Ambulatory Care
EXPERTISE The Obstetrics & Gynecology Care Center (OGCC) continues its mission to care for a multicultural, ethnically diverse population with a team that has a reputation for advocating for and representing their diverse and unique patient population. In fiscal year 2017, the OGCC had more than 19,000 patient visits in such services as general obstetric and gynecologic care, evaluation and treatment of cervical dysplasia and vulvar disorders, pediatric gynecology, urogynecology, reproductive endocrinology, family planning and complex contraception, preoperative evaluation and planning, and a menopause program. The team has been a leader in the Baby Friendly USA® campaign with comprehensive efforts in education and support to ensure best health for mothers and babies through breastfeeding, and has worked with the Rhode Island Department of Health in the design and implementation of screening tools for patients at risk for exposure to the Zika virus. OGCC clinicians are actively participating in a multi-center, open-label, uncontrolled study designed to study contraceptive efficacy and safety of Mirena® during extended use before five years. Clinicians are also participating in an open-label, nonrandomized, prospective observation cohort study to assess post-procedural outcomes after hysteroscopic sterilization (Essure®) or laparoscopic tubal ligation. Parallel with clinical care and research is a commitment to education. All residents in Obstetrics & Gynecology at The Warren Alpert Medical School of Brown University/Women & Infants Hospital attend continuity clinics at the OGCC in which they follow patients with a variety of ob/gyn issues. The OGCC also serves as the primary ambulatory site for the Warren Alpert Medical School ob/gyn clerkship. Nurse practitioner students from the University of Rhode Island and Boston College spend longitudinal time at the OGCC, learning from nurse practitioners’ deep fund of knowledge. 6
ACHIEVEMENTS • During FY2017 the staff at the OGCC saw 1,082 new obstetric patients, performed 483 colposcopic examinations, placed 157 subdermal contraceptive implants, inserted 385 intrauterine devices, and administered more than 1,800 immunizations. • Rebecca Allen, MD, MPH, was an invited meeting participant at the National Women’s Health Technologies Coordinated Registry Network, Sterilization Workgroup, Silver Spring, MD. This initiative is a collaboration among the FDA, the National Institute of Health (NIH)/National Library of Medicine (NLM), the Office of the National Coordinator for Health Information Technology (ONC), the American Congress of Obstetricians and Gynecologists (ACOG), the American Urogynecologic Society (AUGS), clinicians, and industry and other stakeholders to develop and expand the registry system for critical medical devices in the area of women’s health. • Rebecca Crichton, MD, completed her eighth year as director of the Vulvar Clinic, overseeing a team that provides comprehensive evaluation and treatment of acute, chronic, and recurrent conditions of the vulva or vagina. • Renee Eger, MD, became a North American Menopause Society Certified Menopause Practitioner (NCMP). She continues to serve as the medical director of the OGCC and director of the Menopause Program at Women & Infants Hospital. She oversaw the implementation of Epic for the entire staff at the OGCC, including clerical, nursing, resident, and nurse practitioner providers. • James O’Brien, MD, Women & Infants’ medical director of inpatient obstetrics, joined the OGCC clinical staff. He provides expertise in obstetrics management in the ambulatory setting.
Department of Obstetrics & Gynecology | Women & Infants Hospital | The Warren Alpert Medical School of Brown University