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Maternal Child Health in Residency Training
Family Medicine Obstetrics Model

Family Medicine residents staff the Maternal and Child Health service at Memorial Hospital of Rhode Island, providing family-centered prenatal, intrapartum, postpartum, and newborn care. There are no OB or Pediatric residents at our hospital.

Family Physicians, obstetrician/gynecologists, labor and delivery nurses, nurse midwives, MCH Fellows, and social workers care for our patients as a team. Our labor and delivery unit is staffed at all times by attending physicians in Family Medicine, several of whom perform Cesarean sections. An obstetrician/gynecologist is always available for consultation. The majority of our teaching faculty includes obstetrics in their practice. About one-third of our graduates include extensive MCH care in their practice after residency.

Maternal and Child Health (MCH) rotations:
3 rotations of 4 weeks, MCHA and MCHB in intern year, OB2 in second year

Each R1 will have 2 weeks of daytime coverage and two weeks of nighttime coverage during each month (approx 13-hour shifts)
Senior residents have call every 4th night

Labor and delivery: Call every 8th night during Derm/Ortho rotations and every 4th night as senior resident on pediatrics
Neonatology: 1 month at Women & InfantsHospital (no call)
Continuity practice: Includes prenatal care, deliveries and routine and sick newborn/child care

Resident procedures
Routine obstetric procedures: vaginal delivery, laceration repair, basic ultrasound, vacuum-assisted vaginal delivery, Cesarean section first-assist, as well as training usingOB birthing and newborn simulators.
Outpatient procedures: Colposcopy, full range of family planning/contraceptive services

Didactic conferences
OB/Gyn procedure skills workshops
Weekly Neonatal and MCH conference
Advanced Life Support for Obstetrics
Neonatal Resuscitation Program
Mock Emergency Reviews


Primary faculty contact:
Susanna Magee, MD, MPH
Director, Maternal and Child Health

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