Obstetrics. Upon prior approval by Hospital, PGY II or PGY III House Officer may provide labor and delivery coverage, including triage supervised by faculty physicians, Associates for Women’s Medicine (“AWM”), or Maternal Child Health Center (“MCHC”), depending on the source of the patients on that floor. Compensation for these services will be paid at a rate of One Hundred Twenty-Five Dollars and Zero Cents ($125.00) per hour worked. Exhibit “B” House Officer Job Description: The program in graduate medical education will prepare the House Officer for practice in a medicine or dentistry. The graduate medical education program will focus on the development of clinical skills and professional competencies. The program, based at St. Joseph’s Hospital Health Center and its affiliates will utilize both inpatient and ambulatory settings. The House Officer will assume progressively greater responsibility for patient care throughout the course of the residency program, consistent with his/her individual growth in clinical experience, knowledge and skill. The House Officer will engage in an organized educational program under the guidance and supervision of faculty and senior House Officers. This will facilitate the House Officer’s professional and personal development while ensuring safe and appropriate care for patients. The House Officer’s professional development will rely primarily on learning acquired during the process of providing patient care under supervision. As the House Officer demonstrates increasing competence, s/he will be granted increasing independence of practice and judgment. However, all decisions made by junior and senior House Officers are subject to the supervision and review of the faculty and residency program director. Upon completion of the residency program, the House Officer should be prepared to undertake the next level of progression in House Officer’s field. Each program has required elements of didactic and clinical experience deemed necessary as for preparation for progression. ACGME also defines standards for educational processes, such as evaluation, which are strictly adhered to. During the graduate medical education program, House Officers are subject to the policies and procedures of St. Joseph’s Hospital Health Center, and to the policies and procedures of other facilities and sites to which House Officer is assigned as part of the Program.
Obstetrics. 127 S4.1.1 Caesarean Hysterectomy with Bladder Repair 46780 128 S4.1.2 Surgery for Rupture Uterus with Tubectomy 32500 129 S4.1.3 Management of Eclampsia with Complications Requiring Ventilatory Support 40000
Obstetrics. Urban: 2 within 10 miles for 90% of enrollees in the Contractor’s service area. Rural: 1 within 25 miles for 90% of enrollees in the Contractor’s service area.
Obstetrics. Obstetrical management changed in respect to the percentage of mothers treated with corticosteroids antenatally, which increased significantly from 6% in 1983 to 73% in 1996/1997. The 6% in the 1980s cohort may seem somewhat low. This percentage did not appear to be a good reflection of the 17% treated with steroids antenatally in the total POPS-1983-cohort <32 weeks’ GA. In 1983, glucocorticoids were not given antenatally in the Leiden University Medical Center. At the time, administration of glucocorticoids antenatally for the acceleration of pulmonary maturation was still a matter of debate in the Netherlands, this therapy was restricted to 41 hospitals.7 Another possible explanation for the difference could be the percentage of mothers treated with the tocolytic ritodrine. Administration of this ß-agonist is an effective strategy to ‘buy time’ for the administration of corticosteroids.8 The percentage of mothers treated with this drug was higher in the total POPS-1983 cohort (52%) compared with the regional cohort (39%). In the total cohort, 30% of the women treated with ß-agonists received corticosteroids as opposed to 4% of the women who were not treated with ß-agonists. Mothers of the LFUPP-1996/97 cohort were more often treated with antibiotics than those of the POPS-1983 cohort. The percentage of prolonged rupture of membranes did not differ between the two groups; the percentage of mothers with ruptured membranes who received antibiotics however was significantly higher in the LFUPP-1996/97 group.The percentage of membrane ruptures of longer duration (>24 hours) was indeed higher in the LFUPP- 1996/97 group, but treatment with antibiotics occurred more often in the group with ruptures of short duration (<24 hours) as well. Evidence that in women with preterm rupture of membranes, treatment with antibiotics led to a significant prolongation of the pregnancy and a reduction in the incidence of chorioamnionitis and neonatal infection has probably resulted in an increased percentage of women receiving this treatment.9 Fourteen percent of the infants from the LFUPP-1996/97 were born after assisted reproduction, mainly IVF (8%). Since most of these children were part of a twin or triplet, the 7% increase in the percentage of infants from multiple births we found is most likely caused by the increased use of IVF (the first IVF baby in the Netherlands was born in 1983). Delivery/Birth characteristics A trend towards a higher percentage of 26- to 27-week-old ...
Obstetrics. 6.9.3.1 Urban: 2 within 10 miles.
Obstetrics. For obstetric care, minimum standards are based on recommendations of the American College of Obstetrics and Gynecology (ACOG). Contractors axe further required to provide risk assessment and interventions consistent with Comprehensive Perinatal Services Program (CPSP) requirements as specified in Title 22, CCR, Sections 51348 and 51348.1.
Obstetrics. An appropriately credentialed attending physician must directly supervise deliveries.
