OB-GYN Working Environment and Rotation

PGY-1

• High Risk OB/Sono
• Women's ED
• Gynecology
• High Risk OB/Women's ED
• Obstetrics (Winnie Palmer Hospital)
• Oncology
• OB Clinic
• OB Surgery
• Night Float

PGY-2

• AICU
• OB Surgery
• Night Float
• Oncology
• REI & Adolescent Medicine
• GYN
• Women's ED
• OB Clinic
• MICU

PGY-3

• OB Clinic
• Oncology
• Women's ED
• Obstetrics (Winnie Palmer Hospital)
• Minimally Invasive Surgery
• Gynecology
• Night Float
• REI & Adolescent Medicine
• Urogynecology
• Elective

PGY-4

• Gynecology
• OB Clinic/Breast
• Float
• Oncology
• Night Float
• Urogynecology
• Obstetrics (Winnie Palmer Hospital)
• Minimally Invasive Surgery

Research

Every resident is encouraged to conceive and implement research projects leading to national meeting presentation and publication. In May of 2012, PICC Line Complications in Pregnancy was presented as a poster at the ACOG Annual Clinical meeting by Dr. Torre Halscott.

Stephen Carlan, MD Research Director Medical Education Ob/Gyn

Julie Eastwood, RN Clinical Research Coordinator Medical Education Ob/Gyn

The program provides:

• Support for clinical and laboratory research by resident physicians
• Assistance in preparation of the research and publication
• Full-time, department-specific Research Director and Research Nurse dedicated to providing support for the Resident physicians in current research and publications

Most Recent Publications

• Viridians Group Streptococcal Bacteremia, TTP and Lupus in Pregnancy; A Maternal Mortality. Williams T, Carlan SJ, Gergert J, Asrafi S. Accepted Infectious Diseases in Clinical Practice.
• Congenital Acinar Dysplasia: Report of a Case and Review of Literature. Langenstroer M, Carlan SJ, Attia S, Fanaian N. Accepted Am J Perinatol.
• Biomarkers Related to Endometrial Receptivity and Implantation. Chapter 15. Advances in Embryo Transfer. Trolicem, Amyradakis G.
• Pregnancy and Stiff-Person Syndrome. Amyradakis G, Carlan SJ, Bhullar A, Eastwood J. The Am J Med. 2012; 125(3):el-2.
• Fetal Oral Mass. Auffant J, Carlan SJ, Accepted J of Diagnostic Medical Sonography.
• Ovarian Tumor-Derived Ectopic Hyperprolactinemia. Elms A, Carlan SJ, Rich A, Cerezo L. Accepted Pituitary.
• Three-Dimensional Computed Tomography of Fetal Spondythroacic Dysostosis. Ranes M, Carlan SJ, Perez J, Attia S. Prenatal Diagnosis 2012;32,1-3.
• Ascites, Hydrocolpos, Hydrometrocolpos with Normal Amniotic Fluid in a Fetus with Partial Urorectal Septum Malformation Sequence. Lee S, Carlan SJ, Perez. Accepted J Clin Ultrasound.
• Confirmation of a Nasoenteral Tube Tip by Ultrasound in a Woman with Hyperemesis Gravidarum. Swartzlander T, Carlan SJ, Elms L. Accepted J Clin Utlrasound.
• Thrombotic Thrombocytopenic Purpura with ADAMTS-13 Inhibitor in Pregnancy. Patrick T, Carlan SJ, Perez J. Accepted Am J Perinatol.
• Unilateral Type II Schizencephaly Prenatal Diagnosis and Review. Dyson L, Carlan SJ, Busowski J, Rasmussen O. J Diagnostic Medical Sonography. 2012;28(3).
• Bilary Cyst in Pregnancy Managed by Percutaneous Drainage: A Case Report. Lipton A, Carlan SJ. Accepted J Reprod Med.

Resident Research Projects

• Cost Effectiveness, Safety and Determination of the Learning Curve with Robotic Gynecologic Surgery
• IVC Filters in Pregnancy
• Ingetrin and Endometrial Receptivity
• Cervical Cerclage and Prophylactic Antibiotics Preoperatively
• The BD-OTS Post Marketing Surveillance Program
• Percreta, Conservative vs. Surgical Management
• Sharp vs. Blunt/Electrocautery-assisted Dissection for Abdominal Entry at the Time of Cesarean Section
• Investigation if a Difference in Outcomes Exist Between NST’s Starting at 28 Weeks or 32 Weeks Gestation for Certain High Risk Conditions in Patients at Winnie Palmer Hospital
• Puerperal Group A Streptococcal Infections
• Safety and Efficacy of Varicella Zoster Immune Globulin (Human) (VariZIG) in Patients at-risk of Varicella Infection
• CORD: USE Cord Blood Bank at Duke

Proposed Research Studies

• A Retrospective Study of the Efficacy of Mechanical Cervical Ripening Compared to Intravaginal Prostaglandins in Achieving Vaginal Delivery
• Comparison of Post-operative Pain Following Robotic Hysterectomy vs. Laparoscopic Hysterectomy: A Retrospective Study
• Ultrasound Diagnosed Placenta Previa- persistence and Clinical Implications at WPH
• Outcomes of Robotic vs. Abdominal Myomectomy
• Obstetric Complications in Women with Fibroids noted on Routine Second Trimester Ultrasound
• The Influence of Glucose Intolerance on Pregnancy Outcome in Massively Obese Pregnant Women Who Deliver by Cesarean Section
• Does Incidentally Observed Non-reassuring Fetal Status During Non-stress Tests Correlate with Neonatal Outcomes
• How Often Can Postpartum Placental Biopsies provide an Etiology for Fetal Demise in a General Stillbirth Population
• Evaluation of the Use of Ultrasound to Locate Feeding Tube Tip in Women with Hyperemesis Gravidarum
• Defining the Role of Robotic Surgery in Hysterectomy for Benign Disease: A Randomized Controlled Trial