Lander Medical Clinic-OB GYN 657
We welcome you to the Wind River range of mountains in West/Central Wyoming. We anticipate that your experience here will provide you with a true glimpse into what rural OB/GYN practice is like. When we say rural, we mean rural. The closest city with tertiary care capabilities is Casper 150 miles away, however the closest tertiary care center for OB/GYN is Billings Montana. When the situation arises, WE are the tertiary care center at times.
We live in an area that will require some form of transportation. Either bicycle or vehicle. During the winter months, a vehicle will be needed. We will provide housing with Write students and possibly with UW IM students that may be rotating through at the same time. Wyoming winters CAN be hard, although not always, the summers are completely beautiful with temperatures in the 70-80 and almost always sunny! There is the complete spectrum of outdoor activities available to anyone interested from hiking to snow shoeing, to cross-country skiing, to mountain climbing, fishing, hunting etc. The North American Outdoor Leadership School (NOLS) is located in Lander and may provide information on what is available also. We also have the Wyoming Catholic College located in town and it is a 4 year liberal arts college.
Teaching Hospitals/Tertiary Care
As we are fairly remote, the closest facilities are 150 miles away in Casper for IM and Surgical transfer, in terms of OB/GYN the closest are roughly 300 miles away either Billings, Montana, Denver, Colorado, or Salt Lake City, Utah. Obviously in certain situations WE are the closest thing to tertiary care available if the situation is too critical to transport or the weather does not permit transport, therefore, sometimes things are exciting!!
We currently have 4 board certified OB/GYN physicians participating in teaching. Your experience here will be a direct result of your interactions with these physicians and the nursing staff at the hospital, and your commitment to the didactics available to you through UW. We have NO subspecialist i.e. perinatologist, oncologist, urogynecologist, so we either handle things or consult over the phone, or refer if needed/possible. When situations dictate we work closely with IM, Surgeons, etc in difficult cases.
Call & Pagers
This will be worked out on individual basis. As you are aware, OB happens when it happens, and that is often in the middle of the night. You will spend one in three nights on call (when Dr. Siebersma is on call), but it is normally not busy. You will spend days (when not doing deliveries) in the clinic with our Physicians seeing the spectrum of patients we see. You will accompany Dr. Siebersma to Ft Washakie on the Native reservation for our OB clinic 1/2 day a week. You will accompany us in the OR on our scheduled OR days and be welcome when emergency cases arise. The possibility of first assisting may arise if we and you are comfortable with that.