Proceedings in Obstetrics and Gynecology
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Efforts to eradicate obstetrical fistulas in the developing world: a personal journey
Get PDFMy work with international health has been primarily focused on obstetrical fistulas. It all started in 2004 with a call to Bob Wheeless, a colleague whom I have known since my early days at Hopkins, to ask him to participate in the Houston Everett course that year. While accepting gracefully and enthusiastically, he promptly related to me his travel activities since recently retiring. He had been approached by a group involved in humanitarian work in Niger to help care for poor and unfortunate women with obstetrical fistulas at the Niamey National Hospital
Division of Reproductive Science Research
Get PDFThe Reproductive Science Research Division in the Department of Obstetrics and Gynecology was established in 2009 and consists of four full time research faculty members and eight faculty members with joint appointment with other divisions in the department. Members in the Research Division conducted research in diverse areas of basic reproductive research
Blood glucose control in diet controlled gestational diabetics (GODM A1) following corticosteroid administration
Get PDFTo study the effect of corticosteroids on glucose control in preterm pregnant patients with diet controlled gestational diabetes, and to formulate a plan for surveillance and treatment in order to reduce maternal and neonatal morbidity
Formative feedback on a patient-based assessment: comparing student perceptions of two feedback methods
Get PDFIntroduction: Although formative feedback is widely recognized as an essential aid to student learning, there is little evidence regarding effective ways of providing formative feedback on structured clinical exams. This study compares students’ perceptions of immediate, face-to-face feedback with delayed, written on-line faculty feedback on their Obstetrics and Gynecology medical student clerkship patient-based assessment (PBA) at the University of Iowa.Methods: 163 third year medical students performed the PBA between October 2009-10. Students were assigned to immediate face-to-face or delayed, written on-line feedback. Students were then invited to participate in an anonymous web-based survey. Independent samples t-tests were used to determine whether the mean differences between the groups in ratings of commonly accepted characteristics of effective feedback were statistically significant.Results: 97 students responded to the survey. Of the 84 who responded to the questions about feedback quality (face-to-face feedback n=40, web-based feedback n=44), face-to-face feedback generally scored higher than web-based feedback, and received significantly higher ratings in 9 of 11 variables measured (p ≤ 0.05). Qualitative comments indicated preference for two-way interaction with evaluators.Conclusion: Students rate immediate face-to-face feedback more beneficial than delayed, web-based written feedback on a patient-based assessment
Preoperative gynecology conference: the impact on resident management of surgical patients
Get PDFObjective: To determine if a preoperative conference impacts the resident recommended surgery on gynecology patients seen in continuity clinics.Study Design: A twice monthly preoperative conference was initiated in January of 2009 where residents presented their proposed surgical intervention. A retrospective review of the first 100 preoperative conference submission forms was performed and analysis made on how often the type or route of surgery was changed based on conference discussion and if further work up or tests were requested prior to scheduling surgery.Results: Discussion of patients through a preoperative conference venue resulted in a surgical management change in 36% of patients and further medical management prior to surgery was recommended in 29%.Conclusions: A preoperative gynecology conference does impact the chosen surgery for resident patients. This venue may be a valuable tool for teaching residents optimization of the preoperative evaluation and selection of the appropriate surgical intervention
The combination of Paclitaxel and Gefitinib inhibits endometrial cancer cells by inducing mitotic catastrophe: proof of principle for dual therapy in endometrial cancer
Get PDFSerous uterine endometrial cancer is a lethal disease for which new therapeutic regimens are urgently needed. Combinations of chemotherapeutic agents and small molecule growth factor inhibitors have demonstrated activity in cancers from other sites. Our objective was to determine whether such a combination using Paclitaxel and Gefitinib could be active in serous endometrial cancer cells