Perinatology, a subspecialty within obstetrics and gynecology, deals with high-risk pregnancies. A maternal-fetal medicine specialist has expertise in the care of pregnancies at risk by medical, surgical, and/or obstetric complications. This includes diabetes, hypertension, multiple gestations, preterm labor, birth defects or any complication of pregnancy.
Each year, more than 3,500 patients visit the division of perinatology. This includes the usual high-risk cases and a variety of unusual and rare cases, which are often managed in conjunction with other services such as cardiology, burn, trauma, hematology, endocrinology and neurosurgery.
Additionally, our department is affiliated with Children's National Medical Center and serves as the referral delivery hospital for fetuses with significant congenital malformations, such as complex cardiac abnormalities, neural tube defects and conjoined twins.
Adolescent Health Care
The focus on adolescent health care includes the Teen Alliance for Prepared Parenting (TAPP) program, a clinic which meets on Monday and Thursday afternoons. Through this program, a multi-disciplinary team of professionals address the gynecologic and obstetric needs of adolescents, ages 12 through 21. Loral Patchen, PhD, CNM is executive director of the program. Midwives and social workers provide comprehensive clinical and behavioral health care to participants in this program.
Residents spend one month in the pediatric and adolescent gynecology service at Children's National Health System as well as MedStar Washington Hospital Center and MedStar Georgetown University Hospital. During this rotation, the resident attends all pediatric gynecology clinics and surgeries as well as multidisciplinary heavy menses, PCOS, vulva dermatology and PROUD (Positive Reevaluation of Urogenital Differences) Clinics. Residents are also expected to attend child abuse clinic and one gender program session. In addition, residents perform in-patient and emergency room consults for pediatric and adolescent gynecology conditions throughout their residency. During this rotation residents will learn how to examine young children and adolescents, how to perform a confidential exam in an adolescent, evaluation and management of abnormal vaginal bleeding, pelvic trauma, vulvar lesions, pelvic masses, congenital anomalies of the genitalia as well as endocrine conditions such as amenorrhea, hirsutism and gender dysphoria in children and adolescents. Residents will attend the NIH REI Journal club, PROUD clinic conferences as well as present one pediatric and adolescent gynecology topic at the end of the rotation.
Residents acquire experience in reproductive endocrinology and infertility at Shady Grove Fertility Center under the direction of Dr. Anitha Nair. MedStar Washington Hospital Center residents work in the gynecology-endocrinology clinic, where they gain experience in the diagnosis and management of conditions such as amenorrhea, hirsutism and dysfunctional uterine bleeding. They also participate in assisted reproductive IVF cycles. While on this rotation, residents attend the NIH reproductive endocrinology journal club supervised by Dr. Alan DeCherney.
This subspecialty focuses on disorders of the female pelvic floor and bladder. Residents learn to evaluate and manage conditions such as urine or stool incontinence or uterine/vaginal prolapse. Residents perform basic urodynamic testing, cystourethroscopy and a variety of transvaginal, transabdominal and laparoscopic pelvic reconstructive procedures. This division works extensively with robotic surgery technology.
This subspecialty focuses on the diagnosis and management of gynecologic malignancies. The Washington Cancer Institute is the busiest and largest cancer treatment center in the Washington, D.C. region. Over 1,000 new cases of malignancies are diagnosed annually. Residents actively participate in the medical and surgical management of all gynecologic oncology patients under the supervision of Dr. Charles Boice. Dr. Boice is one of the busiest and most respected gynecologic oncologists in the capital region.
For more information, please contact:
OB/GYN Medical Education
Department of Obstetrics and Gynecology
MedStar Washington Hospital Center
110 Irving Street, NW Suite 5B-63
Washington, DC 20010
Email: [email protected]MedStar.net
MedStar Georgetown University Hospital