Point-of-care ultrasound, or PoCUS, where imaging is undertaken at the bedside, clinic or emergency department (ED) by the clinician overseeing treatment, is a rapid form of assessment that may be undertaken alongside or as an alternative to traditional, formal ultrasound performed by a radiology service. PoCUS reduces the time to diagnosis, thus allowing lifesaving treatment to be initiated. This is particularly relevant in Obstetrics and Gynaecology (OBGYN), where delayed diagnosis of pregnancy complications is often fatal or highly debilitating to the mother or fetus. The literature suggests that PoCUS is particularly useful in areas that are inadequately resourced, as it is relatively cheap and accessible. High-quality training is essential to ensure that the staff performing the scans are adequately qualified to deliver the service. Clinicians who perform PoCUS in their practice should be aware of the appropriate indications, as well as when to refer for formal imaging.

The emphasis of this four-year residency training program is on the basic tenets of obstetrics and gynecology at the bedside, in the delivery room, in the operating room and in outpatient services. There are 16 residents, four in each year of a four-year training program.


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The clinical area of obstetrics involves approximately 30 percent at-risk or high-risk patients seen during the antepartum, intrapartum and the postpartum periods. The gynecological and oncological services have a large number of operative cases involving a variety of gynecological pathologies. There are specialty clinics in maternal fetal medicine, reproductive endocrinology and infertility, gynecological oncology, urogynecology, comprehensive family planning and pre-invasive disease of the lower genital tract (colposcopy). Each section is headed by a board-certified subspecialist and possesses the latest in technology to advance the educational goals of the resident staff as well as enhance the care of their patients.

The residency program is organized to optimize the progressive development of the resident through feedback and instruction. Assigned faculty mentors and the program director serve as facilitators. At the completion of four years, the resident will have experienced every possible clinical condition noted in the specialty and will have acquired the necessary training to continue onto a fellowship or to function as a specialist or consultant in the field, as well as serve as a primary care provider in general obstetrics and gynecology.

Conclusions:  This study provides new information based on simple prenatal bedside examinations that might help to differentiate HDP-IUGR from HDP-AGA fetuses. These groups are associated with different fetal growth patterns and risk factors, independent of gestational age at onset of the disease. Copyright  2015 ISUOG. Published by John Wiley & Sons Ltd.

Our FM-OB Faculty have extensive experience across all risk levels of OB and actively participate in operative OB, side-by-side with our OB/Gyn Faculty. Our Active Management Nurses teach and guide along with Physician Faculty in cervix checks, fetal scalp electrode placement, and basic bedside ultrasonography.

Our faculty is committed to the highest level of basic and clinical research in Obstetric and Gynecologic science. In particular, we are focused on innovative translational medicine; bringing scientific results from the bench to the bedside.

UCSF Health's obstetrics and gynecology team provides top-quality care that is tailored to each patient's needs and wishes. We treat the full spectrum of women's health concerns, from routine gynecological and pregnancy care to highly specialized services for incontinence, fibroids, endometriosis, sexual health, high-risk pregnancy and more.

For a given center, the obstetrics department, in conjunction with the other appropriate departments, should establish written guidelines defining the appropriate unit to evaluate obstetric patients based upon criteria such as gestational age and delivery status, symptoms, medical condition, and available medical staff. For instance, some nonobstetric conditions (eg, highly transmissible infectious diseases like influenza or varicella, critical traumas, and acute chest pain) may be better treated in another area of the hospital, regardless of gestational age. Conversely, many postpartum conditions may be best addressed by labor and delivery staff. Disaster preparedness plans should include care of pregnant women 3. For all of these reasons, coordination and communication between obstetric and emergency departments, as well as hospital ancillary services, is critical 3. Emergency departments should consider early consultation with obstetric care providers when triaging and managing pregnant patients, especially for patients beyond the first and early second trimesters. To be considered an appropriate location to evaluate and care for pregnant patients, a unit should have the ability to perform basic ultrasonography and fetal monitoring. In cases that involve a woman with a viable pregnancy who is evaluated outside of an obstetric unit, it may be necessary to bring these resources from the obstetric unit to the location of the patient.

While our focus in the division is principally on general obstetrics and gynecology, we are concerned with the overall healthcare needs of our patients. We work closely with specialists throughout the NewYork-Presbyterian/Weill Cornell Medical Center to coordinate care, as necessary.

Dr. Yu has been my doctor for my last two pregnancies. She has a wonderful bedside manner and instills confidence in what she and her practice are doing, makes you comfortable with the process, and provides immediate referrals for additional studies when needed. I would highly recommend her.

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Through daily contact, close interactions and direct supervision by faculty members, each fellow is evaluated for his or her initiative, knowledge, competency and skills in the operating room, at the bedside and in the ambulatory care clinics.

Dr. Perez is a native Houstonian, raised bilingual by her parents from Spain and the US, who enjoys caring for women in all stages of life. Her clinical interests include general and high risk obstetrics, cervical dysplasia, menstrual disorders, contraception, and minimally invasive surgery. She believes in providing optimal patient care with evidence-based medicine. In 2010, Dr. Perez received the Excellence in Medical Student Teaching Award from the University of Texas Southwestern. Additionally, she was honored with the Women's Health Care Award in 2007 from the Dallas Fort-Worth OB/GYN Society.

As an engaged listener with a compassionate bedside manner, my goal is to help my patients enjoy their best health throughout their lives. For patients who come to me with gynecological… Read more

As an obstetrics and gynecology resident at Riverside Methodist Hospital, you'll practice in a thriving obstetrics and gynecology service that delivers 7,000 babies each year while gaining extensive specialty training, all in one convenient place.

It is the intent of the Obstetrics faculty (Renown Women's Health) responsible for the supervision and education of the first year Family Medicine resident, to insure maximum exposure to all aspects of prenatal, intrapartum and postpartum care of both normal and high risk obstetrical patients. For this to occur, it is imperative that the first year resident prepare themselves for their OB rotation and throughout the rotation participate in both the didactic and bedside educational experiences.

Dr. Mehta continued her education at Nova Southeastern University College of Medicine, where she earned not only her Doctor of Osteopathic Medicine degree but a Master of Business Administration degree as well. She then temporarily relocated to Michigan, where she completed her obstetrics and gynecology residency at the Botsford Hospital in Farmington through Michigan State University.

Technological advancements have allowed more physicians to bring ultrasound services to the office visit or bedside, and to make POCUS an integral part of practice. I [Dr. Deutchman] was an early adopter, adding ultrasound to my rural practice in 1980 after delivering a surprise set of twins in the wee hours of the morning. I have never since been surprised by twins, nor missed an ectopic pregnancy. In addition, I [Dr. Shen-Wagner] first used POCUS during residency in 2011, after a patient complained that it felt like her intrauterine device (IUD) had moved. Everything looked normal on the pelvic exam, but a hand-me-down ultrasound machine from the clinic's obstetrics department revealed the unmistakable flutter of a tiny heartbeat. The patient was pregnant, despite having an IUD for three years. e24fc04721

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