Paley Ob/Gyn Associates

Paley OBGYN Associates is the private office practice of the resident obstetrician-gynecologists of the Department of OBGYN and is a full service primary women’s health / obstetrics and gynecology office emphasizing a modern multidisciplinary team approach to women’s health care. Each resident has a continuity office one half-day per week (except when on Nights), following a patient panel over all four years of training. PGY IV, III, and II residents have panels; PGY I residents team with a PGY IV resident for initial intensive work in office skills. When a PGYIV resident graduates, the PGYI resident with whom he is teamed assumes the panel of patients. There are also specialty care clinics, including high-risk obstetrics (Maternal-Fetal Medicine), colposcopy, and family planning. The office has state of the art transvaginal ultrasound and video colposcopy systems, as well as systems for cyrotherapy and LEEP cervical conization.

Dr. Philip Horn is our new Medical Director of the Paley OBGYN Associates office. He works closely with the residents and the office manager and staff to ensure the best practice learning environment for the residents as well as consistently maintain and uphold the highest standards of patient care and safety. Paley OBGYN uses an electronic medical record (digiChart), a relational medical records system that imports most laboratory data directly from laboratories and our department’s antepartum testing unit.

Care is structured in 10 half-day office sessions per week with the following schedule:

Monday	High Risk OB Clinic (PGY-4 on MFM and other OB residents	Continuity Office of PGY-4 GYN resident (with PGY-1 partner)
Tuesday	Continuity Office of PGY-3 resident at Fox Chase Cancer Center	Continuity Office of PGY-2 REI resident and PGY-3 GYN resident
Wednesday	Continuity Office of PGY-4 OB resident (with PGY-1 partner)	High Risk OB Clinic (PGY-4 on MFM and other OB residents)
Thursday	High Risk OB Clinic & Colposcopy Clinic (PGY-4 on MFM and other OB residents) Colposcopy Clinic	Continuity Office of PGY-2 OB Resident
Friday	Continuity Office of PGY-3 OB resident and PGY-2 GYN resident	Continuity Office of PGY-4 resident for MFM

Continuity Office
The primary care continuity clinics required of OBGYN residents. PGYI residents will see patients with the PGYIV resident as their "introduction" into the practice and to assist in the rapid development of their ambulatory skills. At the end of the year, the PGYI resident will "pickup" the practice of their PGYIV partner, thereby creating a four-year continuity for patients.

Colposcopy
The colposcopy clinic is also integrated into the continuity offices. Several attendings provides training in colposcopy and cyrotherapy, and Dr Philip Horn in in-office LEEP conization.

High Risk Obstetrics
Patients with complex, high-risk obstetric or medical problems are followed in this office under the supervision of the PGY IV MFM Resident and the faculty of the Division of Maternal and Fetal Medicine.

Family Planning
Residents learn to provide the full range of contraceptive options, including barrier contraception, oral contraception, parenteral contraception, intrauterine devices, diaphragms, vaginal rings, transdermal contraception, and natural family planning. Residents also learn to counsel patients about permanent sterilization and to perform tubal sterilization procedures.

Numbers of patients in resident offices and clinics
The number of patients to be seen in a resident continuity office and the High Risk Obstetric Clinic is set to balance the need for patient care and quality resident education. For example, PGY IV (with their PGY I partners), PGY III, and PGY II residents are scheduled to see, respectively, 10, 8, and 6 patients in a typical three hour morning continuity office.

Approximately 18,000 visits yearly to Paley OBGYN Associates, the Resident’s Office; 56,000 to all of the 14 offices of the department

Practice Manager: Ernest Ferguson, III

Medical Director: Philip Horn, MD, FACOG