnormal results, face-to-face communication (78%) was most common followed by telephone (32%), physician extenders (13%), and rarely voicemail messaging (2%), text messaging (< 1%), and snail-mail (3%). For general patient questions, students would use telephone (69%), face-to-face (47%) communication, secure messaging (45%), e-mail (43%), and text messaging (9%). When counseling patients, students were most likely to support face-to-face communication (80%) and very unlikely to choose text messaging (1%). CONCLUSION: Students planning a career in OBGYN will use multimodal communications with patients. Face-to-face, telephone, physician extenders, and secure messaging are commonly used. Postal mail and social networking are less common. Students plan to use text messaging and e-mail to communicate with patients in some situations, but not typically for abnormal results or counseling.