...oncology, pulmonology, or gastrology. However, the concept of the gynecologist as the primary care physician remains arguable. In comparison to the primary care physician the obstetrics/gynecologist also plays a vital role in the health care treatment plan---for women. As a result, some managed care organizations (MCOs), health maintenance organizations (HMOs) and indemnity health insurers may allow the gynecologist as the primary care physician. According to Kongstvedt, many obstetrics/gynecologists (OB/Gyn) feel as if they indeed deliver primary care. They make this assertion because “they are often the only physician a young woman sees for many years” (66). Healthy women do not always have medical concerns until problems arise with their female reproductive systems. Therefore, care provided by the OB/Gyn could be viewed as primary care. Yet, are they willing to take on the extra responsibility? Because “ in the early 1990’s, there was at least one program designed to retrain OB/Gyn physicians to provide a broader range of primary care, but the results were quite disappointing, with a very high dropout rate and a high level of dissatisfaction with broad primary care expressed” (66)....
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...by filling out the following. Address each point with complete, grammatically correct sentences. • Focus or mission of the service or function (100–200 words): • I have chosen OB/GYN from our weekly vocabulary worksheet; the mission of this field is Obstetrician-gynecologists to provide the highest quality of patient care in obstetrics, gynecology and primary care with compassion and concern for patients well-being • to maintain programs and clinical research efforts that will attract outstanding staff and advance the care of women to educate resident physicians to practice obstetrics and gynecology at the highest standards. • Description of the population served (100–200 words): • Based on my research ( J Women’s Health (Larchmt). 2013 Jul; 22(7): 643–648. doi: 10.1089/jwh.2012.4119) The description of the population being served is diverse among the races, point being The overall patient demand for ob-gyn services in the United States is forecast to grow by 6% between 2010 and 2020 (Table 1). The female population age 14 and older is projected to increase by more than 10% between 2010 and 2020, but much of this growth will be among women age 65 and older (33% growth rate) that use relatively fewer ob-gyn related services. An estimated 81% of time for ob-gyn related services is currently devoted to women of reproductive age (18–44 years old), and this population is projected to grow in the United States by slightly less than 6% during this period...
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...A woman named K.M is having twins, one boy and one girl. The baby boy fetus was not healthy; he has possible heart defect and Down syndrome. She went to her ob-gyn named Dr. Matthew J. Kachinas to talk about aborting the baby boy fetus. In January 2006 he agreed to treat her with selective termination. K.M went to her ob-gyn and discussed the selective termination to her. Dr. Matthew J. Kachinas told K.M that he has lack of experience of this procedure. After K.M had the selective termination, she came back a week in a half later and done an ultrasound and it revealed that the wrong fetus was alive. The baby boy was still alive and not the healthy girl fetus. Several days later K.M went back to her ob-gyn and got the other fetus terminated too because that fetus is the one she wanted terminated in the first place. Dr. Matthew J. Kachinas the ob-gyn blames the ultrasound for his mistakes. Kachinas was charges and lost his license. K.M got a $250,000 liability settlement. The precise ethical issue here is individual rights. K.M lost both of her twins because of her ob-gyn Dr. Matthew J. Kachinas. He shouldn't have done that procedure if he didn't know what he was doing. K.M and her husband had other alternatives than to have the selective termination. They could have kept both twins, they also could of got another doctor that knew what he/she was doing for the selective termination. K.M and her husband lost both of the twins, not just one but both of the twins. They...
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...Ob\Gyn Ambulatory Services The American Marketing Association definition of marketing is “The process of planning and executing the conception, pricing, promotion and distribution of ideas, goods and services to create exchanges that satisfy individual and organizational goals.” (Lamb, Hair, & McDaniel, 2011) However the definition of healthcare marketing can differ slightly, but still has the same components. "Healthcare marketing is educating ourselves as to the wants and needs of our potential customers and, based on the knowledge we gain, educating our customers and offering them valued services that fulfill their needs when and where they need those services.” (Buckley, 2009) Marketing a healthcare entity has distinctive challenges that are not found in most organizations. The product is variable, there is not a true price−value exchange and the customer is not always a willing buyer. The healthcare industry is advancing in technology and increasing in competition every day. Patients have more choices than ever before. Providers need to market themselves to stand out from the competition and notify patients how they can offer the best possible care and experience. Today’s healthcare focus is on providing the best care but also on patient experience. The “4 P’s” product, price, place, and promotion are used to develop a marketing strategy that works. The four Ps Product, price, place and promotion are considered the four controllable variables used to define...
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...1500 First reported successful Cesarean section (mother and child surviving). Jacob Nufer 1701 First successful ovariotomy. Robert Houstoun 1795 Pueperal sepsis first proposed to be due to infectious contagion as a result of observational, epidemiologic study in Aberdeen, Scotland. Alexander Gordon 1809 First ovarian cystectomy (Danville, Kentucky). Ephraim McDowell 1812 First recorded vaginal hysterectomy (performed accidentally and unplanned). Palletta 1813 First modern, documented total vaginal hysterectomy (though certainly not the first). C.J.M. Langenbeck 1825 First ever blood transfusion, performed for postpartum hemorrhage. James Blundell 1827 Fetal heart tone auscultated for the first time. John Creery Ferguson 1833 First detailed account of fetal heart tones made. Evory Kennedy 1843 First abdominal hysterectomy (the patient died). Charles Clay 1846 Ether first administered to a woman in labor. Crawford Williamson Long 1847 Puerperal fever shown to be caused by infectious contagion through interventional trial proving that it could be prevented. Ignaz Semmelweis 1847 Chloroform first used as an anesthetic, used during labor. James Young Simpson 1849 Vesicovaginal fistula successfully treated with surgery. J. Marion Sims June, 1853 First successful adbominal hysterectomy...
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...9:00pm Mindy Kayling, formerly of the Office, is the writer, producer as well as having a starring role on the show. On the show ,which features a medical practice, with Doctor’s who have their own problems and idiosyncrasies. Mindy the Ob/Gyn doctor, who is Indian American and has had a crush or Danny Castellano forever. Mindy is afraid that Danny is only attracted to his kind, young blonde professional white women, she feels since she is not blond blue eyed and thin that he does not even notice her. Mindy being an Indian American is the basis of show and all the self stereo types she have for herself and others. Hilarious. She enlist the hospital staff in going after her man, since her best friend Morgan has encouraged her to do so. She finally gets him to notice her and the hijinks ensue. In every episode she self discloses to justify her actions for doing the things that she does in order to get and keep her man. The office has become her confidante. The staff is delighted in helping Mindy in all her life issues, whether good or bad, and whether she solicits their help or not , don't feel too bad for her, she does the same to them. They are a bunch of self-disclosing budinski's. Cast of Characters Mindy Lahiri - A young Ob/Gyn doctor that is trying to figure our her professional life as well as her everyday life of just wanting to be a thin, beautiful woman and coming to grips about who she is as a woman, which she often discloses about her personal struggle...
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...“HPV vaccine cuts abnormal pap smears in 4 years” Skin & Allergy news 39.4(Apr 2008) P43 Abnormal Pap tests and cervical procedures have already declined markedly among young women who were vaccinated against the human papillomavirus in three pivotal clinical trials, according to data presented in Tampa at the annual meeting of the Society of Gynecologic Oncologists.****rewrite in your own words. Comparison of 4,696 vaccinated women with 4,759 women in placebo groups showed reductions of 19% in colposcopy, 22% in cervical biopsy, and 42% in excisional therapy at an average follow-up of 3.3 years after the first dose of the quadrivalent vaccine (Gardisil/Silgard) against human papillomavirus (HPV) types 6, 11, 16, and 18. (Macneil, 2008) The end-of-study data reported came from three large efficacy trials sponsored by Merck & Co., maker of the vaccine. All told, the studies randomized 18,150 women aged 16-26 years to the vaccine or a placebo. Participants had cervicovaginal sampling and Pap smears on their first day in the studies and were followed with Pap smears every 6-12 months for up to 48 months. Median follow-up was 4 years from day 1.****what the study is The most dramatic reduction was 43% in high-grade squamous intraepithelial lesions (HSILs) seen on Pap smears. Although the drop was substantial, the numbers were small with only 41 cases in the placebo group and 24 among vaccinated women. Low-grade squamous intraepithelial lesions (LSIL) declined by 14%...
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...9:00pm Mindy Kayling, formerly of the Office, is the writer, producer as well as having a starring role on the show. On the show ,which features a medical practice, with Doctor’s who have their own problems and idiosyncrasies. Mindy the Ob/Gyn doctor, who is Indian American and has had a crush or Danny Castellano forever. Mindy is afraid that Danny is only attracted to his kind, young blonde professional white women, she feels since she is not blond blue eyed and thin that he does not even notice her. Mindy being an Indian American is the basis of show and all the self stereo types she have for herself and others. Hilarious. She enlist the hospital staff in going after her man, since her best friend Morgan has encouraged her to do so. She finally gets him to notice her and the hijinks ensue. In every episode she self discloses to justify her actions for doing the things that she does in order to get and keep her man. The office has become her confidante. The staff is delighted in helping Mindy in all her life issues, whether good or bad, and whether she solicits their help or not , don't feel too bad for her, she does the same to them. They are a bunch of self-disclosing budinski's. Cast of Characters Mindy Lahiri - A young Ob/Gyn doctor that is trying to figure our her professional life as well as her everyday life of just wanting to be a thin, beautiful woman and coming to grips about who she is as a woman, which she often discloses about her personal struggle...
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...Obstetricians are doctors who specializes in pregnancy, Birth, and caring for new mothers. They also focus on the female reproductive system. They need special skills in order to be an obstetrician. Obstetricians can do many special tasks to make the pregnancy special for the mother, and baby. Obstetricians need to be communicative, be reasonable and problem solvers, be able to use math and science, be able to manage oneself, people, times and things, able to work well with others, perceive and visualize, have prior knowledge, and have an interest in being an obstetrician. One major thing Obstetricians do is, specialize in pregnancy, birth, and caring for new mothers. They use Ultrasound equipment to determine if there is a baby in the uterus. They can tell you what will more than likely happen during your first, second, and third trimesters. In the first two weeks of being pregnant, you aren’t really pregnant yet. Conception takes place two weeks after your period. To calculate your due date, Obstetricians count ahead 40 weeks from the start of your last period. You were not pregnant during your last period, but it is still apart of your pregnancy. During week 3 of your pregnancy begins the fertilization process. Week 4 is when your baby is implanted into your uterus. Week 5 is when the baby’s brain, spinal cord, heart, and other organs begin to form. By the end of the 5th week, your baby is the size of the tip of a pen. Week 6 the neural tube closes, and your baby’s heart...
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...G/F, Unit 12 Lancaster Square, Alapan 2-B, Imus Cavite Phone: 09174852368 Tel No.: 7139156 Email: glazyespina@gmail.com Glazy S. Espina Registered Medical Technologist G/F, Unit 12 Lancaster Square, Alapan 2-B, Imus Cavite Phone: 09174852368 Tel No.: 7139156 Email: glazyespina@gmail.com Glazy S. Espina Registered Medical Technologist G/F, Unit 12 Lancaster Square, Alapan 2-B, Imus Cavite Phone: 09174852368 Tel No.: 7139156 Email: glazyespina@gmail.com Glazy S. Espina Registered Medical Technologist G/F, Unit 12 Lancaster Square, Alapan 2-B, Imus Cavite Phone: 09174852368 Tel No.: 7139156 Email: glazyespina@gmail.com Glazy S. Espina Registered Medical Technologist “Excellence wasn’t our goal. It was our starting point”. HEALTHWEALTH MedicAL Specialist “Excellence wasn’t our goal. It was our starting point”. HEALTHWEALTH MedicAL Specialist “Excellence wasn’t our goal. It was our starting point”. HEALTHWEALTH MedicAL Specialist “Excellence wasn’t our goal. It was our starting point”. HEALTHWEALTH MedicAL Specialist G/F, Unit 12 Lancaster Square, Alapan 2-B, Imus Cavite Phone: 09174852368 Tel No.: 7139156 Email: glazyespina@gmail.com Glazy S. Espina Registered Medical Technologist G/F, Unit 12 Lancaster Square, Alapan 2-B, Imus Cavite Phone: 09174852368 Tel No.:...
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...‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 4 RECOMMENDED TEXTS/RESOURCES ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 5 DIDACTIC EXPERIENCE ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 6 IMPORTANT LOCATIONS ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 7 OBSTETRICAL SERVICE: FLORIDA HOSPITAL AND WINNIE PALMER HOSPITAL ‐‐‐‐‐‐‐‐‐‐‐‐ 8 GYNECOLOGIC AND GYNECOLOGIC ONCOLOGY SERVICES: FLORIDA HOSPITAL AND WINNIE PALMER HOSPITAL ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 11 COMMUNITY WEEK AND SPECIALTY CLINICS‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐14 TIPS FOR A SUCCESSFUL OB/GYN ROTATION ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 15 LOGGING PATIENT ENCOUNTERS (THE PATIENT PASSPORT) ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 16 CLERKSHIP ATTENDANCE POLICY ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 19 CLERKSHIP OBJECTIVES ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 20 THE CASE PRESENTATION ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 22 ETHICS CASE WRITE‐UPGRADING POLICY ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 23 GRADING POLICY ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 24 GRADING CRITERIA...
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...please refer to your syllabus for details! The obstetrics portion focuses on labor and delivery, antepartum, and postpartum aspects of patient care. The weeks that you spend in gynecology vary widely and can range from community clinics to gynecologic surgery. This clerkship is highly dependent on how much effort you put into it, as evaluations from residents and faculty make up a significant portion of your grade. The clerkship is generally VERY organized, which you will learn to appreciate as you go through other clerkships. Didactics: There are lectures one day per week, which are mandatory. You will be excused from all clinical duties on your didactic day. Apart from the lectures, you will have quizzes over certain topics in Ob-Gyn (refer to syllabus for schedule). The course textbook (Beckman) is an excellent study guide for these quizzes, but make sure you have the latest edition! Other helpful study resources are the online APGO quizzes, Blue Prints, First Aid and Case Files. You are allowed to wear casual clothes on didactic days. Small Groups: The small group sessions are where you will present your H&P and discuss your patient and treatment options. You will typically present a patient and learning issue in a Powerpoint presentation, but this varies with faculty. This is a good chance to impress a faculty member if you are looking for letters of recommendation. Otherwise, if is a good chance to improve your presentation...
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...in Business Research Harriet Witherspoon February 1, 2014 RES/351 Professor Marc Sherrill Business Research Working in the medical field business research is very important for the office. By using business research the medical office is able to use up to date supplies and cost efficient IT services without going over budget. As an office manager at an OB/GYN the use of business research could be the difference between cutting cost and adding more bills. One of the main problems in my office our IT problems. Working in small medical office time is very critical. If the computer system or internet stops working that means that we cannot conduct a productive day. This potentially makes the office to lose money. By using business research we can use the management dilemma to find an IT company to meet all of the offices requirements. We will first list the problem and list all questions we may have. Then we will list all requirements that are needed in order for the office to operate efficiently. Last, a solution will be developed to specifically meet all requirements that will benefit the OB/GYN office. The end result would be that the medical office will be satisfied by the IT Company meeting all of their requirements and the medical office would not have to worry about closing the office because of the delay of activity due to IT issues. Another important business research would be the use of up-to-date medical supplies. These medical supplies are very...
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...4), “You can prepare for a future in medicine by taking courses in biology, chemistry, physics, algebra, geometry, and trigonometry.” It takes four years to complete and earn an M.D. Their schooling is separated in half. The first two years are lectures, classes and spending time in laboratories. They must take a computer class since technology is the fastest growing industry right now. They also must take courses such as English and speech that foster good communication skills. The third and fourth years of the degree are practical studies; students rotate through different departments in a clinic or hospital, including internal medicine, surgery, pediatrics and OB/GYN. Armstrong says, “The fourth year primarily focuses on OB/GYN clinical electives, such as high-risk obstetrics, endocrinology and ambulatory OB/GYN. During the fourth year, students will apply for a residency program through a computer matching method. "The match" helps pair the student's top choices with various residency programs. This can be the hardest part of the whole education process as oftentimes there are 1,000 applicants for a residency program that only has five or six openings.” The fourth year is mostly hands on, working directly with OBGYNs and patients. They get experience before actually starting the job. They also have brief periods of...
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...Black women and pregnancy: Fibroids by Kimberly Seals-Allers, author of The Mocha Manual to a Fabulous Pregnancy Reviewed by the BabyCenter Medical Advisory Board Last updated: January 2010 What are fibroids? Fibroids are noncancerous tumors that grow from muscle tissue in the uterus. Fibroids, also called uterine leiomyomas or myomas, can grow on the outside of your uterine wall, within the uterine wall, or into the uterine cavity. Women can have fibroids in one or more of these locations. The growths can be as small as a pea or as large as a basketball. But they are almost always benign, no matter how large they get. If a fibroid or cluster of fibroids is particularly large or is growing on the outside of the uterine wall, it can push the uterus into an abnormal position. It can also put pressure on the bladder or intestine, causing symptoms such as frequent urination, constipation, pelvic pain, or backache. Fibroids may also cause heavy menstrual bleeding. Fibroids can interfere with fertility, and they occasionally cause complications during pregnancy. For example, if a large fibroid blocks the opening of a woman's uterus, she may have to deliver her baby by c-section. African American women are more likely than other women to get fibroids, but any woman of any race can get them. Why is it especially important for black women to know about fibroids? In the United States, African American women have the highest rates of fibroids. They're two to three times...
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