Resident Handbook - UC Davis Health System

HOME VISITSEach resident is to make at least two home visits over the course of training. One of these is tobe a newborn visit and the other is an older adult. Dr. Jennifer Edwards coordinates the newbornvisits; Dr. Nena Perry coordinates the older adult visits. The appropriate form is available in thepreceptor room and is to be completed by the resident during the visit. Please see Dr. Edwardsand/or Dr. Perry for further information. The academic advisor for each resident will co-sign theNewborn home visit notes, unless the academic advisor is Nena Perry, in which case JenniferEdwards, MD will co-sign.MFHC has a set of management guidelines addressing hours, protocols, charting, referrals,and general functions. For details, please refer to the MFHC Clinic Manual which isincludes as an addendum at the end of the Resident HandbookFAMILY HEALTH CENTER CONTINUITY OBSTETRICS EXPERIENCEA. Service Goals:Managing a family practice OB patient is considerably different than managing patientsthat aren’t your own, and following that patient and her child is part of what makesfamily practice OB unique. This experience is intended to acquaint the resident with acontinuity OB experience form prenatal care through labor and delivery and the postpartumperiod. The bio-psychosocial elements of a “normal” pregnancy are importantaspects of this experience. (See also Residency Goals and Competencies)B. Service Description:C. DutiesThe residents will follow and deliver a minimum of 10 family practice patients over theirthree years of training. Patients will be assigned to the residents by clinic staff on arotating basis as they enter the practice up to a maximum of 15 patients. When aresident’s continuity patient becomes pregnant, the patient will be evaluated to make sureshe is an appropriate low risk OB patient. The resident will provide the prenatal care if atall possible. If patient is deemed high risk the resident has the option of following alongwith the OB at the OB clinic and doing the patient delivery. During academiccounseling, advisors will provide feedback regarding the number of OBs being cared forand delivered. Inpatient precepting of all deliveries will occur with contractedcommunity Family Practice physicians or with the Mercy Maternity Clinic obstetricians.All MFHC prenatal patients will have a complete chart audit at approximately 28 weeksgestational age. The interesting or teaching cases will be presented at the OB Conferenceby the continuity provider or the OB back up partner..Page 47 of 153C:\Documents and Settings\dhutak\Desktop\rshb13.doc