Obstetrics Rotation Information

Faculty and Resident Chair:

Faculty: Joe Breuner, MD and Pat Gemperline, MD
Resident: Molly Chan, MD and Ally Chambers, MD

Contacts:

 

Pat Gemperline: pager:206-540-9667

Joe Breuner: pager:206-560-2562

Ultrasound Department: 386-2379 

Maternal Support Services: 386-6484 

Women/Infant Outpatient Svcs: 386-3606 

Genetics Counselor coordinator: Carla - ph:215-6339

Lactation Counselor: Linda Moore - pager:405-6830 or email: Linda.moore@swedish.org

       

Weekly Schedule:

 

The weekly schedule is variable depending on call schedule.  Residents are in continuity clinic 2 half days per week and didactics continue on Tuesday afternoon.

 

	Monday	Tuesday	Wednesday	Thursday	Friday
AM	OB	OB	OB	OB	OB
PM	OB	Didactics	OB	OB	OB

• Nights of night call in a single block, number depends on number on team – 8pm to 8am (no day responsibilities after seeing own patients and attending morning rounds)

• Day call – 8am to 8pm

• On average, 4 weekend days off per month

• 8 clinic half-days per month, plus didactics on Tuesday afternoons

Spare days: 

 

Some days each week you’ll be free from clinic or labor and delivery call responsibilities. Please engage in the following activities during that time:

1.    If two or three of you are off the same day, initiate an episiotomy repair, shoulder dystocia,  or vacuum workshop with one of your fellows or Pat Gemperline or Joe Breuner. Episiotomy models and suture as well as pelvic mannequins are in the open office space halfway down the hall on the 2^nd floor of the First Hill clinic. To practice vacuums, bring a kiwi vacuum for each of you from L+D, as our practice vacuums lose their seal after a few sessions. 

 

2.   See patients with one of the genetics counselors in the offices of Obstetrix. Phone their patient service coordinator Carla at 215 6339 to let her know you’ll be coming, sessions are any weekday from 10 am to 1 pm.

 

3.    Shadow the lactation counselors as they visit patients in the hospital. Contact Linda Moore on pager 4056830 or email Linda.moore@swedish.org, voice mail also works but she’s usually out doing consults. Best is to let her know your free days early in the rotation so she can prevent duplication-they have other trainees shadowing them.

 

RRC Requirements:

"The resident must be trained in the recognition and initial management of the high-risk prenatal patient, including consultation and referral. Additionally, the residents must be taught to recognize and manage complications and emergencies in pregnancy, labor, and delivery. Residents also must receive training in genetic counseling. When appropriate for the resident's future practice and patient care, the resident must be trained in the management of the high-risk prenatal patient.

Total Deliveries: Each resident must perform a sufficient number of deliveries to achieve competence appropriate to family physicians. A resident must perform a minimum of 40 deliveries over the 3-year program, of which a minimum of ten must be continuity deliveries. At least thirty of the total deliveries must be vaginal deliveries. Two residents may be given credit for the same delivery if one of those residents is supervising. The experience of each resident must be documented as to the role played in the delivery."

 

 

Driving directions

 

This is a hospital based rotation at Swedish Medical Center - First Hill

 

Calling in Sick

 

1st: The other R1's on the team are asked if they could cover the shift (if at all possible, the sick R1 should take one of the covering R1's shifts later in the month). Please make sure you request a shift swap in AMION so it is accurately reflected. Let the OB Chiefs know that a schedule change has been made; e-mail is fine.

 

2nd: Each program relies on its own goat system to staff the shift. Call your OB Chief to help you facilitate the coverage.

 

For First Hill residents:

 

If a day shift needs to be covered, the 1st Hill clinic goat will be asked to cover

If a night shift needs to be covered, the family medicine service goat will be asked to cover.

 

For Cherry Hill Residents:

 

There are 2 options, the first being that they exchange and the second that they use the "At Risk" R1