Join Mohika and Kelsey, the podcast's new hosts, as they kick off their first episode with a quintessential topic in women's health: contraception! They take our listeners through the entire spectrum of contraception options and stud the episodes with their take on how to help women find the right option for them.
Transcript: bit.ly/Delivered-Contraception
Join Rachel and Sanaya, recently matched M4s, as they share reflections and advice about the residency application process.
Timestamps:
Writing application, personal statement 1:00
Where to apply, signaling 9:50
Interviews 21:20
Ranking 26:50
Quick notes on SOAP 32:20
Takeaways 33:00
Resources:
Join Rachel for tips and tricks to prepare for OBGYN clinic.
Prenatal Visits:
UltraSounds Routine Prenatal Care
Preventative Care:
UltraSounds Cervical Cancer Screening
UltraSounds Sexual Functioning
Problem Visits:
Rachel describes what a medical student can expect during a C-section.
Join Rachel for a walkthrough of what you can expect as a medical student during a vaginal delivery.
Tune in for a rundown on the basics of L&D with 4th year med student, Rachel!
Transcript: https://bit.ly/UltraSoundsCSG1
Labor 1:28
Fetal Positioning 3:25
Fetal Monitoring 5:05
Induction 9:25
Postpartum Hemorrhage 12:28
Resources
Practice Bulletin 106 Fetal Monitoring
Practice Bulletin 116 Fetal Monitoring Management
Practice Bulletin 107 Labor Induction
Medical Indications for Induction Committee Opinion 831
Rachel and Sanaya chat with Dr. Helen Morgan about the residency application process.
00:46 Dr. Morgan Bio
01:27 Overview of Application Process
03:39 Understanding what you want in a program
07:17 Signaling
10:18 Equity in application process
13:12 What makes an applicant stand out
16:06 New application platform
17:33 Final advice
Transcript: bit.ly/UltraSounds_ResApp
Asavari and Rachel speak with Olivia de Bear, MPAS, PA-C about her journey to becoming an inpatient PA within the field of gynecology oncology.
00:38: Olivia de Bear Bio
Transcript:bit.ly/ultrasounds_PA
Asavari and Rachel discuss common postop complications, workup, and management with Olivia de Bear, MPAS, PA-C.
0:30: Olivia de Bear Bio
1:01 Case 1: 52yo woman s/p TLH and bilateral salpingectomy with low urine output
11:06 Case 2: 58yo woman s/p ex lap, TAH, BSO, pelvic mass removal, and staging procedures for ovarian cancer with intolerance of PO intake, nausea, and emesis
20:11 Case 3: 62yo with newly diagnosed endometrial cancer s/p TLH, BSO, and sentinel lymph nodes with new-onset dyspnea
Transcript: bit.ly/gynpostop
References:
ACOG Practice Bulletin no. 232: Prevention of Venous Thromboembolism in Gynecologic Surgery
Jourdan and Sanaya talk with Dr. K about her research and career path in epidemiology and public health examining sex differences through menopause and pregnancy.
00:48 Bio
01:45 To start, could you tell us a little bit about your educational trajectory and how you ended up teaching at the school of public health?
10:01 Now we’d love to hear a little about your current research projects, the lab you run through SPH as well how you began working in this discipline.
19:06 With that, what are some specific considerations individuals interested in women’s health research should be mindful of?
21:37 How do you recommend that medical practitioners or medical students who are interested in your research get involved?
24:07 In light of this, how do you see epidemiology transforming the medical field in the next 10 years?
25:54 Our last question for you Dr. K, what would you say is your favorite part of your work?
School of Public Health Epidemiology
Transcript: https://bit.ly/Ultrasounds_Research_K
Asavari and Rachel discuss endometrial cancer risk factors, diagnosis, workup, and management with Dr. Katelyn Tondo-Steele.
01:32: Endometrial Cancer Overview
05:00 Case 1: 28yo G0 woman with EIN
14:00 Case 2: 59yo G3P2 postmenopausal woman with AUB
22:23 Case 3: 73yo G2P2 with postmenopausal bleeding, dyspnea, pelvic pain, and other systemic symptoms
Transcript: https://bit.ly/Ultrasounds_endocancer
Resources:
ACOG Practice Bulletin 149: Endometrial Cancer
NEJM Endometrial Cancer Review Article
NCCN Endometrial Cancer Guidelines
American Cancer Society: Ket Statistics for Endometrial Cancer
Asavari and Rachel discuss what it’s like to be a midwife and Joanne’s personal career journey.
Transcript: bit.ly/Ultrasounds_midwifery
Rachel and Asavari discuss routine prenatal care with midwife Joanne Bailey.
01:10 Case 1: Preconception Visit
05:48 Case 2: First Trimester Visit
17:21 Case 3: Second Trimester Visit
19:58 Case 4: Third Trimester Visit
Transcript: bit.ly/Ultrasounds_prenatal
References:
Michigan Medicine Prenatal Care Guidelines
Asavari and Rachel discuss contraception counseling while utilizing a reproductive justice framework with Dr. Starr.
00:31: Dr. Starr Bio
01:15: Introduction to Contraception and Reproductive Justice Definition
02:22 Case 1: 36yo G1P1 woman with contraindications to estrogen-containing contraceptive methods
11:39 Case 2: 24yo G3P2 needing to discuss postpartum contraception
21:49 Case 3: 31yo G0 interested in emergency contraception
Transcript: https://bit.ly/ultrasounds_contraception
References:
ACOG Committee Statement no. 1: Patient Centered Contraception Counseling
ACOG Infographic: Effectiveness of Birth Control Methods
ACOG Postpartum Contraception & Breastfeeding
MDHHS Informed Consent for Sterilization
UC Davis Emergency Contraception Infographic
ACOG Practice Bulletin no. 152: Emergency Contraception
ACOG Committee Opinion no. 707: Access to Emergency Contraception
Planned Parenthood: What type of emergency contraception should I use?
Rachel and Brittany discuss reproductive justice with Dr. Charisse Loder.
Transcript: https://bit.ly/UltraSounds_RJ
References
Brittany and Rachel discuss evidence based abortion care with Dr. Charisse Loder.
01:23 Dr. Loder Bio
02:00 Case 1: 27 year old G1P0 with positive pregnancy test
07:59 Case 2: 31 year old G2P1 nonbinary patient with undesired pregnancy
14:02 Case 3: 29 year old G3P2 at 20w4d with fetal anomaly
Transcript: https://bit.ly/UltraSounds_abortioncare
References
ACOG Practice Bulletin 225. Medication Abortion Up to 70 Days Gestation.
ACOG Practice Bulletin 135. Second Trimester Abortion.
PEW Research Center. What the data says about abortion in the U.S.
Guttmacher Institute. Interactive Map: US Abortion Policies and Access After Roe
Asavari and Rachel review three patient cases and the infertility workup for each case with Dr. Moravek.
00:38: Dr. Moravek Bio
01:43: Infertility Introduction and Definitions
03:24 Case 1: 29yo G0 woman with irregular periods, acne, and weight gain
11:26 Case 2: 32yo G0 woman with a history of a sexually transmitted infection
18:22 Case 3: 38yo G2P2 woman with difficulty becoming pregnant
Transcript: https://bit.ly/ultrasounds_infertility
References:
ACOG committee opinion, number 781: Infertility workup for the women’s health specialist
AAFP Diagnosis and Treatment of Polycystic Ovarian Syndrome
AAFP Polycystic Ovarian Syndrome Common Questions and Answers
AAFP Pelvic Inflammatory Disease: Diagnosis, Management, and Prevention
ASRM Ovarian Reserve (predicting fertility potential in women)
Michigan Medicine OB/GYN Infections Guidelines
The Normal Menstrual Cycle and the Control of Ovulation
Khan Academy Ovarian Cycle Video
Additional Resources for LGBTQ+ Health and Infertility:
ASRM Access to Fertility Services by Transgender and Nonbinary persons: an Ethics Committee Opinion
Since this podcast was recorded, ASRM has expanded the definition of infertility to be more inclusive. Infertility includes any of the following factors: 1) the inability to achieve a successful pregnancy based on a patient’s medical, sexual, and reproductive history, age, physical findings, diagnostic testing, or any combination of those factors OR 2) the need for medical intervention, including, but not limited to, the use of donor gametes or donor embryos in order to achieve a successful pregnancy either as an individual or with a partner, OR 3) in patients having regular, unprotected intercourse and without any known etiology for either partner suggestive of impaired reproductive ability, evaluation should be initiated at 12 months when the female partner is under 35 years of age and at 6 months when the female partner is 35 years of age or older.
Rachel and Asavari speak with Dr. McEvoy about her career working with adolescents at the Corner Health Clinic.
Transcript: https://bit.ly/UltraSounds_CornerHealth
Asavari and Rachel discuss adolescent reproductive healthcare with Dr. Anna McEvoy.
01:07 Case 1: 15 year old seeking contraception
10:13 Case 2: 16 year old with foul-smelling vaginal discharge
15:20 Case 3: 17 year old with late period
Transcript: https://bit.ly/UltraSounds_teens
Resources:
ACOG committee opinion no. 710: counseling adolescents about contraception
Bridgercare’s 4 most popular birth control methods
ACOG committee opinion no. 803: Confidentiality in adolescent health care
Rachel and Brittany discuss Dr. Kalwani's career path including her experiencing SOAPing into family medicine after applying to OBGYN.
Transcript: https://bit.ly/UltraSounds_careers
