A5001969529- Diversity and Career in Medicine
- Maternal and Perinatal Health Interventions
- Cervical Cancer and HPV Research
- Ectopic Pregnancy Diagnosis and Management
- Hospital Admissions and Outcomes
- Surgical Simulation and Training
- Maternal and fetal healthcare
- Genital Health and Disease
- Assisted Reproductive Technology and Twin Pregnancy
- Innovations in Medical Education
- Reproductive Health and Contraception
- Health and Medical Research Impacts
- Health Sciences Research and Education
- Gestational Trophoblastic Disease Studies
- Simulation-Based Education in Healthcare
- Neonatal Respiratory Health Research
- Endometrial and Cervical Cancer Treatments
- Female Genital Mutilation/Cutting Issues
- Preterm Birth and Chorioamnionitis
- Birth, Development, and Health
- Agricultural Development and Policies
- Anesthesia and Pain Management
- Nausea and vomiting management
- Medical Education and Admissions
- Pregnancy and preeclampsia studies
Denver Health Medical Center
2016-2025
University of Colorado Denver
2016-2025
University of Colorado Anschutz Medical Campus
2015-2025
Washington Poison Center
2024
Saint Joseph Hospital
2023-2024
Intermountain Healthcare
2023-2024
University of Colorado Health
2024
Accreditation Council for Graduate Medical Education
2010-2023
Medical Education Institute
2010-2023
Chongqing Electromechanical Holdings (China)
2010-2023
Importance In 2022, the US House of Representatives passed a bipartisan resolution (House Resolution 1118 at 117th Congress [2021-2022]) calling for meaningful nutrition education medical trainees. This was prompted by increasing health care spending attributed to growing prevalence nutrition-related diseases and substantial federal funding via Medicare that supports graduate education. March 2023, professional organizations agreed identify competencies Objective To recommend inclusion in...
Palliative care focuses on providing relief from the stress and symptoms of serious illness. Obstetrician gynecologists (OBGYNs) manage a variety complex clinical situations ranging delivering cancer diagnosis to caring for neonatal demise symptom management, all which fall within realm palliative care. is relevant practice OBGYNs, yet residents rarely receive formal primary training. We sought design, implement, evaluate dedicated curriculum OBGYN residents. performed needs assessment an...
Spontaneous bilateral ectopic pregnancies are rare. In the majority of case reports, treatments prescribed were methotrexate, salpingectomy, or salpingectomy/salpingostomy. A 31-year-old gravida 3 para 0 at our institution underwent diagnostic laparoscopy due to ruptured pregnancy, and based on visual inspection, had a pregnancy. She right salpingectomy for pregnancy spontaneous expulsion left with mobilization fallopian tube. received methotrexate as per two-dose protocol was followed...
<h3>Importance</h3> Women with an early nonviable pregnancy of unknown location are at high risk ectopic and its inherent morbidity mortality. Successful timely resolution the gestation, while minimizing unscheduled interventions, important priorities. <h3>Objective</h3> To determine if active management is more effective in achieving than expectant whether use empirical methotrexate noninferior to uterine evacuation followed by needed. <h3>Design, Setting, Participants</h3> This multicenter...
In the United Kingdom, early pregnancy assessment clinics have existed since 1990s and become reference standard for evaluating treating women with first-trimester complications. These units now been established in many countries found to be effective efficient, saving money unnecessary emergency department visits hospital admissions. To our knowledge, no such model has described States. A PubMed search using a combination of "early unit," clinic," "United States," "U.S.," "America" on May...
Little is known about the factors that influence medical student selection of obstetrics and gynecology (ob-gyn) residency programs.We assessed influencing program by fourth-year students pursuing ob-gyn training.A voluntary, anonymous, 19-question survey was distributed to all interviewing at 1 5 academic departments for a position during 2013-2014 interview season. Participants were surveyed relative importance (not important, somewhat important) various factors, including operative...
OBJECTIVE: To measure future and current resident perspectives on obstetrics gynecology residency training structure possible models. METHODS: Medical students invited for interviews residents (postgraduate year [PGY]-1–4) at the University of Colorado, Washington, California San Francisco, Loyola University, Saint Joseph's Hospital, Texas A&M in 2017–2018 received a voluntary, electronic survey regarding models restructuring training. Student responses were compared using χ 2 test...
The number of abdominal hysterectomies (AHs) performed by OB/GYN residents has decreased dramatically. Thus, there is a need for simulation training to complement operating room experience.
OBJECTIVE: To understand the characteristics and career goals of medical students selecting a in obstetrics gynecology. METHODS: In 2015–2016, invited for interviews gynecology residency at University Colorado, Washington, California San Francisco, Loyola University, New York received voluntary 20-item electronic survey regarding factors influencing their choice specialty. RESULTS: Two hundred twenty-six 356 responded (63%). Mean age was 27 years, 88% (n=199) were women. General surgery most...
The aim of the study was to identify factors associated with presence high-grade squamous intraepithelial lesion (HSIL) at surgical margins loop electrosurgical excision procedure (LEEP) pathology specimens.All women evaluated for lower genital tract disease a single academic institution were prospectively entered into database. database queried all who had LEEP performed indications within contemporary American Society Colposcopy and Cervical Pathology guidelines between April 1, 2013, 30,...
Intra-amniotic infection (IAI) and early-onset postpartum endometritis (PPE) require prompt antibiotic treatment are generally treated by either of two regimens. A complicated multi-agent regimen is most commonly used, despite a lack clear evidence that it produces better outcomes than simpler single-agent regimen.We compared between ampicillin, gentamicin, clindamycin versus ampicillin/sulbactam for IAI PPE.We conducted an observational retrospective cohort study collecting data from the...
To evaluate agreement between an abnormal endocervical brush (ECB) collected at the time of colposcopy and subsequent curettage (ECC).All women evaluated for lower genital tract disease a single academic institution were prospectively entered into database. The database was queried those who had colposcopic exam with ECB April 1, 2013, June 15, 2015, subsequently returned ECC to further eligibility expectant management or ablative therapy. results divided 2 groups: "low-grade" included...
OBJECTIVE: To assess total time for evaluation of women with first-trimester pregnancy concerns in an early unit compared emergency department (ED) within a single safety net hospital system. METHODS: We performed retrospective cohort study at Denver Health Medical Center from May 1, 2017, to April 30, 2018. All patients who presented the and random sample ED were identified, stratified by month. Patients eligible if they aged 12–55 years, hemodynamically stable, first trimester positive...
To describe the advising practices at medical schools and interview patterns among students pursuing obstetrics gynecology residency training.A voluntary, anonymous survey was distributed to all applicants interviewing for during 2014-2015 cycle University of Colorado, Washington, California, San Francisco, Loyola University. Demographic data were obtained. The explored student in application process including number applications interviews recommended by advisors. Data are reported as...
Introduction There is no clear guidance for the optimal setting dilation and curettage (D&C) management of first-trimester pregnancy failure. Identifying patients at risk clinically significant blood loss time D&C may inform a provider's decision regarding procedure. We aimed to identify factors predictive 200mL or greater D&C. Methods This retrospective cohort study diagnosed with failure gestational age less than 11 weeks who underwent surgical single safety net academic institution...
This is a review of evidence-based management vaginal birth, which critical to optimizing the outcomes birthing people and neonates. The current literature supports use immediate pushing in second stage labor, neuraxial anesthesia administration for birth adequate pain control, warm compresses labor prevent obstetric lacerations, delayed cord clamping term preterm neonates, utility umbilical milking neonates who require resuscitation, active third with oxytocin administration. In addition,...
Objective The aim of the study was to determine frequency that endometrial biopsies (EMBs) performed on postmenopausal (PMP) women with benign cells (BECs) Pap test are adequate for assessing malignancy or hyperplasia. Methods This is a case series including all PMP older than 55 years at single academic institution between January 2008 and September 2015 result BEC. Patients were identified via an internal cytology database. Patient data, ability obtain EMB, EMB collected. An defined as...
OBJECTIVE: To understand contemporary fourth-year medical student and resident career expectations in obstetrics gynecology. METHODS: Students invited for gynecology residency interviews residents (postgraduate years 1–4) at the University of Colorado, Washington, California San Francisco, Loyola University, St. Joseph's Hospital, Texas A&M 2016–2017 received a voluntary, electronic survey regarding expectations. Questions were compared between students using χ 2 test category responses...