Faculty Chair:   Kevin Wang, MD    

This elective will provide senior residents with additional outpatient experience in surgical and medical termination of pregnancy, as well as management of early pregnancy loss. 

Residents will need to maintain their continuity clinic and participation in didactics and other regularly scheduled meetings. 

To schedule: contact Dr. Wang regarding interest.  (Please do not contact the community preceptors directly.)  In May or June (prior to the start of the R3 year) three or four R3 or R2s will be scheduled during available blocks for the year. R3s who are interested and who did not schedule by June may be placed in an open block as allowed by the schedule.  This is done on a first-come first-served basis. 

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
AM	SMWC Follow-up care **Or SFM clinic	SMWC Procedural training 9AM-1pm ***	SMWC Follow-up care **Or SFM clinic			SMWC Procedural training 8:30AM- 1PM -------------- * AWHN, Dr. Browne
PM	SMWC Follow-up care **Or SFM clinic	Didactics	SMWC Follow-up care **Or SFM clinic		SMWC Follow-up care **Or SFM clinic

 
In sum total of 4.5 ½ days per week: 2 surgery half-days and 2- 2 ½  follow up half- days

**1 or 2 half-days of follow-up care Monday or Wednesday.  Post -op ultrasounds, Birth Control counseling, and complications are seen on these days.

Procedure training: Tuesdays and Saturdays alternate (Tuesday one week, then Saturday the next week etc.)

Location and information:

Dr. Eileen Gibbons is one of our own Family Medicine physicians, a graduate of Providence FMR.  This site provides services for most of our patients and is the primary site for the termination curriculum.

Seattle Medical and Wellness Center
1325 4th Avenue, Suite 1240
Seattle, WA 98101-2516
(206) 625-0202
1 800 522 0606
http://www.smawc.com/
M-F 8:30AM – 5PM
S: 8:30AM-12PM

Please bring scrubs, gown and white coat. Bring ID.
Arrive at 8:15, clinic starts at 8:30 on subsequent days.

Goals and objectives:

a. Day #1 or elective, watch the entire procedure once
b. Day 2-4 learn to focus on the specifics of the procedure:
   
    i.  Ultrasound
    ii.  Consultation (when to do a termination, when not to, what resources are available if the recommendation is
        not to do the procedure), birth control education
    iii.  Fentanyl injection
    iv.  Paracervical block
    v.  Bimanual exam
    vi.  Dilation and aspiration
    vii.  Identification of POC
   
c. Quiz to assist with competency
d. Learn the basics of follow up care
e. Learn indication and consultation for medical terminations