It’s that time of year again…

Well, it’s that time of year again in academic medicine: July 1st. For those who don’t know, this is the time when all of the learners in academic medicine move up: the chiefs graduate, new interns come in, the old interns become the new PGY-2s, etc. What does this mean? Well, it means that on June 30th, I am doing

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Not my fault, but my responsibility

At my institution, we have off-service interns from other departments, who rotate through our labor and delivery unit to learn about labor management. During the day, the OB intern is in charge of labor (including primary c-sections during the second part of the year), triage, and postpartum. The upper-level OB resident (PGY-3 or PGY-4) is in charge of the antepartum service, consults, repeat

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What your patients need to hear about CPR

Lately, I have come across some really wonderful posts by fellow clinicians about topics that I think are important to share and discuss. I will be periodically sharing these articles, comics, and other items of interest under the header “Around the Web.” So, without further ado, I present the first of these articles! The issue of CPR and adult resuscitation in

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Pregnant women, should you check your own cervix at home?

Every so often, I have a patient conversation that includes the phrase “Well, I checked my cervix at home, and…” Buckle up, boys and girls, that means this is going to be an interesting conversation. Overall, people who check their cervix at home (or have their spouse check it) fall into one of two camps. The first group aren’t so

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Education vs Service

I was recently part of a very interesting conversation about the balance between education and service in a residency program. The question was whether clinic hours are considered education or service. Is clinic always educational, because there is potentially something to learn from each patient? Is it always service, because there is only so much to learn from doing yet

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