Monthly Archives: May 2009

Cesareans done in most Miami-Dade mothers

Long time no see!

I came back from ACM pretty excited and exhausted. I had to play catch up all week.

I visited with some dream programs at the residency fair. I would love, love, love to go to OHSU, whose website has a strong positive position on resident work / life balance. They have a family planning fellowship and pro-choice, opt-out training. And, it’s in PORTLAND, the most fabulous city ever.

Instead, this is the obstetrical climate in Miami, the city of my geographically-limited scope. We have a higher than 50% cesarean rate, officially, in Miami-Dade county (the county I was born in, and that houses the residency program I will probably be ranking very highly). The county I live in, Broward, home to Ft. Lauderdale, is not far behind with a cesarean rate in the 40th percentile.

Considering our medicolegal situation here is also one of if not the worst in the country, I don’t think the strategy of sectioning to avoid lawsuits has been working.

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Off to the ACM

Sorry I have been neglecting the blog, but things have been really busy lately. Funny, because classes are officially over. I had my last graded event of my preclinical years of medical school Tuesday night, a standardized clinical experience (we call it an OSCE at our school). I saw five actor patients, read 3 EKGs, read 2 X rays, and analyzed some blood gases of a poor soul who was in diabetic ketoacidosis.

Wednesday I finished my final project and presentation for my research methods class, and helped S conduct his science experiment in the same afternoon. Thanks for the 24 hour notice, kid. (My Facebook status said there was methods in my madness that day.) I would post my final paper here, but it was nine pages long, so I guess it would make a crazy long post. Maybe I can find a way to post it and link to it if I get the time and the savvy.

I am on my way to the Annual Clinical Meeting of the American College of Obstetricians and Gynecologists at an ungodly hour tomorrow morning. I doubt I will be posting from there, but I get insomnia when I travel (I almost typed amnesia there, that would make it an interesting trip) so I may end up babbling int he wee hours.

Miss me. *Mwah*

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