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OB/GYN Program Director
Kurt A. Ludwig, D.O.
kludwigdo@ameritech.net
Goals and Philosophies of the Program
The overall goal of the obstetrics and gynecology program is
to enhance the ability of the resident to understand the contingencies of health
and illness and the development of a mature concern regarding the quality of
patient care.
Obstetrics
 | The program shall provide the resident with experience
in spontaneous vaginal deliveries, episiotomy repair, breech presentations,
forceps delivers, and cesarean sections. The program shall provide
adequate scope and volume of cases to assure that each resident has the
opportunity to develop competency to meet generally accepted standards of
obstetrical practice. |
| In addition, antenatal exposure should include, but not
limited to, a thorough understanding of prenatal risk assessment,
gestational dating, fetal growth abnormalities, and embryonic and fetal loss.
Further, experience shall be provided in prenatal diagnose and genetic
counseling. Additionally, experience should be provided in the
management of pregnancy complication by hypertensive disorders of pregnancy
and other medical complications, RH and other incompatibilities, pregnancy
hemorrhage, high risk fetus, fetal monitoring, malpositions , premature labor,
multiple births, post-date pregnancy, dystocias, uterine rupture, labor
induction and the use oxytocics, prostaglandins, amniocenteses and ultrasound. |
| Ante-partum and postpartum care may be provided either
in outpatient clinics of the institution, affiliated institutions or in
offices of certified or board eligible obstetricians. |
| Didactic lectures, panels and other types of
educational programs shall include, but not limited to, the anatomy of female
genital tract and functional relationship, endocrinology of menstruation,
amenorrhea, endocrinology of pregnancy, management of prenatal complications,
anatomy, physiology, and pathology of infertility, problems of human
sexuality, vaginitis in pregnancy, early and late abortion, including
incompetent internal cervical os, management of septic shock, blood
coagulation defects associated with placental abruption, amniotic fluid
embolization, clinical evaluation of pelvic architecture, structural problems
in pregnancy and application of osteopathic manipulative techniques, sex and
marriage counseling and family planning methods and techniques. |
Gynecology
| The program shall provide a surgical experience that
will enable the resident to recognize gynecological and related pathology.
The program shall provide adequate scope and volume of cases to assure that
each resident had the opportunity to develop surgical competency consistent
with the generally accepted standards of gynecological practice. |
| Office gynecology teaching shall include, but not be
limited to, biopsy techniques, infertility, diagnostic and therapeutic
programs, marsupialization, excision of cysts, cautery conization, dilation
and curettage and dilation curettage, local anesthesia such as transvaginal,
pudendal and paracervical blocks, techniques in vaginal cytology,
uterosalpingograpy and insufflation, vaginitis smear and culture techniques,
pelvic infection and menstrual disorders. |
| Didactic lectures, panels and other types of educational programs shall
include, but not be limited to, principals of reproductive endocrinology,
principles of the management of gynecologic oncology, gynecologic surgery and
the female patient as a total personality, sphincter mechanisms of urinary
bladder, hypogastric artery ligation in uncontrollable hemorrhage, structural
problems in the female, principles of body mechanics in relation to pelvic
support in women, differential diagnosis and management of chronic pelvic
support in females, legal responsibilities in obstetrics and gynecology and
other teaching modalities as may be provided by audio visual aids. |
Didactics
| Weekly chapter reviews of Ob/Gyn Text's |
| Monthly Journal Club |
| Monthly C-Section Reviews |
| Monthly Pre-Maternal and Maternal Mortality Reviews |
| Michigan State Wide Campus Monthly Conferences |
| Monthly Uro-Gyn Conference |
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