Mercy Medical Center: Obstetrics

The team consists of a 1st year OB resident, first year Family Medicine, first Year ER, first or second Year night float, and a third year resident. The ER and Family Practice interns must check in with Dr. Pupkin and the senior resident on their first day.

• Morning rounds with Dr Pupkin at 8am on Monday, Tuesday, Wednesday are mandatory
• Grand Rounds are held every Thursday 8am-9am are mandatory
• Friday morning lectures from 7:30am to 12pm are mandatory.
• Complete evaluations of medical students and faculty prior to the end of the rotation.
• All First Year resident responsibilities (including ER and Family Medicine Residents):
• First call to the labor and delivery suite and postpartum floor. Manage all normal-laboring patients on the suite under the guidance of the chief resident and attending. Document progress of patients every two hours
• Triage as necessary when midwives are unavailable
• Admit all laboring patients
• All patients should be presented to an attending prior to disposition and document the discussions
• Service patients should be discussed with the senior resident, and the in-house attending.
• Participate in the management of high risk and antepartum patients.
• Round on all postpartum patients by 8am
• If being assisted by FP and ER residents, must see all complicated patients (including those with fever, pre-eclampsia, multiple medical problems, etc.)
• Responsible for status of all patients on the service
• Present all complicated postpartum patients to the attending at rounds at 8am
• Perform circumcisions on all service patients under appropriate supervision
• Participate in teaching and supervising students in obstetric care and procedures
• Sign out the board and the postpartum service at 7pm
• Dictate and complete charts on service patients
• Weekend call at Mercy as first call

Third Year resident responsibilities

• Round on all patients on the antepartum floor by 8am
• Present the antepartum patients at morning rounds on Monday through Wednesday
• Supervise and assist first year residents with the care of obstetric patients throughout the day
• Cover the OB-service during times when the first year residents are unavailable while in procedures suitable for their level
• Direct and perform operative deliveries under attending supervision
• Manage all antepartum patients on the floor throughout the day
• Oversee care of high-risk patients on the board
• Teach and instruct residents and students on obstetric care and procedures
• Supervise and assign call schedule for FP and ER residents
• Compile and present statistics at monthly OB/PEDS conference and pre sent complicated cases as selected by Dr. Pupkin and/or Dr. Sholes-Douglas
• Sign out the board and the antepartum service to the on call senior resident at 5pm
• Complete and dictate all assigned medical records (antepartum, service patients)
• Weekend call at Mercy