Эпизоды
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Rachel and Sanaya chat with Dr. Helen Morgan about the residency application process.
APGO Resources
00:46 Dr. Morgan Bio
01:27 Overview of Application Process
03:39 Understanding what you want in a program
07:17 Signaling
10:18 Equity in application process
13:12 What makes an applicant stand out
16:06 New application platform
17:33 Final advice
Transcript: bit.ly/UltraSounds_ResApp
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Asavari and Rachel speak with Olivia de Bear, MPAS, PA-C about her journey to becoming an inpatient PA within the field of gynecology oncology.
00:38: Olivia de Bear Bio
Transcript:bit.ly/ultrasounds_PA
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Пропущенные эпизоды?
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Asavari and Rachel discuss common postop complications, workup, and management with Olivia de Bear, MPAS, PA-C.
0:30: Olivia de Bear Bio
1:01 Case 1: 52yo woman s/p TLH and bilateral salpingectomy with low urine output
11:06 Case 2: 58yo woman s/p ex lap, TAH, BSO, pelvic mass removal, and staging procedures for ovarian cancer with intolerance of PO intake, nausea, and emesis
20:11 Case 3: 62yo with newly diagnosed endometrial cancer s/p TLH, BSO, and sentinel lymph nodes with new-onset dyspnea
Transcript: bit.ly/gynpostop
References:
Postop oliguria differential
Brackmann voiding trial
Acute abdominal series
Review of postop fever w's
MD Calc Caprini Score
ACOG Practice Bulletin no. 232: Prevention of Venous Thromboembolism in Gynecologic Surgery
Enhanced recovery after surgery (ERAS®) society guidelines for gynecologic oncology: Addressing implementation challenges - 2023 update
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Jourdan and Sanaya talk with Dr. K about her research and career path in epidemiology and public health examining sex differences through menopause and pregnancy.
00:48 Bio
01:45 To start, could you tell us a little bit about your educational trajectory and how you ended up teaching at the school of public health?
10:01 Now we’d love to hear a little about your current research projects, the lab you run through SPH as well how you began working in this discipline.
19:06 With that, what are some specific considerations individuals interested in women’s health research should be mindful of?
21:37 How do you recommend that medical practitioners or medical students who are interested in your research get involved?
24:07 In light of this, how do you see epidemiology transforming the medical field in the next 10 years?
25:54 Our last question for you Dr. K, what would you say is your favorite part of your work?
Mid Life Science
SWAN Study
School of Public Health Epidemiology
NIA Biobank
Transcript: https://bit.ly/Ultrasounds_Research_K
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Asavari and Rachel discuss endometrial cancer risk factors, diagnosis, workup, and management with Dr. Katelyn Tondo-Steele.
00:30: Dr. Tondo-Steele Bio
01:32: Endometrial Cancer Overview
05:00 Case 1: 28yo G0 woman with EIN
14:00 Case 2: 59yo G3P2 postmenopausal woman with AUB
22:23 Case 3: 73yo G2P2 with postmenopausal bleeding, dyspnea, pelvic pain, and other systemic symptoms
Transcript: https://bit.ly/Ultrasounds_endocancer
Resources:
ACOG Practice Bulletin 149: Endometrial Cancer
ACOG Clinical Consensus Number 5: Management of Endometrial Intraepithelial Neoplasia or Atypical Endometrial Hyperplasia
NEJM Endometrial Cancer Review Article
NCCN Endometrial Cancer Guidelines
ACOG Committee Opinion Number 734: The Role of Transvaginal Ultrasonography in Evaluating the Endometrium of Women with Postmenopausal Bleeding
American Cancer Society: Ket Statistics for Endometrial Cancer
AAFP Endometrial Biopsy
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Asavari and Rachel discuss what it’s like to be a midwife and Joanne’s personal career journey.
Transcript: bit.ly/Ultrasounds_midwifery
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Rachel and Asavari discuss routine prenatal care with midwife Joanne Bailey.
00:40: Joanne’s Bio
01:10 Case 1: Preconception Visit
05:48 Case 2: First Trimester Visit
17:21 Case 3: Second Trimester Visit
19:58 Case 4: Third Trimester Visit
Transcript: bit.ly/Ultrasounds_prenatal
References:
Michigan Medicine Prenatal Care Guidelines
ACOG Birth Plan Tool
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Asavari and Rachel discuss contraception counseling while utilizing a reproductive justice framework with Dr. Starr.
00:31: Dr. Starr Bio
01:15: Introduction to Contraception and Reproductive Justice Definition
02:22 Case 1: 36yo G1P1 woman with contraindications to estrogen-containing contraceptive methods
11:39 Case 2: 24yo G3P2 needing to discuss postpartum contraception
21:49 Case 3: 31yo G0 interested in emergency contraception
Transcript: https://bit.ly/ultrasounds_contraception
References:
ACOG Committee Statement no. 1: Patient Centered Contraception Counseling
ACOG Infographic: Effectiveness of Birth Control Methods
Bedsider Birth Control
ACOG Postpartum Contraception & Breastfeeding
MDHHS Informed Consent for Sterilization
UC Davis Emergency Contraception Infographic
ACOG Practice Bulletin no. 152: Emergency Contraception
ACOG Committee Opinion no. 707: Access to Emergency Contraception
Planned Parenthood: What type of emergency contraception should I use?
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Rachel and Brittany discuss reproductive justice with Dr. Charisse Loder.
Transcript: https://bit.ly/UltraSounds_RJ
References
RJ Med Ed Project
Loder, Charisse MD; et al. Is Perceived Discrimination Associated With Contraceptive Method Use in a National Sample of Women? Obstetrics & Gynecology 129(5):p 67S, May 2017.
Finkbeiner, Chelsea; et al. Changing Obstetrics and Gynecology Residency Education to Combat Reproductive Injustice: A Call to Action. Obstetrics & Gynecology 137(4):p 717-722, April 2021.
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Brittany and Rachel discuss evidence based abortion care with Dr. Charisse Loder.
01:23 Dr. Loder Bio
02:00 Case 1: 27 year old G1P0 with positive pregnancy test
07:59 Case 2: 31 year old G2P1 nonbinary patient with undesired pregnancy
14:02 Case 3: 29 year old G3P2 at 20w4d with fetal anomaly
Transcript: https://bit.ly/UltraSounds_abortioncare
References
ACOG Practice Bulletin 225. Medication Abortion Up to 70 Days Gestation.
ACOG Practice Bulletin 135. Second Trimester Abortion.
PEW Research Center. What the data says about abortion in the U.S.
Guttmacher Institute. Interactive Map: US Abortion Policies and Access After Roe
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Asavari and Rachel review three patient cases and the infertility workup for each case with Dr. Moravek.
00:38: Dr. Moravek Bio
01:43: Infertility Introduction and Definitions
03:24 Case 1: 29yo G0 woman with irregular periods, acne, and weight gain
11:26 Case 2: 32yo G0 woman with a history of a sexually transmitted infection
18:22 Case 3: 38yo G2P2 woman with difficulty becoming pregnant
Transcript: https://bit.ly/ultrasounds_infertility
References:
ACOG committee opinion, number 781: Infertility workup for the women’s health specialist
AAFP Diagnosis and Treatment of Polycystic Ovarian Syndrome
AAFP Polycystic Ovarian Syndrome Common Questions and Answers
AAFP Pelvic Inflammatory Disease: Diagnosis, Management, and Prevention
ASRM Ovarian Reserve (predicting fertility potential in women)
Michigan Medicine OB/GYN Infections Guidelines
The Normal Menstrual Cycle and the Control of Ovulation
Khan Academy Ovarian Cycle Video
Additional Resources for LGBTQ+ Health and Infertility:
ACOG committee opinion no. 749: Marriage and Family building Equality for Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual, and Gender Nonconforming Individuals
ASRM Access to Fertility Services by Transgender and Nonbinary persons: an Ethics Committee Opinion
Since this podcast was recorded, ASRM has expanded the definition of infertility to be more inclusive. Infertility includes any of the following factors: 1) the inability to achieve a successful pregnancy based on a patient’s medical, sexual, and reproductive history, age, physical findings, diagnostic testing, or any combination of those factors OR 2) the need for medical intervention, including, but not limited to, the use of donor gametes or donor embryos in order to achieve a successful pregnancy either as an individual or with a partner, OR 3) in patients having regular, unprotected intercourse and without any known etiology for either partner suggestive of impaired reproductive ability, evaluation should be initiated at 12 months when the female partner is under 35 years of age and at 6 months when the female partner is 35 years of age or older.
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Rachel and Asavari speak with Dr. McEvoy about her career working with adolescents at the Corner Health Clinic.
Transcript: https://bit.ly/UltraSounds_CornerHealth
Corner Health Center
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Asavari and Rachel discuss adolescent reproductive healthcare with Dr. Anna McEvoy.
00:30 Dr. McEvoy Bio
01:07 Case 1: 15 year old seeking contraception
10:13 Case 2: 16 year old with foul-smelling vaginal discharge
15:20 Case 3: 17 year old with late period
Transcript: https://bit.ly/UltraSounds_teens
Resources:
Guttmacher Institute
ACOG committee opinion no. 710: counseling adolescents about contraception
Bridgercare’s 4 most popular birth control methods
ACOG committee opinion no. 803: Confidentiality in adolescent health care
Mott Children's Hospital, Contraception for Teens
CDC STI Treatment Guidelines
Corner Health Center
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Rachel and Brittany discuss Dr. Kalwani's career path including her experiencing SOAPing into family medicine after applying to OBGYN.
Transcript: https://bit.ly/UltraSounds_careers
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Brittany and Rachel discuss sexual functioning with Dr. Shubham Kalwani.
00:22 Dr. Kalwani Bio
01:46 Case 1: 40 year old woman with low libido
11:47 Case 2: 57 year old woman with dyspareunia
Transcript: https://bit.ly/UltraSounds_sexualfunc
Resources:
Practice Bulletin 213: Female Sexual Dysfunction. ACOG. July 2019.
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Sarena and Theresa discuss their experiences applying to OBGYN residency in the 2023 Match.
01:46 Any advice on how to start writing your personal statement or what gave you inspiration for your personal statement?09:42 How did you prepare for interviews? Is there anything you would have done differently?
22:40 What do you wish you would have known when you were applying/starting the application process?
Transcript: https://tinyurl.com/UltrasoundsPostMatch
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Sarena and Theresa discuss normal labor with Dr. David Marzano.
00:34 Dr. Marzano Biography
02:44 Case 1: 26yo G2P1 at 39w3d presenting to triage with contractions
09:20 Case 2: 32yo G3P2 at 39w6d is admitted to L&D in spontaneous labor
17:52 Case 3: 38yo G2P1 at 40w5d delivers a healthy baby boy
Transcript: https://bit.ly/Ultrasounds_Labor
Resources:
Mark B., Landon et al. 2021. Gabbe's Obstetrics: Normal and Problem Pregnancies. Philadelphia, PA, Elsevier.
Approaches to limit intervention during labor and birth. ACOG Committee Opinion No. 766. American College of Obstetricians and Gynecologists. Obstet Gynecol 2019;133:e164–73.
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Brittany and Jordan continue their discussion with Dr. Mahela Ashraf on perinatal mood disorders.
00:46 Case 1: A 31 year old G2P2 comes in to clinic for her 6 week postpartum visit.
08:50 Case 2: The patient in the previous vignette is interested in starting an SSRI to treat her anxiety.
Transcript: https://tinyurl.com/UltrasoundsPerinatalMH2
Berens, Pamela. “Overview of the Postpartum Period: Disorders and Complications.” Edited by Charles Lockwood and Vanessa Barss, UpToDate, 6 Sept. 2022, https://www.uptodate.com/contents/overview-of-the-postpartum-period-disorders-and-complications?search=postpartum+anxiety&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2#H352546182.
Lanza di Scalea T, Wisner KL. Antidepressant medication use during breastfeeding. Clin Obstet Gynecol. 2009 Sep;52(3):483-97. doi: 10.1097/GRF.0b013e3181b52bd6. PMID: 19661763; PMCID: PMC2902256.
Use of psychiatric medications during pregnancy and lactation. ACOG Practice Bulletin No. 92. American College of Obstetricians and Gynecologists. Obstet Gynecol 2008;111:1001–20.
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Survey: https://bit.ly/feedback_UltraSounds
Brittany and Jordan discuss perinatal mood disorders with Dr. Mahela Ashraf.
00:43 Dr. Ashraf Biography
02:16 Case: 23 year old G1P1 comes into clinic for her 6 week postpartum visit
Transcript: https://tinyurl.com/UltrasoundsPerinatalMH
Berens, Pamela. “Overview of the Postpartum Period: Disorders and Complications.” Edited by Charles Lockwood and Vanessa Barss, UpToDate, 6 Sept. 2022, https://www.uptodate.com/contents/overview-of-the-postpartum-period-disorders-and-complications?search=postpartum+anxiety&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2#H352546182.
Lanza di Scalea T, Wisner KL. Antidepressant medication use during breastfeeding. Clin Obstet Gynecol. 2009 Sep;52(3):483-97. doi: 10.1097/GRF.0b013e3181b52bd6. PMID: 19661763; PMCID: PMC2902256.
Use of psychiatric medications during pregnancy and lactation. ACOG Practice Bulletin No. 92. American College of Obstetricians and Gynecologists. Obstet Gynecol 2008;111:1001–20.
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Survey: https://bit.ly/feedback_UltraSounds
Sarena and Theresa discuss multifetal pregnancies and potential complications with Dr. Alissa Carver.
0:33 Dr. Carver Bio
2:54 25 year old G1P0 at 27 weeks with a risk of cord entanglement
10:38 36 year old G2P1 at 8 weeks with twins at first ultrasounds
21:34 28 year old G1P0 at 9 weeks with di-di twins
Transcript: bit.ly/Ultrasounds_multiplesAmerican College of Obstetricians and Gynecologists’ Committee on Practice Bulletins—Obstetrics, Society for Maternal-Fetal Medicine. Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies: ACOG Practice Bulletin, Number 231. Obstet Gynecol. 2021 Jun 1;137(6):e145-e162.
American Society for Reproductive Medicine, Multiple Pregnancy and Birth: Twins, Triplets, and High Order Multiples
Borse V, Shanks AL. Twin-To-Twin Transfusion Syndrome. 2022 Oct 10. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan.
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