Prenatal Patients

[MedicineMan99]

Advertisement - Members don't see this ad

How do you deal with prenatals in your residency? We all need at least 30 deliveries and 10 "continuity" deliveries. How does your program define those?

In my program, we easily get 30 "regular" deliveries during our OB rotation (even though we also have an OB residency at our program). This is just any random baby that you actually catch. Our "continuity" deliveries are defined as patients that you have seen for AT LEAST 2 office visits before you actually catch the baby. Usually, you see them for their entire prenatal course but we do have a system where you also have a partner who sees the patient for at least 2 office visits. This way, if you can't catch the baby, at least they can and will get credit as a continuity delivery. Otherwise, you have to catch the baby whenever they go: day or night, regardless of your schedule or rotation that month.

How does your program handle continuity deliveries? Are you always tied to your pager to deliver when your patient goes into labor or is your program more "lax" on the definition of "continuity." I.e., do "regular" deliveries count as your "continuities"?

I am just curious how other programs deal with this. Thanks!

 

[rachmoninov3]

1. 40 deliveries to become an R2, C/S count towards this
2. 10 continuities, defined at seen twice before in outpt setting, delivery, and one inpatient postpartum
3. We like being called for deliveries. Granted, you know generally when your pt is about to deliver so you start sleeping with phone/pager. Usually though, most labors take about a day, so the majority go smoothly and aren't a "quick your pt is a preterm labor, SROM'ed, with an anterior lip, get here now!"