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.






SEPTEMBER 2 2016 - No Grand Rounds (Labor Day weekend)


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

The Department of Obstetrics and Gynecology: An Update on Team OB/GYN

Learning Objectives:

  1. Summarize the Clinical achievements over the past year.
  2. Summarize the Educational achievements over the past year.
  3. Summarize the Research achievements over the past year.

SEPTEMBER 16, 2016

Thomas G. DeLoughery, M.D., M.A.C.P., F.A.W.M., Professor of Medicine, Pathology and Pediatrics in the Divisions of Hematology/Oncology and Laboratory Medicine, OHSU

Update in DVT/PE

Learning Objectives:.

  1. Learn when to use therapies such as thrombolysis and IVC filters in the treatment of venous thrombosis.
  2. Learn how to determine length of therapy for venous thrombosis.
  3. Learn when - and when not- to use the new anticoagulants.

SEPTEMBER 23, 2016- Multidisciplinary Case Grand Rounds- OPEN TO THE PUBLIC

Jamie B. Warren, M.D.., M.P.H., Assistant Professor, Department of Pediatrics, Division of Neonatology, OHSU

Delayed Cord Clamping: An Update on the Evidence and Description of an Upcoming Clinical Trial at OHSU

Learning Objectives: 

  1. Describe the most current evidence and outcomes for delayed cord clamping in term and preterm infants.
  2. Understand the current direction of research on the topic of enhanced placental transfusion for neonates.
  3. Understand the role of the obstetric provider in VentFirst, the upcoming multicenter clinical trial that tests the initiation of ventilation during delayed cord clamping for extremely preterm neonates.

SEPTEMBER 30, 2016

Amanda Sadecky, M.D., Assistant Professor, Department of OB/GYN, OHSU

Ureteral Injuries in Gynecologic Surgery: Avoidance, Recognition, and Repair 

Learning Objectives: 

  1. Understand the anatomy of the ureter within the pelvis, particularly with relationship to the gynecologic organs.
  2. Discuss several strategies to reduce the risk of ureteral injury.
  3. Evaluate various diagnostic techniques for detection of ureteral injury.

OCTOBER 7, 2016

Amy Valent, D.O., Assistant Professor, Department of OB/GYN, Division of Perinatology, OHSU

The Crystal Ball to Future Disease: Diabetes Mellitus in Pregnancy and Introducing OHSU DAPP Guidelines

Learning Objectives:

  1. Understand the impact of metabolic dysfunction in pregnancy for the future health of pregnant mothers, their babies, and the family unit.
  2. Recognize your role in making a difference in promoting health and nutrition.
  3. Acknowledge a useful resource/tool for providers caring for pregnant women.

OCTOBER 14, 2016

Karen Adams, M.D., Professor, Department of OB/GYN, OHSU

Amy Stenson, M.D., Assistant Professor, Department of OB/GYN, OHSU

Residency Education 2016-2017

Learning Objectives:

  1. Summarize areas identified for improvement in the residency training program in the 2016 Annual Program Review.
  2. Explain the Milestone framework and its importance to resident feedback and evaluation.
  3. Understand and begin using MyTipReport to provide timely feedback on surgical performance and milestones.

OCTOBER 21, 2016

Thomas DeLoughery, M.D., M.A.C.P., F.A.W.M., Professor, Pathology and Pediatrics in the Divisions of Hematology/Oncology and Laboratory Medicine, OHSU

Sex, Lies, and Iron Deficiency

Learning Objectives:

  1. What are common symptoms of iron deficiency?
  2. What is the best way to diagnose iron deficiency?
  3. What are the best options for iron replacement?

OCTOBER 28, 2016- Multidisciplinary Case Grand Rounds- OPEN TO THE PUBLIC

Ladawna Gievers, M.D., Fellow, Department of Pediatrics, Division of Neonatology, OHSU

Sheevaun Khaki, M.D., Assistant Professor, Department of Pediatrics, OHSU

The Impacts of a Standard of Care Practice Change Using a Risk Calculator 

Learning Objectives:

  1. Understand the evolution of management of neonates born to mothers with chorioamnionitis at OHSU.
  2. Develop a framework for initiating a quality improvement project.
  3. Describe the impacts of the standard of care practice change surrounding the care of neonates born to mothers with chorioamnionitis.

November 4, 2016- No Grand Rounds

November 11, 2016

Philip Sarrel, M.D., Professor Emeritus of Obstetrics, Gynecology, and Reproductive Sciences; Professor Emeritus of Psychiatry, Yale University

The Mortality Toll of Estrogen Avoidance

Learning Objectives:

  1. Describe the medical consequences including increased mortality rates in untreated women following surgical menopause.
  2. Describe effects of estrogen therapy in controlling symptoms, reducing disease risk, and reducing mortality.
  3. Describe the issues involved in resistance to estrogen therapy among women and healthcare providers.

November 18, 2016- Multidisciplinary Case Grand Rounds- NOT OPEN TO THE PUBLIC

Michele Megregian, C.N.M., M.S.N., Clinical Assistant Professor, School of Nursing, Department of Midwifery, OHSU

Water Birth and Water Immersion at OHSU

Learning Objectives:

  1. Describe the current evidence regarding the risks and benefits of water immersion during labor and water birth.
  2. Describe the water birth/water immersion practice protocol at OHSU. 
  3. Describe the role of patient satisfaction and shared decision making in offering water birth and water immersion.

November 25, 2016- No Grand Rounds (Thanksgiving Holiday) 

December 2, 2016

Jeffrey Jensen, M.D., M.P.H., Professor, Department of OB/GYN, OHSU

Management of Menopause

Learning Objectives:

  1. Explain why early and late initiation of HRT result in different cardiovascular effects.
  2. Discuss different effects of oral and transdermal estrogen therapy.
  3. Describe cardiovascular risks of progesterone therapy.



December 23, 2016- No Grand Rounds (Due to Holiday Season)

December 30, 2016- No Grand Rounds (Due to Holiday Season)

January 6, 2017

Niki Steckler, Ph.D., Associate Professor of Management, OHSU

Making a Meaningful Difference: Practices for Influencing and Leading Change

Learning Objectives:

  1. Consider leadership from the perspective of four practices (articulating a vision for a desired future, connecting with colleagues, influencing up, down, and across, and moving to action through experiments).
  2. Create a personal practice plan tailored to increase capacity in one of the four practices.

January 13, 2017- No Grand Rounds (Due to Rank Meeting)

January 20, 2017

Tracy Bumsted, M.D., M.P.H., FAAP, Associate Dean for Undergraduate Medical Education, Associate Professor of Pediatrics, OHSU 

OHSU MD Curriculum Transformation: Update and Invite

Learning Objectives:

  1. Describe the key elements, two phases, and overall cool aspects of the YourMD medical student curriculum.
  2. Determine what opportunities exist for you to become more involved in medical student education at OHSU.

January 27, 2017-No Multidisciplinary Grand Rounds (Due to CREOG Exam)

February 3, 2017 

Alex Butwick, M.D., Associate Professor, Department of Anesthesiology, Stanford University 

Update on Postpartum Hemorrhage: Prevention and Management

Learning Objectives:

  1. To review the epidemiology of postpartum hemorrhage.
  2.  To provide an update on pharmacological interventions for the prevention and management of postpartum hemorrhage.
  3. To discuss modern approaches related to the transfusion management of postpartum hemorrhage.

February 10, 2017- OHSU Performance Excellence Week

Lori Ellingson, Director, Surgical and Oncology Services, Bryon Leeper, Supervisor, Department of Logistics, and Mark Smith, Performance Improvement Consultant, Department of Quality Management

Linen Improvements

Learning Objectives:

  1. Describe how Linen Optimization has reduced waste on linen processed by an average of 16% per unit in the pilot division. Depending on the linen needs in the pilot division, a reduction represents a range of 1.39lbs of linen per patient-3.46lbs of linen per patient.
  2. Understand how linen usage not only ha a fiscal impact at OHSU, but an ecological impact on our environment.
  3. Describe how being conscientious about linen use and the use of flat sheets in place of draw sheets, utilization on 2 unites was reduced by 29% in one unit, and 31% in another.

Liz Stevenson, Dept Administrator, Department of Psychiatry and Whitney Black, M.D., Assistant Professor, Department of Psychiatry

Zero Suicide Initiative 

Learning Objectives:

  1. Identify the benefits of implementing a self scoring patient survey regarding mental state of mind.
  2. Describe how the "OWL" system works for providers and for patients.
  3. Discuss how the Zero Suicide mission could positively affect patient outcomes.

February 17, 2017

Kimberly Ma, M.D., Assistant Professor, Department of OBGYN, University of Washington

Cancer in Pregnancy: Obstetric Care for Patients With a Concurrent Malignancy Diagnosis and for Cancer Survivors

Learning Objectives:

  1. To discuss the incidence of cancer in pregnancy.
  2. To review the pregnancy management with a concurrent cancer diagnosis including diagnostic imaging, surgery, and chemotherapy.
  3. To discuss unique issues for cancer survivors and pregnancy.

February 24, 2017- Multidisciplinary Grand Rounds-OPEN TO THE PUBLIC

Margaret Grace, M.N., R.N., Labor and Delivery, OHSU

Nitrous Oxide Administration in Labor and Delivery

Learning Objectives:

  1. Identify with patients are good candidates for nitrous oxide use on Labor and Delivery.
  2. Be able to educate, screen, and document for patients using nitrous oxide.

March 3, 2017

Bethany Sabol, M.D., PGY-4, Department of OBGYN, OHSU 

How We Are Putting the "M" Back in MFM- A Quality

Learning Objectives:

  1. Understand current quality improvement projects involving maternal morbidity initiatives in obstetrics.
  2. Learn how to create a quality improvement project within your institution and how to further collaborate on a state and national level.

Patricia Overcarsh, M.D., M.P.H., PGY-4, Department of OBGYN, OHSU

Quality and Safety Improvement: The Importance of Engaging Residents to Affect Change

Learning Objectives:

  1. Review the importance of quality improvement in resident education.
  2. Learn about current ongoing quality and safety improvement projects by residents at OHSU.

March 10, 2017

Samer Mattar, M.D., Professor of Surgery, Chief of Bariatric Services, OHSU

Debunking Myths in Bariatric Surgery

Learning Objectives:

  1. To gain familiarity with the scope of the obesity epidemic.
  2. To gain understanding of the barriers to effective therapy.
  3. To become cognizant of the various surgical and non-surgical options for durable weight loss.
  4. To gain familiarity with the risks, benefits, and safety profiles of bariatric surgical options.
  5. To understand the association of obesity with cancer and the impact of significant weight loss.

March 17, 2017

Sharon Achilles, M.D., Ph.D., Assistant Professor, Department of OBGYN, University of Pittsburgh Magee Women's Hospital

Contraception "T": History, Hurdles, and Headlines in Developing Contraceptives That Also Prevent HIV

Learning Objectives:

  1. Discuss challenges associated with multipurpose prevention technology (MPT) development.

March 24, 2017- No Multidisciplinary Grand Rounds (Due to Spring Break)

March 31, 2017

Blair Darney, Ph.D, Research Assistant Professor, Department of OBGYN, OHSU

Legal Abortion in Mexico: Context and Research

Learning Objectives:

  1. Understand the current legal context for abortion in Mexico.
  2. Describe current work on late presentation for care and geographic access to care.
  3. Describe novel approaches and methods to address common data limitations.
  4. Intelligently engage at a cocktail party about an abortion research agenda in Mexico.

April 7, 2017

Allison Allen, M.D., PGY-4, Department of OBGYN, OHSU

Active Management of Labor: Are We Doing Too Much?

Learning Objectives:

  1. Understand the new ACOG Guidelines for labor management.
  2. Understand the data regarding active labor managment.

Jessica Riordan, M.D., PGY-4, Department of OBGYN, OHSU

Make the Patient Handoff Great Again

Learning Objectives:

  1. Understand the elements of an effective patient handoff and why it's an essential aspect of patient care.
  2. Discuss opportunities to teach effective transitions of care.

April 14, 2017

Nicole Marshall, M.D., Assistant Professor, Department of OBGYN, Division of Maternal Fetal Medicine, OHSU

Obesity, Diabetes, and Maternal Future Health-The Role of the OB Provider

Learning Objectives:

  1. Review the risk of future health complications following pregnancy-related diagnoses.
  2. Discuss possible interventions.
  3. Optimize prenatal care and transition to primary care providers.

April 21, 2017 Multidisciplinary Grand Rounds- OPEN TO THE PUBLIC

Maureen Baldwin, M.D., M.P.H., Assistant Professor, Department of OBGYN, OHSU

Updates in Immediate Postpartum Contraception

Learning Objectives:

  1. Identify characteristics of patients at risk for:
    • Short inter-pregnancy interval
    • Not attending postpartum appointments
  2. Understand the options for immediate postpartum contraception available at OHSU.
  3. Adopt new documentation and billing practices for immediate postpartum contraception.
  4. Counsel patients on the risks, benefits, and side effects of immediate postpartum contraception.

April 28, 2017

Larry Veltman, M.D.

How to Avoid Getting Sued...Sometimes!

Learning Objectives:

  1. Understand the current issues and most common allegations with respect to obstetrical medical malpractice claims.
  2. Learn the elements of personal risk management. That is, learn what can be done in a medical practice everyday to decrease the chance of being accused of negligence.
  3. Understand the concept and principles of the "high reliability perinatal unit" and the obstetrician's role in preventing adverse outcomes.

May 5, 2017

Jubilee Brown, M.D., Department of Gynecologic Oncology, Carolinas Healthcare System

Rare Ovarian Tumors: What You Need to Know!

Learning Objectives:

  1. Describe natural history of rare ovarian tumors.
  2. Understand the recommended treatments for each specific rare gynecologic cancer histologic subtype.
  3. Explore the evidence surrounding treatment recommendations.
  4. Synthesize the available evidence to organize an optimal treatment plan for patients with rare ovarian tumors.

May 12, 2017

Rebecca Taub, M.D., PGY-4, Department of OBGYN, OHSU

Women vs. The White House: The State of the Yonic Union (and what we can do about it)

Learning Objectives:

  1. Understand the basic principles of the American Healthcare Act, how it differs from the ACA, and how it is likely to affect our patients.
  2. Review upcoming bills and policies in Oregon affecting reproductive health.
  3. Learn several fast, easy, and effective strategies for activism and resistance.

May 19, 2017- No Grand Rounds (Due to Mock Oral Exams)

May 26, 2017 Multidisciplinary Grand Rounds

Allison Empey, M.D., Department of Pediatrics, OHSU, Crissy Megli, M.D., Department of OB/GYN, OHSU, Dawn Nolt, M.D., Department of Pediatrics, OHSU, and Jennifer Vines, MD, MPH, Multnomah County Health Department

Syphilis on the Rise

Learning Objectives:

  1. Review maternal-fetal transmission of syphilis based on stage.
  2. Appreciate the rise of syphilis in Oregon and how that may affect our patients.
  3. Understand the increased screening for maternal syphilis.

June 2, 2017

Rachel Guild, M.D., PGY-4, Department of OBGYN, OHSU 

Surgical Site Infections in Gynecologic Surgery

Learning Objectives:

  1. Define surgical site infections (SSI) in gynecologic surgery, their incidence, and implications.
  2. Understand the interventions that can be utilized to reducce surgical site infections and the data behind them.
  3. Review the rates of SSI at this institution and compare them to expected rates and targets.
  4. Briefly summarize interventions utilized at OHSU to reduce SSI.

Crissy Megli, M.D., PGY-4, Department of OBGYN, OHSU

Sex, Drugs, and Bugs: An Update on STIs

Learning Objectives:

  1. Review pathogenesis of STI.
  2. Review guidelines on STI screening
    • Focused on gonorrhea, chlamydia, hepatitis C
  3. Discus epidemiology of STIs
    • Focus on US>Oregon>Multnomah County
    • Describe changes in STI rates over the past 5 years
    • Relate the change in rates to STI guidelines
  4. Discuss updates in treatment of STIs.

June 9, 2017- No Grand Rounds (Due to Resident Research Day)

June 16, 2017

Camille Calderwood, M.D., Fellow in Female Pelvic Medicine & Reconstructive Surgery, Department of OBGYN, OHSU,

Correlation of Levator Ani Defects Seen in Pelvic Floor Imaging

Learning Objectives:

  1. Consequences of levator ani injury in pelvic floor disorders.
  2. Review levator ani anatomy.
  3. Understand pelvic floor imaging techniques currently in use to evaluate the levator ani.
  4. Explore why it is important to correlate imaging techniques in the absence of a "gold standard."

Jacqueline Lamme, M.D., Fellow in Family Planning, Department of OBGYN, OHSU

Evaluating Challenges Faced in Increasing Contraceptive Access in a Community College Population: If You Build It, They Still May Not Come

Learning Objectives:

  1. Review what is known about contraceptive usage within a community college population.
  2. Understand the process and challenges of setting up an intervention trial within a community college population.
  3. Discuss the opportunities discovered for further collaboration and additional research angles.

Rita Sharshiner, M.D.., Fellow in Maternal Fetal Medicine, Department of OBGYN, OHSU

Vesicular Uptake of Macromolecules by Human Placental Amniotic Epithelial Cells

Learning Objectives:

  1. Understand the role of placental amnion in amniotic fluid volume regulation.
  2. Review the various types of vesicular transcytosis and their role in the amnion.
  3. Become familiar with advanced light microscopy techniques as applied to studying vesicular transcytosis.

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.