Friday, July 28, 2006

FAQ - continuity OB

Every year, I'm always asked what exactly counts as a continuity OB delivery. This topic was addressed at the Program Directors' Conference in June. You are required to do 10 continuity deliveries AND 40 deliveries total. Your 10 continuity deliveries may be counted toward your 40, as may any deliveries you do for your OB buddy (I'd try to make sure I saw all my OB buddy's continuity patients at least twice for prenatal visits too) and all deliveries that happen on your rotations.

In order to be eligible to count the delivery as a continuity delivery, you MUST have:
1. seen the patient for two or more prenatal visits AND
2. either perform the SVD or assisted in the C/section (scrub in) AND
3. see the patient post-partum

Duty hour exceptions are allowed for continuity deliveries.

You may count up to 10 C/sections (that you at least scrubbed in for) toward your total requirement of 40 deliveries.

If an R1 or R2 is supervised by an R3 for the delivery, both may count the delivery toward their 40. If the continuity requirements are met for both residents, then both can also count them toward the continuity requirement of 10.

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