SIMULATION CENTER NOW OPEN!
The Simulation Center offers three types of simulated “experiential learning” via task trainers, virtual reality task trainers and high-fidelity manikins. Simulation-based education provides a controlled or simulated environment that imitates real-life patient care settings in “live” instead of classroom didactic setting. Simulation training also offers unique and powerful learning opportunities in key competencies, including communication, teamwork, emergent conditions, and tasks that require well-practiced manual skills such as diagnostics and surgical procedures. Medical simulation has important lessons and applications for all involved in the risk-laden environment of health care. It provides the ideal environment for teaching health care teams how to care for patients. Through simulation, learners can practice and master skills without putting patients at risk. By being allowed to make mistakes, learners can see the effects of those errors without harming patients.
Attendance is expected for:
Grand Rounds, held once a month
Fetal Board, held once a month
Journal Club, held once a month
Every Friday morning - Core lectures, which include OB core conference, GYN core conference, and other subjects on a rotational basis including urogynecology, GYN oncology, ultrasound, behavioral medicine, primary care, practice management, pharmacology, and clinical research.
Each resident has one half day of Gyn/Women’s Health Care continuity clinic each week.
Behavioral Medicine Department
Mission: to provide training and clinical consultation to providers and direct care to patients of Ob/Gyn Specialists
Objective: to prepare residents and students with the necessary diagnostic skills to be able to integrate behavioral medicine assessment and intervention into their medical practice
Services include general psychological consultation, intervention and referral as needed for all patients, adult and adolescent substance abuse treatment programs, and medical social work and outreach education for families at risk for birth defects
Routine obstetrical services: low risk patients from continuity clinics, patients from Buncombe County and Madison County prenatal visits and patients seen in the attending clinics.
Teen OB Services: after-school office hours devoted to the care of pregnant and parenting teenager
Comprehensive high risk obstetrical services to women in a 16 county region.
Outpatient services with Maternal Fetal Medicine specialists and residents include:
- High risk consults
- High risk resident clinic with MFM attending
- Prenatal diagnosis
- Preconceptual counseling
- Genetic counseling
- Comprehensive obstetrical ultrasound
- Chorionic villus sampling (CVS)
- Percutaneous umbilical blood sampling (PUBS)
Inpatient services include:
- Management and delivery of all patients transported to our tertiary hospital from the surrounding 16 counties
- Management and delivery of patients within the county with pregnancy complications
Geneticists Ellen Boyd, M.D. and Bill Allen, M.D., and genetic counselors Kerry Crandall, MS and Shearon Roberts, MS, assist in patient evaluation and education.
Nine half days per week devoted to targeted ultrasound and invasive prenatal diagnostic procedures for patients at risk for fetal anomalies
Six half days dedicated to genetic counseling and screening in conjunction with Fullerton Genetics Center of the Mission Hospital System.
In the 2014-2015 academic year, the MAHEC Department of OBGYN established a longitudinal experience in Global Women's Health. In conjunction with Dr. Reta Graham, Co-Founder of Mama Maisha, residents from the Department of Obstetrics & Gynecology will gain both didactic and clinical experience in global health.
Mama Maisha is a non-profit organization based in Asheville, NC which partners with local and regional health facilities, as well as government and nongovernmental organizations to improve maternal and neonatal health in rural Tanzania with a focus on community development and quality medical care.
The Global Health Program in Obstetrics and Gynecology at MAHEC focuses on improving awareness of global women’s health issues, fostering medical and surgical experiential learning in the resource limited setting, promoting healthcare collaboration and research through a comprehensive educational curriculum, and providing quality medical care to underserved areas.
Residents who participate in the Global Health Program complete a combination of preparatory online learning modules, evening seminar lectures and didactic sessions in the standard curriculum prior to international travel. Any international elective must be approved by the resident’s faculty advisor and program director as well as GME Office, Risk Management, and Fiscal Departments. All electives must be approved through a standard process outlined in the MAHEC international travel policy.
A board certified OBGYN faculty provides supervision in the international setting, and learning outcomes emphasize global health and cultural competency. Upon returning from an international rotation, residents formally present their experiences to the department. Residents who participate in the global health longitudinal experience (modules, didactics and rotation) gain multiple milestones and meet specific CREOG objectives related to Global Women’s Health.
Regional Outreach Services
MFM specialists with residents help provide consultation and co-managed care for many high-risk patients in the region
Specialists travel to regional health departments and community health centers for consultative service
Management of antepartum complications and delivery to more than 480 high risk patients per year transported from the region
Inpatient and outpatient surgical experiences for diagnosis and treatment of benign gynecologic conditions, including advanced operative laparoscopy
Outpatient gynecology services provided through resident GYN continuity clinics include:
- health maintenance and preventive care for women
- primary care
- comprehensive office gynecology
Residents actively participate in the pre-operative, operative and postoperative management of patients with gynecologic malignancies on our busy Gyn Oncology service.
Three Gyn Oncologists from 'HOPE - A Women's Cancer Center' serve as faculty attendings and actively participate in resident education
Residents receive extensive training in outpatient evaluation and operative management of patients with urinary and anal incontinence
Residents have access to 2-channel urodynamics testing for patient evaluation at Ob/Gyn
More extensive patient evaluation (video flourourodynamics testing, anorectal manometry, anorectal ultrasonography, defecography and pudendal nerve testing) as well as assisting with advanced pelvic surgery
Complete evaluation and treatment of reproductive and endocrine disorders and therapeutic options for menopause are offered.
Basic workup and treatment of infertility and endocrine problems addressed at Ob/Gyn Specialists.
Advanced therapies offered through the MAHEC REI division, includes a wide range of patient care. Residents participate in evaluation of endocrine disorders in women as well as advanced reproductive therapies.
Diagnostic breast clinic held twice monthly.
The purpose is to evaluate and diagnose patients with abnormal mammograms and/or suspicious breast exams.
Two local general surgeons serve as attending faculty for this clinic.
Residents participate in diagnostic procedures including fine needle aspirations and surgeries.
The MAHEC OBGYN Advocacy and Community Engagement curriculum comprises a longitudinal curriculum throughout residency as well as more intensive elective block, if desired, devoted to advocacy activities. This curriculum is designed to provide residents the skills necessary to identify an area of advocacy in their community, develop an idea, as well as the opportunity implement and evaluate advocacy activities as multiple levels: the individual patient, the community and the legislative.
The GOALS of the Advocacy and Community Engagement curriculum:
• Develop a set of advocacy skills that can be applied in any community throughout their career
• Advocate for individual patients/families
• Identify community resources and establish partnerships
• Describe and participate in advocacy at the local, state, and/or national
Experiential Training in Clinical Research
- Critical literature review of the ob/gyn literature seminar and presentation in PGY1
- Journal Club held 6 times annually with annual presentation by PGY2
- Clinical research projects (trials, prospective, or retrospective observational studies in PGY-3 and 4)
- Research didactics annually
- Biomedical research ethics training in PGY-2
- Local, regional and/or national presentation of research in PGY-4
Role of Advanced Practice Nurses
Nurse practitioners and Certified Nurse Midwives are utilized as care providers to the patient population and serve as coordinators for speciality services
Ann Brown, CNM, MSN coordinates the after school teen obstetrical service. Beth Korb, CNM, MSN is clinical coordinator of high risk perinatal services. Susan Meade, RNC, FPNP oversees the reproductive endocrinology service and the breast clinic. These nurse-coordinators, working with faculty and residents, ensure continuity of patient care.
Click here for a printable PDF copy of the Curriculum Outline.