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.





JULY & AUGUST 2015 - No Grand Rounds

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

SEPTEMBER 11, 2015

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

The Department of OB/GYN at OHSU:  Past, Present, and Future

Learning objectives:

  1. Understand the clinical roles of the Department of OB/GYN in Portland and Oregon.
  2. Know about the research accomplishments and goals of the Department of OB/GYN.
  3. Know the education goals, program, and accomplishments of the Department of OB/GYN.

SEPTEMBER 18, 2015

Jeffrey T. Jensen, M.D., M.P.H.,Professor of Obstetrics & Gynecology.  Director, Women's Health Research Unit.  Vice-Chair for Research in the Department of Obstetrics & Gynecology.  Affiliate Scientist, Oregon National Primate Research Center.  OHSU

OPERM.  Nonsurgical permanent contraception research

Learning objectives:

  1. Discuss the prevalence of permanent female contraception.
  2. Compare animal models used in reproductive studies.
  3. Describe emerging strategies for nonsurgical tubal occlusion.

SEPTEMBER 25, 2015 - Multidisciplinary Case Grand Rounds - NOT OPEN TO THE PUBLIC

  • Jamie Lo, MD, Division of Maternal-Fetal Medicine, Department of OB/GYN. 
  • Ryan Lam, MD, Fellow, Neonatal-Perinatal, Department of Pediatrics. 
  • Leo Han, MD, Fellow, Family Planning, Department of OB/GYN. 
  • Aaron Caughey, MD, PhD, Chair, Department of OB/GYN, Division of Maternal-Fetal Medicine. 

Peri-viability:  Counseling and Management

Learning objectives:

  1. To review and evaluate short- and long-term outcome data of peri-viable deliveries.
  2. To review and discuss management options around peri-viability.
  3. To review policy implications.
  4. To better understand decision making under uncertainty.

OCTOBER 2, 2015

Jeanne E. Cheshier-Alvarado, MD, MPH.  OB/GYN Core Faculty. Spectrum Health Medical Group.  Assistant Professor, Michigan State University College of Human Medicine. 

Why in the World Should We Care About Global Woman's Health?

Learning objectives:

  1. To give an update on the status of woman's health abroad.
  2. To be introduced to the existing disparities in global health care and education.
  3. To present good health and healthcare as a human right.
  4. To understand why Global Woman's Health matters on various levels.
  5. To share ways to participate in Global Woman's Health.

OCTOBER 9, 2015

  • Berklee Robins, M.D.,Associate Professor, Department of Anesthesiology.  OHSU Clinical Ethics Consultation Service.
  • Debbie Lamberger, MPA, Ambulatory Care Manager, OHSU Clinical Ethics Consultation Service
  • Melissa Monner, M.S.OHSU Patient Advocate and Co-chair OHSU Clinical Ethics Consult Service

Medical Ethics in Clinical Practice

Learning objectives:

  1. Understand what the clinical ethics consult service is, and how to utilize it.
  2. Understand the concept of moral distress.
  3. Understand the primary principles of ethical decision making.
  4. Understand the ethical decision making process through analysis of clinical and psychosocial information.

OCTOBER 16, 2015

Amy Cantor, M.D.,Assistant Professor, Departments of Medical Informatics and Clinical Epidemiology, Family Medicine, and Obstetrics & Gynecology.  Primary Care Division - Center for Women's Health.  OHSU

Routine Screening and Supplementation for Iron Deficiency Anemia during Pregnancy

Learning objectives:

  1. Describe how screening and supplementation for IDA during pregnancy may affect clinical outcomes.
  2. Understand how new evidence may contribute to screening decisions of patients and clinicians.
  3. Understand the meaning and impact behind USPSTF recommendations.
  4. Apply clinical recommendations to medical practice.

OCTOBER 23, 2015 - Multidisciplinary Case Grand Rounds - OPEN TO THE PUBLIC

Nicole Marshall, M.D., Division of Maternal-Fetal Medicine, Department of OB/GYN, OHSU

Laura Lallande, MS, CNM, IBCLC, Lactation Coordinator, Center for Women's Health, OHSU

Fact or Fiction:  Breastfeeding, Baby-Friendly, and Breastfeeding Police

Learning objectives:

  1. Learn more about Baby Friendly Hospitals and OHSU's path.
  2. Examine the history of breastfeeding recommendations from the AAP and ACOG.
  3. Review the evidence for maternal and infant impact of breastfeeding.
  4. Learn strategies to support mothers and infants.

OCTOBER 30, 2015

Amer Karam, M.D.,Associate Clinical Professor, Division of Gynecologic Oncology, Stanford University Medical Center.  Speaker, Bright Pink®

Breast and Ovarian Cancer Prevention:  Risk Stratification and Management in Young Women

Learning objectives:

  1. Discuss breast and ovarian cancer risk with their young, female patients and feel a sense of urgency to initiate these conversations.
  2. Identify which patients are at increased risk for developing breast or ovarian cancer and refer them for genetic counseling and testing as needed.
  3. Ensure high-risk young women understand their options for prevention and early detection.
  4. Encourage all young, female patients to practice healthy lifestyle habits, regardless of their risk level, in an effort to reduce their likelihood for developing breast and ovarian cancer.
  5. Help young women develop strategies to be proactive advocates for their health.

NOVEMBER 6, 2015 - No Grand Rounds - Annual Northwest Update in OB/GYN & Women's Health

NOVEMBER 13, 2015 - In recognition of OHSU 4th Annual Professionalism Week

Barbara Bonnice, DNP, RN.  Director, Professional Practice, Nursing Administration, OHSU

Breaches of Professionalism:  Innovations and Best Practices for Developing Effective Professional Relationships in a Fast-Paced, Siloed World

Learning objectives:

  1. Define new professionalism paradigm.
  2. Discuss prototype cases.
  3. Appreciate responsibilities to ourselves, our peers, our patients.
  4. Identify barriers and opportunities.
  5. Make recommendations to ourselves and the system.

NOVEMBER 20, 2015 - Multidisciplinary Case Grand Rounds - NOT OPEN TO THE PUBLIC

Brian L. Shaffer, M.D.,Division of Maternal-Fetal Medicine, Department of OB/GYN, and Aaron B. Caughey, M.D., Ph.D., Division of Maternal-Fetal Medicine, Chair of Department of OB/GYN, and Daniel K. Morrow, M.D., Division of Neonatology, Department of Pediatrics

Cord Blood Gas Evaluation:  Obstetric and NICU Perspectives

Learning objectives:

1.  Understand the basic physiology and pathophysiology of umbilical cord gases; 2.  Understand indications for obtaining cord gases vs. potential benefit of universal cord gases; 3.  Understand the predictive power of abnormal cord gases for short- and long-term neonatal outcomes.

NOVEMBER 27, 2015 - No Grand Rounds (day after Thanksgiving Day holiday)

DECEMBER 4, 2015

  • Paula Amato, M.D., Associate Professor, Department of OB/GYN, Division of Reproductive Endocrinology & Infertility, OHSU
  • G. Michael Silberbach, M.D., Professor, Department of Pediatrics, Division of Pediatric Cardiology, OHSU
  • Katie A. Woods, M.D., Assistant Professor, Department of Pediatrics, Division of Pediatric Endocrinology, OHSU

An Update on turner Syndrome:  Challenges and Controversies

Learning objectives:

  1. Review the genetics of Turner Syndrome.
  2. Discuss hormone therapy and health maintenance in children and adults with Turner Syndrome.
  3. Describe fertility preservation and reproductive options for women with Turner Syndrome.
  4. Discuss cardiovascular health in women with Turner Syndrome.

DECEMBER 11, 2015

Robert B. McLafferty, M.D.,Chief of Surgery, Department of Surgery, Veterans Affairs Health Care System, Portland, OR.  Professor, Department of Surgery, Division of Vascular Surgery, OHSU.

Chronic Venous Disease in Women:  It's Not Just Varicose Veins

Learning objectives:

  1. To understand the significance of unilateral swollen leg.
  2. To understand May-Thurner Syndrome.
  3. To understand the treatment of Varicose Veins.

DECEMBER 18, 2015 - Multidisciplinary Case Grand Rounds - NOT OPEN TO THE PUBLIC

Janice Snyder, RN, L&D Bedside Nurse, OB/GYN Quality Nurse Specialist, OHSUSarah Dilley, MD, PGY-4, Department of OB/GYN, OHSUNicole Marshall, MD, MCR, Division of Maternal-Fetal Medicine, Department of OB/GYN, OHSU.

Managing Delivery in Women with Super Obesity:  Tips and Tricks

Learning objectives:

  1. Optimize labor to achieve vaginal delivery in women with BMI > 50.
  2. Minimize potential complications in cesarean delivery.
  3. Introduce Safe Patient Handling resources to improve patient care and prevent workplace injury.

DECEMBER 25, 2015 - No Grand Rounds

JANUARY 1, 2016 - No Grand Rounds

JANUARY 8, 2016 

Alex J. Polotsky, M.D., M.S.,Associate Professor of OB/GYN, Reproductive Endocrinology & Infertility, Fellowship Director and Interim Division Director, University of Colorado-Denver

Effect of Obesity on Gonadotropin Secretion and Ovarian Function:  Exploring New Avenues for Treatment

Learning objectives:

  1. Define obesity and understand the distinction between obesity and polycystic ovary syndrome.
  2. Describe hormonal changes associated with obesity in women.
  3. Understand the link between obesity and inflammation.
  4. Describe potential avenues for treatment of obesity-related reproductive morbidity.

JANUARY 15, 2016 - No Grand Rounds (departmental meeting)

JANUARY 22, 2016 - No Multidisciplinary Case Grand Rounds (CREOG exams)

JANUARY 29, 2016 - No Grand Rounds (departmental Annual Research Symposium)

FEBRUARY 5, 2016

Sacha Krieg, M.D., Ph.D., Assistant Professor of OB/GYN, Division of Reproductive Endocrinology & Infertility, OHSU

Recurrent Pregnancy Loss:  Decidual contributions to recurrent miscarriage

Learning objectives: 

  1. Define recurrent pregnancy loss.
  2. Describe evaluation for recurrent pregnancy loss and treatment options.

FEBRUARY 12, 2016 - 3 presentations in recognition of OHSU Performance Excellence Week

CHH South and North Work in Integrated Design Events and Operationalization by Kevin O'Boyle, V.P. Ambulatory Care, Ambulatory Services Administration, OHSU.  Learning objective:  Understanding how principles in Interdisciplinary Design Event have impacted the construction of Center for Health and Healing South and Ambulatory Care.

Medication Reconciliation Improvement by Seth Hartman, Pharm D, Medication Safety Manager, Department of Pharmacy Services, OHSU.  Learning objectives:  (1) Describe the current challenge of medication reconciliation at OHSU; (2) Identify next steps and how you can assist in this process.

Internal Medicine Level Loading by Joseph Hardman, M.D., Assistant Professor, Department of Internal Medicine, OHSU.  Learning objectives:  (1) Review an example of process improvement in an outpatient practice; (2) Understand the importance of staff and provider engagement in improvement work.

FEBRUARY 19, 2016

Leslie Myatt, Ph.D., FRCOG, Professor of OB/GYN, Division of Maternal-Fetal Medicine, OHSU

"Pregnancies on the Edge:  Placental mitochondrial function with obesity and gestational diabetes."

Learning objectives:

  1. Recognize the association between maternal obesity, diabetes in pregnancy and stillbirth.
  2. Understand the roles mitochondria play in placental function and be cognizant of changes in mitochondrial respiration with obesity and gestational diabetes.
  3. Be aware of potential therapeutic strategies to improve mitochondrial respiration, placental function and pregnancy outcome.

FEBRUARY 26, 2016 - Multidisciplinary Case Grand Rounds - OPEN TO THE PUBLIC

Annette Magner, R.N., IBCLC, Certified Lactation Consultant, Inpatient Lactation Services, OHSU

Carrie Anne Phillipi, M.D., Ph.D.,Division of General Pediatrics, Certified Lactation Consultant, Department of Pediatrics, OHSU

Breastfeeding in the OHSU Workplace.  Room for everyone!

Learning objectives:

  1. Benefits of breastfeeding and need for workplace support.
  2. the business case for supporting breastfeeding.
  3. What OHSU is doing to support compliance with Federal and Oregon Laws about breastfe3eding in the workplace.
  4. What OHSU is doing to support breastfeeding employees.

MARCH 4, 2016

Katy B. Kozhimannil, PhD, MPA, Associate Professor, Division of Health Policy and Management, University of Minnesota School of Public Health

Cesarean Delivery in the United States:  Variation across hospitals

Learning objectives:

  1. To quantify variability in cesarean rates across US hospitals, and to identify potential sources of variability.
  2. To highlight research findings on the role of patient case mix, geographic location, and doula support in driving cesarean rates.
  3. To describe future research needs related to hospital management practices and health systems reform to improve maternity care.

MARCH 11, 2016

Megan Furnari, M.D., Resident, Department of Pediatrics, OHSU Doernbecher Children's Hospital

What is wellness in medicine anyway?  Optimizing medical systems for doctors.

Learning objectives:

  1. Deconstruct work-life balance and personal happiness/fulfillment in OB/GYN
  2. Providing wellness support when needs vary so much between providers and level of trainees.
  3. Strategies to overcome systems challenges for attendings, fellows and residents in OBGYN.
  4. Discuss current OHSU wellness initiatives and how to make the present and future better.
  5. Tangible take-home ideas to optimize your own satisfaction/wellness specific to surgeons.

MARCH 18, 2016

PART I:  Hallie Gardner, M.D., PGY-4, Department of OB/GYN, OHSU

PART II:  Wan-Ju Wu, M.D., PGY-4, Department of OB/GYN, OHSU

An Update on Zika Virus

Learning objectives - PART I

  1. Describe the epidemiology and clinical manifestations of Zika virus disease.
  2. Discuss diagnostic testing for Zika virus.
  3. Review pregnancy outcomes and current CDEC recommendations for pregnant women.

Learning objectives - PART II

  1. Review the evidence on sexual transmission of Zika.
  2. Discuss the global and individual country's response to Zika.
  3. Discuss reproductive health implications of Zika.

MARCH 25, 2016 - NO Multidisciplinary Case Grand Rounds

APRIL 1, 2016

Jim Winkle, MPH, Department of Family Medicine, OHSU

Addressing Intimate Partner Violence with Primary Care Patients

Learning objectives:

  1. Ask validated screening questions.
  2. Explore an increased clinical index of suspicion.
  3. Perform adequate safety assessment, safety planning, and documentation.

APRIL 8, 2016

Anne Cooper, M.D., PGY-4, Department of OB/GYN, OHSU, and Keenan Yanit, M.D., PGY-4, Department of OB/GYN, OHSU

Pain Prevention in Gynecologic Laparoscopy

Learning objectives:

  1. Review sources of pain in gynecologic laparoscopy.
  2. Review pharmacologic interventions to reduce postoperative pain.
  3. Review surgical techniques to reduce postoperative pain.

APRIL 15, 2016

Chris Farentinos, M.D., MPH, Vice President, Unity Center for Behavioral Health, Legacy Health, Portland

Judith T. Marcus, M.D., Medical Director, Behavioral Health, Legacy Health, Portland

Unity Center, a new model for Psychiatric Emergency Services for Portland

Learning objective:  Learn about Psychiatric Emergency Service Models and Need Learn about the "Alameda Model" study - A Regional Approach to Addressing ED Psychiatric Boarding Learn about Unity Center for Behavioral Health planning and implementation (collaborative effort between Legacy Health, OHSU, Kaiser and Adventist).

APRIL 22, 2016 - Multidisciplinary Case Grand Rounds - OPEN TO THE PUBLIC

Melissa Weddle, M.D., MPH and Allison Empey, M.D.,Division of General Pediatrics, Department of Pediatrics, OHSU

Vitamin K Ethics

Learning objectives:

  1. Review the evidence in favor of intramuscular vitamin K for newborns.
  2. Delineate the pros and cons of oral vitamin K.
  3. Discuss ethical issues of nonstandard administration.
  4. Specify strategies for prevention of vitamin K deficiency bleeding.

APRIL 29, 2016

Jonas Swartz, M.D., PGY-4, Department of OB/GYN, OHSU

Insurance Coverage for Contraception after the Affordable Care Act

Learning objectives:

  1. Identify former Rep. Bart Stupak's contribution to women's health.
  2. Review the key components of the Affordable Care Act of 2010.
  3. Discuss the landscape of insurance coverage for contraception in Oregon and nationally, review legal challenges to the Contraceptive Mandate, and understand continued barriers to fully covered contraception.

MAY 06, 2016

Meg O'Reilly, M.D., M.P.H., Generalists Division, and Susan Tran, M.D., Maternal-Fetal Medicine Division, Department of OB/GYN, OHSU

Sooner, Faster, Better:  ObGyn medical student education in the new curriculum

Learning objectives:

1.  To review the new Undergraduate Medical Education curriculum.

2.  To discuss the role of the medical student educator in the context of the new curriculum.

3.  Discuss details of student assessment.

4.  To highlight strategies of an effective educator.

MAY 13, 2016

Sarah Dilley, M.D.,PGY-4, and Jen Lillemon, M.D.,PGY-4, Department of OB/GYN, OHSU

Gynecologic Surgery in the Morbidly Obese Patient

Learning objectives:

  1. To review the unique challenges that obese patients pose in regards to surgical management.
  2. To highlight techniques to increase surgical safety and improve perioperative care.
  3. To emphasize a multi-disciplinary approach for optimizing outcomes.

MAY 20, 2016 - NO GRAND ROUNDS (Mock Orals)


Amanda Leigh Risser, M.D., M.P.H., Assistant Professor, Department of Family Medicine, OHSU

Project Nurture:  a novel interdisciplinary approach to care of pregnant women with substance use disorders

Learning objectives:

1.  Learn some basic concepts in how to care for women who are opiate dependent and/or have other substance use disorders.

2.  Learn about an interdisciplinary, multi-setting, community-based approach to the care of pregnant women with substance use disorders called Project Nurture.

JUNE 03, 2016

Christopher Evans, M.D., M.P.H., AAHIVM, Assistant Professor, Department of Internal Medicine, OHSU

HIV Pre-Exposure Prophylaxis (PrEP):  What should the OB/GYN clinical know?

Learning objectives: 

  1. Describe PrEP as a strategy for HIV prevention.
  2. Identify candidates for PrEP and clinical evaluations needed to safely prescribe PrEP.
  3. Describe the role of Pre-Exposure Prophylaxis in HIV serodiscordance and preconception counseling.
  4. Understand some of the research controversies surrounding PrEP.

JUNE 10, 2016 - 4, Individual Presentations, which may/not be listed in the order of presentation.

Leo Han, M.D.,Fellow, Family Planning, Department of OB/GYN, OHSU:  Regulating Cervical Mucus.  Learning objectives: (1) Understand how cervical mucus is regulated.  (2) Understand problems with studying cervical mucus.

Eva Patil, M.D.,Fellow, Family Planning, Department of OB/GYN, OHSU:  Pressure Dynamics in the Non-Gravid Uterus.  Learning objectives:  (1) Review the importance of options for permanent contraception. (2) Review current literature on intrauterine pressure in non-pregnant women.  (3) Review the results of my research study describing intrauterine pressure in women with blocked compared to patent fallopian tubes.

Meca Price, M.D., Fellow, Female Pelvic Medicine & Reconstructive Surgery, Department of OB/GYN, OHSU:  NGAL biomarker and Urinary Tract Infections - a case control study (NUTI Study).  Learning objectives:  (1) Characteristics of a good biomarker.  (2)  Advance general knowledge about ROC graphs.

Jennifer Salati, M.D.,Fellow, Maternal-Fetal Medicine, Department of OB/GYN, OHSU:  Novel use of Contrast-Enhanced Ultrasound Demonstrates Improved Microvascular Placental Perfusion After Western-style Diet Reversal in the Non-human Primate.  Learning objectives: (1) Understand how contrast-enhanced ultrasound can be used for the evaluation of placental hemodynamics.  (2) Understand how dietary reversal impacts pregnancy in the non-human primate.

JUNE 17, 2016 - NO GRAND ROUNDS (Residents Research Day)

JUNE 24, 2016 - NO GRAND ROUNDS (Teaching, Research & Practice Awards Ceremony)


SEPTEMBER 2016 - Grand Rounds resumes.



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.