The OB/GYN Survival Guide - University of Michigan

The OB/GYN Survival Guide

An Introduction to Obstetrics and Gynecology

at the University of Michigan

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This handbook was written by University of

Michigan residents and faculty for University of

Michigan students, new residents and other

guests to the department. Some information may

not apply to off-site locations; however, we hope

all will find it helpful.

Revised 2013: Maya Hammoud, MD Revised 2011 Michael Lanham, MD Helen Kang Morgan, MD

Revised 2008 Kirsten Salmeen, MD Katy Penington, MD

Revised 2005 Deborah Berman, MD Jeness Connell,MD Sangeeta Senapati, MD

Revised 2002 Aletha Akers, MD Khurram Rehman, MD

Written 1997 Shereen Binno, MD

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Table of Contents

INTENDED LEARNING OUTCOMES...................................6

OBSTETRICS Logistics........................................................................10 Conference Schedule........................................................14 Student Expectations........................................................14 Documentation: OB H&P, Labor Progress Note......................18 Delivery Note..................................................................22 C-Section Note................................................................23 Postpartum Note..............................................................24 Fetal Heart Rate Tracing....................................................25 OB Patient Presentations...................................................29 OB Paperwork: Orders......................................................31 Discharge Prescriptions.....................................................33 Discharge Issues..............................................................34 Postpartum Contraception.................................................35 Breastfeeding Basics........................................................37 Triage............................................................................38 Selected Ob Topics: Chorioamnionitis, Endometritis, PPROM, Postpartum Hemorrhage...................................................39 Basic Prenatal Care..........................................................43 Prenatal Care for Patients with BMI>40................................44 Prenatal care for Diabetic Patients......................................45 Diabetics in Labor............................................................46 GBS Protocol..................................................................47 Antenatal Testing Guidelines.............................................48 OB Acronyms.................................................................49 Radiation Exposure in Pregnancy.......................................50

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GYNECOLOGY Logistics......................................................................52 Student expectations......................................................55 GYN Paperwork............................................................58 Pre-Op Resident and Student Form...................................58 Gyn H&P......................................................................60 Progress Notes..............................................................63 OR Note.......................................................................64 Post Op Check...............................................................64 Admit Orders.................................................................64 Calculating I/Os..............................................................66 Inpatient Presentations....................................................67 Selected Teaching Outlines: Ectopic Pregnancy, PID, Uterine Fibroids, Hysteroscopy, D&C, Tubal Ligation, Hysterectomy.................................................................68

ST. JOSEPH MERCY HOSPITAL General information..........................................................72 Lectures and Conferences..................................................76 Obstetrics.......................................................................77 Gynecology....................................................................80 Oncology........................................................................81 Night Float & Weekend Call...............................................82 Ambulatory Clinic.............................................................83 Scheduling.....................................................................85 Writing Notes..................................................................87 End of Clerkship..............................................................88

Useful Numbers.............................................................89 Directions to commonly used locations............................90

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WELCOME!

Welcome to Obstetrics and Gynecology at the University of Michigan!

We are excited to have you join our obstetrics and gynecology teams. This booklet was written to orient students, new

residents, and other guests to our department.

The obstetrics and gynecology services are clinically separate and are presented separately in this guide.

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