Faculty and Resident Chair

Faculty chair:  Joe Breuner, MD 
Resident chair: Dan Copp, MD
Please page Joe with any questions.

Contacts

Health Care for Women office: 215 6300

HCFW clinic administrator Cinde Van Tassel: 215 6305 

Call Cinde to sort out scheduling, which provider to work with.

RRC Requirements

none

Driving directions

HCFW office:

Nordstrom Medical Office Tower

1229 Madison Street, Suite 1450/1240

Seattle, WA 98104

Weekly template

Call shifts with your chosen HCFW provider, most commonly Eleanor Friele or Kristen Austen. Shifts are 24 hrs 8 am to 8 am on weekends, and days 8 am to 5 pm or nights 5 pm to 8 am on weekdays. Do all hospital work that they do, rounding, surgical cases, etc. Schedule your clinics to coincide with their time in clinic.

Pre-test  None

Pre-test answers  None

Rotation Overview

Choose one HCFW attending to work with and shadow for the month. Preround, preop, consult, manage labors, see triage patients, provide postop care: essentially the resident does all the hospital responsibilities that your attending does for the month, under their supervision.

Residents have worked with Drs. Friele, Austen, Lowdermilk and Jaucian, most commonly with the first two.

Knowledge

1. Provide antepartum care for the medically complicated pregnancy.

2. Evaluate patients in triage.

3. Understand indications for labor induction, augmentation, manual rotation, vacuum extraction, and operative cesarean delivery.

4. Manage labor.

5. Understand and recognize postpartum and postoperative complications.

Skills

1. Consent patients for vaginal delivery, operative delivery, postpartum tubal ligation.

2. Assist the same procedures.

3. Depending on volume and comfort level, perform cesarean section.

4. Evaluate patients preoperatively.

5. Perform versions in triage.

6. Manage postoperative care.

Attitudes

1. Learn the hospital ‘care style’ of your attending.

2. Practice in the way you think they would.

Behavior

Professionalism: Represent our residency program to the world of labor and delivery through your responsible patient-centered approach to competent, thorough obstetric care.

Reading List

How to do a c-section:

Pending: Kevin Wang DVD on the way

Diabetes: Review acog bulletin. Use Joe’s info to get on acog website:

Username: joeb@u.washington.edu

Password: breuner!

60 Pregestational Diabetes Mellitus (March 2005, Reaffirmed 2007)

Review care of the insulin dependent patient during labor at Swedish

http://fhscms-ps01/stellent/groups/standards/documents/swedstd/swed_006411.pdf

Preeclampsia:

33 Diagnosis and Management of Preeclampsia and Eclampsia (January 2002, Reaffirmed 2008)

Postpartum hemorrhage

76 Postpartum Hemorrhage (October 2006, Reaffirmed 2008):

VBAC guidelines: http://intranet.swedish.org/physician/obGyn/vbacGuidelines.pdf

Didactics Handouts

Rotation Options

If your attending of choice will be out of the office for one or more weeks during your rotation, consider choosing an alternate whose schedule matches yours, or work with two attendings for the month. Working with two attendings will allow you more flexibility in your scheduling but will lessen the mentoring relationship that this rotation promotes.