Ob-Gyn Grand Rounds

  • Residents, Medical Students, Nurses, Medical Assistants and women's health professionals are encouraged to attend.

  • The objective of our program is to enhance knowledge for healthcare providers in the field of obstetrics and gynecology.

  • Talks are free and open to the public unless otherwise noted.





JANUARY 2, 2015 - No Grand Rounds

JANUARY 9, 2015 - No Grand Rounds

JANUARY 16, 2015

Mindful Pain Management for Women with Chronic Pain

James W. Carson, Ph.D.
Psychologist, OHSU Comprehensive Pain Center and Associate Professor in the Departments of Anesthesiology & Perioperative Medicine, and Psychiatry, Department of Anesthesiology, OHSU

Learning objectives:

  • Describe current applications of mindfulness for self-management of chronic pain and for coping with the impact of pain on quality of life.
  • Synthesize scientific evidence regarding the efficacy of mindfulness training as a complementary treatment for chronic pain conditions.
  • Implement a range of simple mindfulness strategies in clinical practice with patients with chronic pain.

JANUARY 23 - No Grand Rounds

JANUARY 30, 2015 - No Grand Rounds

FEBRUARY 6, 2015

Medical Professionalism:  from Hippocrates to the RRC and Beyond

Karen E. Adams, M.D., Vice-Chair of Education and Residency Director, Department of OB/GYN, OHSU

Learning objectives:

  • Define professionalism.
  • Understand the historical context of professionalism.
  • Recognize factors that impact professionalism.
  • Be familiar with "Professionalism in the new Millennium:  a physician charter".
  • Understand the ACGME's expectation of resident training in professionalism.
  • Identify strategies to evaluate and provide feedback on unprofessional behavior.

FEBRUARY 13, 2015 - In observance of OHSU's Performance Excellence Week

  1. UHC Q&A Scorecard and OHSU's Q&S Priorities by Deborah H. Eldredge (Director of Quality, Research and Magnet, Department of Nursing Administration Support), OHSU.  Learning objective:  Identify at least three components used to measure institutional quality and safety.
  2. Diabetes Level Loading Kaizen Event by Kristin Benn (Academic Program Director, Diabetes Center) and Mary Liefeld (Clinic Manager, Diabetes Center), OHSU.  Learning objectives:  (1) Concept of level loading; (2) Summary of Pilot Ambulatory Level Loading Kaizen event.
  3. Bed Inventory by Rita Wells (Manager of Hospital Transport & Equipment Pool, Department of Nursing Procurement), OHSU.  Learning objective:  Learn about a successful case of using the Kaizen method for process improvement.

FEBRUARY 20, 2015

Multidisciplinary Case Grand Rounds - OPEN TO THE PUBLIC

Donor Human Milk Banking in the NW

  • Leslie Mondeaux, RNC, IBCLC Executive Director of Northwest Mothers Milk Bank
  • Joanne Ransom, RN, IBCLC Clinical Director of Northwest Mothers Milk Bank
  • Andi Markell, RD, LD Medical Advisory Chair of Northwest Mothers Milk Bank

Learning objectives:

  1. Identify elements of human milk banking; including milk donor identification, donor screening, pasteurization and distribution.
  2. List qualifications and characteristics of potential milk donors.
  3. Understand the suggested use, dosing and patient education related to the use of human donor milk in the hospital setting.
  4. Identify populations who may benefit from the use of human donor milk in the outpatient setting; process for ordering and availability.

FEBRUARY 27, 2015

Taking Care of Women:  Are We Making the Grade

Michelle Berlin, M.D., M.P.H., Vice Chair, Obstetrics & Gynecology and Co-Director, Center for Women's Health, OHSU

Learning objectives:

  1. Understand the state of women's health in the U.S.
  2. Understand the state of women's health in Oregon.


Disclosure, Apology & Support (DAS)

Renee Wenger, Senior Risk Manager, Department of Risk Management, OHSU

Learning objectives:

  1. Identify applicable OHSU healthcare policies related to adverse events.
  2. Identify major elements of the DAS policy.
  3. Understand recommended methods for completing major elements of the DAS policy.

MARCH 13, 2015 (2 presentations, which may/may not be listed in order of presentation)

Maternity Leave in the United States

Katherine Au, M.D., PGY-4, Department of OB/GYN, OHSU

Learning objectives: 

  1. Review trends and statistics regarding maternity and paternity leave both in the U.S. and internationally.
  2. Understand the basics of the Family Medical Leave Act and the Oregon laws that support new parents.

Gendered Power Dynamics and Family Planning:  Understanding "unmet need" in the Global South

Elizabeth Harrington, M.D., PGY-4, Department of OB/GYN, OHSU

Learning objectives:

  1. Define "unmet need," how it is measured, and contextualize reasons for contraceptive nonuse.
  2. Review how theories of gender and power have been applied to research in sexual and reproductive health.
  3. Describe how gendered power dynamics may impact unmet need for family planning.
  4. Discuss examples of gender equity-promoting and gender transformative interventions.

MARCH 20, 2015 (Note:  7:15-7:45 a.m.)

Preventative Negative Pressure Wound Therapy

Cassandra "Sandy" Niemi, M.D., PGY-4, Department of OB/GYN, OHSU

Learning objectives:

  1. Define negative pressure wound therapy, including standard and preventative modes.
  2. Become familiar with the preventative negative pressure wound therapy options at OHSU.
  3. Understand the current evidence behind preventative negative pressure wound therapy in OB/GYN.

MARCH 27, 2015 - No Multidisciplinary Case Grand Rounds (Spring Break Week)

APRIL 3, 2015 (2 presentations, which may/may not be listed in order of presentation)

Reproductive Health Care for Incarcerated Women by Flynn La Rochelle, M.D., PGY-4, Department of OB/GYN, OHSU

Learning objectives:

  1. Describe the reproductive health needs of incarcerated women.
  2. Understand Department of Corrections policies and State laws related to shackling of pregnant women.
  3. Discuss jail health services as a public health opportunity for access to family planning and preventive care.

The HPV Vaccine:  Who's calling the shots?  By Shireen de Sam Lazaro, M.D., PGY-4, Department of OB/GYN, OHSU

Learning objectives:

  1. Discuss the impact of HPV related diseases.
  2. Become familiar with the vaccine options, who and when to vaccinate.
  3. Understand current controversies regarding HPV vaccination both in the U.S. and abroad.

APRIL 10, 2015

Abnormal Biometry, When to Worry about Genetic Syndromes

Stephanie Dukhovny, M.D.
Assistant Professor, Division of Maternal-Fetal Medicine, Department of OB/GYN, OHSU

Learning objectives:

  1. Be able to identify genetic syndromes associated with microcephaly and macrocephaly.
  2. Be able to recognize when there is concern for skeletal dysplasia.

APRIL 17, 2015 (2 presentations, which may/may not be listed in order of presentation)

Ethics in Third Party Reproduction by Darcy Broughton, M.D., PGY-4, Department of OB/GYN, OHSU

Learning objectives:

  1. Review the current global climate in third party reproduction.
  2. Examine the ethical issues that have arisen in the field.
  3. Discuss pitfalls for providers and strategies to prevent them.

Fetal Scalp Sampling:  Past, present and future by Charles Saltalamacchia, M.D., PGY-4, Department of OB/GYN, OHSU

Learning objectives: 
  1. Appreciate the history of fetal scalp sampling.
  2. Understand the pertinent differences between fetal scalp pH and lactate testing.
  3. Consider the potential benefits of using fetal scalp sampling to complement fetal monitoring.
  4. Gain insight into the pragmatic obstacles to routine use of fetal scalp sampling in the U.S.

APRIL 24, 2015 - Multidisciplinary Case Grand Rounds - OPEN TO THE PUBLIC

Safe From The Start:  What Every Perinatal Provider Needs to Know About Child Passenger Safety

Benjamin Hoffman, M.D., Department of Pediatrics, OHSU

By the end of this talk, you should be able to:

  1. Discuss basic principles of child passenger safety (CPS) science including:
    • Epidemiology
    • Physics
    • Anatomy and physiology of children
    • Crash dynamics
  2. List 5 ways car safety seats help prevent injury to children
  3. Discuss issues specific to neonatal CPS:
    • Infants with special health care needs
    • Well neonates
    • OHSU resources

MAY 1, 2015

Second Stage Labor:  Doing the Duration Dance

Lisa Kane Low, Ph.D., CNM, FACNM, FAAN
Associate Professor, School of Nursing & Women's Studies, Lecturer Department of OB/GYN, University of Michigan, Ann Arbor, MI

Learning objectives:

  1. Identify the differences between the new ACOG/SMFM recommendations for second stage labor duration and past approaches to second stage labor management.
  2. Discuss challenges , benefits and risks to the new recommendations for second stage labor duration.
  3. Identify best practice measures for second stage labor management.

MAY 8, 2015 (3 Presentations)

1st:  Vitamin C Supplementation Ameliorates the Adverse Effects of Nicotine on Placental Hemodynamics and Histology in Non-human Primates, by Jamie Lo, M.D., Fellow, Division of Maternal-Fetal Medicine, Department of OB/GYN, OHSU

2nd:  Preoperative Exam as Predictor of Failure of Pelvic Organ Prolapse Surgery, by Faisal Aslam, M.D., Fellow, Division of Urogynecology, Department of OB/GYN, OHSU

3rd:  Tamoxifen for the Treatment of Unfavorable Bleeding Patterns in Users of the Etonogestrel Contraceptive Implant, by Katie Simmons, M.D., Fellow, Division of Family Planning, Department of OB/GYN, OHSU

Learning objective(s)

of the 1st presentation:  (1) Evaluation of placental hemodynamics using non-invasive imaging, (2) Effects of prenatal nicotine exposure and vitamin C supplementation on placental perfusion and development; (3) Use of a non-human primate model of prenatal nicotine exposure.

of the 2nd presentation:  We wish to determine if there is a correlation between the level of preoperative prolapse stage and postoperative recurrence of prolapse.

of the 3rd presentation:  Review options for treatment of irregular bleeding with the etonogestrel contraceptive implant, including a new proposed therapy with tamoxifen.

MAY 15, 2015 - No Grand Rounds


"So...how do I ask that?"  Assessing Sexual Orientation and Gender Identity in Clinical Encounters

Juno Obedin-Maliver, M.D., M.P.H., Women's Health Fellow, San Francisco Veterans Affairs Medical Center, OB/GYN & Reproductive Sciences, University of California-San Francisco
Mitchell R. Lunn, M.D., Clinical Research Fellow, Division of Nephrology, University of California-San Francisco

Learning objectives:

  1. Understand the difference between sex, gender, sexual orientation, and gender expression.
  2. Be aware of selected health disparities in lesbian, gay, bisexual, transgender, queer (LGBTQ) and other sexual and gender minority people.
  3. Understand why providers do not ask about sexual orientation and gender identity.
  4. Apply understanding of how sex, gender, behavior, and identity influence health toward conducting LGBTQ-sensitive patient encounters.

MAY 29, 2015 

"Cranky Vulvas in Menopause - The Other Curse:  Results of an RCT"

Martha F. Goetsch, M.D., M.P.H., Division of General Obstetrics & Gynecology, Department of Obstetrics & Gynecology, OHSU

Learning objectives:

  1. Know how to examine for the likely location of tenderness in dyspareunia.
  2. Consider dyspareunia in postmenopause as a pain condition.
  3. Suggest and direct patients, especially breast cancer survivors, in use of a non-hormonal therapy to prevent postmenopausal dyspareunia.

JUNE 5, 2015

Building Trans* Awareness and Responsiveness

Amy Penkin, LCSW, Transgender Healthcare Program Coordinator, OHSU/Partnership Project

Learning objectives:

  1. Learn trans* related terminology.
  2. Better understand gender identity/expression.
  3. Become familiar with common risk and protective factors for the trans* community.
  4. Consider trans* issues across the lifespan.
  5. Better understand gender transition.
  6. Learn how to be a trans* ally.
  7. Learn about the OHSU Transgender Health Program and other resources.

JUNE 12, 2015 

Moving Beyond "That was great" and "That was awful":  Feedback and Evaluation at Every Level

Karen E. Adams, M.D., Associate Professor, Vice Chair for Education, Residency Program Director, Department of OB/GYN, OHSU

Learning objectives:

1.  Differentiate compliments (and insults) from feedback.

2.  Differentiate feedback from evaluation.

3.  Apply constructive tips for giving feedback.

4.  Use evaluation appropriately.

JUNE 19, 2015 - GU/UROGYN Annual Visiting Professorship Grand Rounds

Evaluation and Management of Fecal Incontinence

Karen L. Noblett, M.D., M.A.S., Professor and Chair, Department of OB/GYN, University of California-Riverside School of Medicine

Learning objectives:

  1. Be familiar with the epidemiology of accidental bowel leakage.
  2. List the common causes of accidental bowel leakage.
  3. Understand the pathophysiology of accidental bowel leakage.
  4. Describe treatment options for accidental bowel leakage.

JUNE 26, 2015 - No Grand Rounds (OB/GYN Resident Research Day)

JULY & AUGUST 2015 - No Grand Rounds

SEPTEMBER 4, 2015 - No Grand Rounds (Labor Day weekend)

SEPTEMBER 11, 2015 - Title & Learning Objectives forthcoming

Aaron B. Caughey, M.D., Ph.D., Professor and Chair, Department of Obstetrics & Gynecology, OHSU




Recordings of past events

As of September 2011, some OB-GYN Grand Rounds may be available online following the lecture. No CME credit is available for viewing lectures online. See recordings of past OBGYN Grand Rounds.