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UNM Division of Family Planning Department of Obstetrics & Gynecology MSC10 5580 1 University of New Mexico Albuquerque, NM 87131 (505) 925 0687 obgyn.unm.edu Welcome to the HO4 Family Planning Rotation! We are very excited to have you join us for your rotation, and we hope you find your experiences here as wonderful as we have found ours. This document will provide an operational overview and resources to guide you throughout your rotation. You will receive specific instruction after you arrive and meet your attending physicians. Contents Course Description... 1 Resident Responsibilities... 2 Clinical Objectives... 2 Assessment... 2 Timeline: Rotation Checklist... 2 Family Planning Faculty & Fellows at UNM... 3 Important phone numbers and addresses... 4 Family Planning Rotation Clinical Training Site... 4 Weekly Schedule... 5 Didactic Sessions... 5 e LEARN Curriculum... Error! Bookmark not defined. Residency Program: Womens Health Curriculum... 5 Ryan LARC Program... 6 Clinic Security... 6 Course Description This is an (8) week rotation focusing on family planning care within the UNM Department of Obstetrics and Gynecology. The rotation will include clinical care within the UNM Center for Reproductive Health (CRH). During your rotation, you will gain knowledge and clinical experience in the following areas: Sterilization Pain Management in Office Based Procedures Hysteroscopy

Resident Responsibilities You will train at the resident level, under the direct supervision of Ob/Gyn fellows and faculty. You are expected to participate as a full member of the family planning team. Responsibilities include: Clinic Attendance: You will attend all assigned clinics at: UNM Center for Reproductive Health (CRH) Assignments: Online Modules You will complete Women s Health Curriculum: 6 Hysteroscopic Sterilization modules Clinical Objectives Sterilization Counsel and consent patients about permanent sterilization Perform interval laparoscopic sterilization Perform hysteroscopic sterilization (Essure) Pain Management in Office Based Procedures Curriculum will be individualized to the projected type of practice that resident intends to pursue Understand the different options for pain management Understand the evidence for pain options by common office based gynecological procedures Hysteroscopy Cover basic instrumentation necessary to assemble and operate a hysteroscope Understand the concepts and concerns regarding uterine cavity visualization Uterine access and distention media Understand how to use various energy modalities in operative hysteroscopy Assessment It is your responsibility to email Dr. Pereda midway through your rotation to discuss your progress towards your rotation goals, requests for additional resources or challenges. At the end of your rotation, you will be given the opportunity for evaluation and feedback. We will evaluate whether you are meeting the clinical goals and objectives by: Directly observing your clinical, technical and communication skills Satisfaction of Women s Health Ob/Gyn Residency training curriculum requirement Timeline: Rotation Checklist Before Rotation Starts

UNM Division of Family Planning Department of Obstetrics & Gynecology MSC10 5580 1 University of New Mexico Albuquerque, NM 87131 (505) 925 0687 obgyn.unm.edu Thoroughly review this packet. Ensure you have the tools you need to complete these assignments and to be ready to participate in discussion. Connect with Dr. Brenda Pereda (brpereda@salud.unm.edu) to review rotation goals e LEARN curriculum: Ensure that you have your login information Hysteroscopic Sterilization Curriculum Plan to have a great rotation! Rotation Mid Point Email Dr. Pereda with mid point progress, challenges, and goals. Schedule meeting, if necessary. By rotation mid point, you should have completed half of the required e LEARNING modules Last 2 Weeks / End of Rotation Completion of e LEARN Curriculum Requirement (3/5 modules) Completion of Hysteroscopic Sterilization Curriculum (6 modules) Schedule time to meet incoming intern to review Beta Book, OR schedule and weekly schedule. Family Planning Faculty & Fellows at UNM Eve Espey, MD, MPH Rameet Singh, MD, MPH Brenda Pereda, MD, MS Lisa Hofler, MD, MPH Lily Bayat, MD, MPH Regan Riley, DO, MPH Chair, Ob/Gyn & Director, Fellowship in Family Planning eespey@salud.unm.edu Chief, Family Planning Division rhsingh@salud.unm.edu Director, Ryan Family Planning Residency Program brpereda@salud.unm.edu Assoc. Medical Director, CRH lhofler@salud.unm.edu Family Planning Fellow lbayat@salud.unm.edu Family Planning Fellow reriley@salud.unm.edu You may also work alongside Family Planners from UNM s Department of Family Medicine, including:

Family Medicine Faculty: Larry Leeman, MD, MPH Jennifer Phillips, MD Mary Pia Castillo Adela Tam, MD Nicole Yonke, MD, MPH Mary Beth Sutter, MD Laura Chambers Kersh, MD Kira Paisley Sarah Gopman Director, Family Practice Materity & Child Health Assoc. Medical Director, Center for Reproductive Health Important phone numbers and addresses Attending Pager Numbers Dr. Rameet Singh (505) 951 0560 Dr. Brenda Pereda (505) 951 1880 Dr. Eve Espey (505) 951 2228 Dr. Lisa Hofler (505) 951 1970 Surgery Scheduling: (505) 272 2249 (Michelle Singletary) Main Line: (505) 272 9096 Fax: (505) 272 2410 Pre Op Anesthesia Clinic Location: 2 nd Floor of old hospital Walk in clinic: 8:00 AM 4:00 PM Patients Must Bring: Original or copy of consent Surgical admission (blue card) SANE Clinic (Sexual Assault Nurse Examiners) Location: 625 Silver Ave SW, 2 nd Floor, Albuquerque, NM 87102 Phone: (505) 450 8438 or (505) 248 3153 Clinical Coordinator Fax: (505) 883 8715 UNM Financial Assistance Office Location: 1131 University NE, Suite D (Next door to Satellite Coffee) Phone: (505) 272 4858 Rebecca B. Jaramillo, Patient Financial Serv. Supervisor Family Planning Rotation Clinical Training Site Clinic UNM Center for Reproductive Health Location 2301 Yale Blvd. SE, Bldg. E, Albuquerque, NM 87106 Main Line Main Line: (505) 925 4455 / Dr s Pod: (505) 925 4286 Admin Contact Nico Candelaria / (505) 925 4455 / nscandelaria@unmmg.org

Melissa Blacklock / (505) 925 4296 / mrblacklock@unmmg.org UNM Division of Family Planning Department of Obstetrics & Gynecology MSC10 5580 1 University of New Mexico Albuquerque, NM 87131 (505) 925 0687 obgyn.unm.edu Weekly Schedule Monday Tuesday Wednesday Thursday Friday (0 Hour) 7:00am Pre Op Conference Grand Rounds AM (8:00am) REI Admin Admin Admin Resident Conference PM (12:30pm) REI Admin PCC (12:45 pm) CRH Procedure Clinic REI (After Hours) Journal Club once every other month, 6:15 8:15pm Please arrive at CRH Procedure Clinic by 12:30 pm unless otherwise instructed by your attending. Didactic Sessions Pre Op and Grand Rounds Pre Op Conference and Grand Rounds occur every Friday morning at 7:00am and 8:00am, respectively. You will present weekly at Pre op conference. CRH clinic starts later on Friday to accommodate Grand Rounds. Family Planning Journal Club Journal Club occurs every other month, usually on a Tuesday, Wednesday or Thursday evening, from 6:15pm 8:15pm at Dr. Espey s house (unless otherwise notified). Below you will find a link to our wiki page with Journal Club dates, agendas (as they are finalized), and readings. Please plan to attend Journal Club if one falls during your rotation. Link to Journal Club dates, agendas, and readings Residency Program: Womens Health Curriculum By the end of your rotation, you are expected to complete 6 Hysteroscopic Sterilization modules in the Residency Program s Women s Health Curriculum. Your progress towards this goal will be reviewed during your mid point evaluation and again at the end of your rotation. To access the curriculum, click the following link: http://bit.ly/theresidencyprogram The password to login to this curriculum is education. Once logged in, you will have a choice of selecting Hysteroscopic Sterilization or Intrauterine Contraception. Choose Hysteroscopic Sterilization Complete all 6 modules Module 1: Sterilization Module 2: Hysteroscopy

Module 3: Clinical Data Module 4: Device and Procedure Module 5: Essure Confirmation Test Module 6: Patient Identification and Counseling Ryan LARC Program The Ryan LARC Program provides the UNM Family Planning Residency Program with complimentary LARC for qualifying patients for training purposes, in the form of Nexplanon, Liletta and ParaGard. The goals of the Ryan LARC Program are to increase training in the evidence based provision of LARC, and to decrease financial barriers to patients accessing LARC who are in the immediate or early post abortion or postpartum period ( 10 weeks). To Access Free LARC for your patient on L&D, in the Mother/Baby unit, or at CRH, follow the instructions on the Family Planning Ryan LARC Program wiki page: http://bit.ly/unmryanlarc. Clinic Security Protesters may be present outside the CRH clinic, and we would like you to take some basic security precautions while attending clinic. Remove anything from your person that will identify you as medical personnel before you come to the clinic. This includes: ID badges, pagers, scrubs (wear regular clothing and bring a set of scrubs to the clinic on the days you will be doing procedures), white coats. Remove anything in your vehicle that might identify you as medical personnel or associate you with the clinic. These include items such as your: Parking pass, badges, mail, scrubs/clothing. If protesters are present, please DO NOT interact with them in any way. Stay alert and aware of your surroundings when entering and exiting the building as well as when you are driving. If you feel you are in a situation where you would prefer to have security escort you, contact the police, 242 Cops or 911 if emergency. If you think you are being followed: Go to a fire station, police substation or a well lit public area. If you are hit from behind and you suspect it was not an accident. Do not get out of your car. Call 911 and tell them you think you are being car jacked, that gets the police out much quicker. Give as little information about yourself as possible when in public. Do not share where you work unless it is necessary Please talk to us Drs. Pereda, Hofler, Singh, or Espey at any time if you have concerns about your security or concerns about the experience at the clinic. We want this to be a great clinical experience for you and understand that the rotation can bring up emotions. We are here for you!