Northwest Hospital & Medical Center-OB GYN 631
|Northwest Hospital and Medical Center
1550 North 115th Street
Seattle, WA 98133
Northwest Hospital and Medical Center is a community hospital in North Seattle with over a 50-year record of providing personalized and advanced medical care for residents of Seattle. In 2010 the hospital became part of UW Medicine. In the field of OB/GYN, the hospital is known for its Childbirth Center, the first in the area to adopt the LDRP model of obstetrical care, and for the early implementation of minimally invasive surgery (both laparoscopy and now robotics) for gynecology patients. In recent years the hospital has steadily increased its contribution to educating the next generation of physicians. In partnership with the UW School of Medicine, medical students can now have some of their earliest clinical experiences on our campus, as part of the second year "Introduction to Clinical Medicine" course. The OB/GYN students doing their 3rd year clerkship will join other UW School of Medicine students on rotations in Emergency Medicine, Inpatient Medicine Service, Neurology, Orthopedics, and other specialties.
Students will have specified days to work side-by-side with the physicians and midwives in the office setting. This "preceptorship" educational model is well suited for the private practices of the clinicians on staff at NWHMC, and can be easily adjusted for each student to ensure that the core curriculum for the rotation is taught with real life clinical examples.
Women's Cancer Care of Seattle
Most of the operative GYN experience for the students will be with the physicians at the Women's Cancer Care of Seattle. In addition to gynecologic cancer surgery, the WCCOS providers perform a variety of "benign" gynecologic surgeries, including robotic hysterectomies.
(Admin Asst) or
Meridian Women's Health
Meridian Women's Health is the largest practice affiliated with NWHMC. The practice also incorporates nurse midwives into their clinical care model, which offers another opportunity for medical students to learn about normal labor.
Northwest Obstetrics & Gynecology
Dr. Cho runs a busy Ob/Gyn private practice and can offer students exposure to a broad variety of clinical problems in the office setting, emergency room, and childbirth center.
Two components of the OB/GYN clerkship will be provided in the hospital setting: 1) Labor & Delivery (OB) and 2) the operating room (GYN surgery):
- The Childbirth Center (CBC) at NWHMC is well suited for student education, and is already a primary site for nursing education in affiliation with Shoreline Community College. The CBC delivers approximately 1200 babies annually using a "Labor Delivery Recovery Postpartum" [LDRP] care model. The unit has a Class II Special Care Nursery, which can care for babies of 28 weeks gestational age or greater. This allows the student to gain experience in both normal childbirth and pregnancies of moderate complexity, such as preterm labor and pre-eclampsia. Students will work with their faculty member to care for women in labor, using the same preceptorship model from the office setting. Most patients will have already met their student in the office, and that should enhance the continuity experience for both patient and student. The experience of a "hands on delivery" is one goal we can easily achieve at NWHMC. But we also want the student to gain a deeper understanding of the normal (and abnormal) process of labor and delivery.
- Education in GYN surgery will take place in the main operating room at NWHMC, where a broad range of gynecologic cases are done on a daily basis. The OB/GYNs on the teaching faculty perform both benign and oncology cases, and use all surgical approaches: laparotomy, laparoscopy, and robotics for abdominal cases, as well as vaginal hysterectomies and pelvic floor reconstruction procedures. The student will be assigned to specific days to "cover" the operating room. During the day s/he will study the preoperative evaluation of each patient, discuss the cases with the attending surgeon, scrub in on the cases, and then "round" on the patient for postoperative care. Whenever possible the preoperative assessment and postoperative care will be linked to the office experience. Case selection will be influenced by the clerkship curriculum with the goal of exposing the student to at least one example for each core GYN diagnosis.
Emergency Department Experience
A variety of OB and GYN cases patients are evaluated in the Emergency Department. When shadowing a faculty member "on call," the student will have the opportunity to learn about clinical problems such as pelvic infection (PID), threatened miscarriages and spontaneous abortions (SABs), and ectopic pregnancies. This will supplement the experience from the office setting with more acute presentations of these common problems.
Call & Pagers
Students will shadow an OB faculty member or midwife when on call. This will be "beeper call from home" three or four days per roation so that if the CBC is quiet the student can be at home--studying or sleeping. If a patient presents in labor then the student will stay with her during the night. This will also be the opportunity to see new cases in the Emergency Room. Students should expect to have 1 overnight call experience per week, e.g. 5-6 total, so that s/he has a good idea of the "24/7" nature of the specialty without adversely impacting needed time for reading, studying, and didactic lectures.
Students will attend didactics every Wednesday morning at UW. Additionally, students must attend the Gynecologic Oncology Tumor Board on the 1st and 3rd Tuesdays of each month from 7am-8am in the Cancer Center Conference Room (ground floor, Medical Office Building).
The following meetings/seminars are optional, but strongly encouraged to students:
- Medical Staff Grand Rounds, on a broad array of topics, variable days/times (typically Tuesdays and Thursdays, 12-1pm, Lindsay Gould Auditorium).
- OB/GYN In-services and Lectures: These are scheduled from time to time, and students are expected to attend unless there is a conflict with other educational or clinical activities.
- Gynecologic Oncology Journal Club, approx. once/month during the academic year: This is run by the UWMC Gyn Onc fellows, and held at a faculty member's home in the evening. It's fun!