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Paley OBGYN Associates

Paley Ob/Gyn Associates

Paley Ob/Gyn Associates is the private office practice of the Ob/Gyn residents.  In this ambulatory setting, patients are provided the full scope of primary obstetrics and gynecology care.  Within this environment, residents learn a modern multidisciplinary team approach to women’s health care. Each resident has office hours one half-day per week (except when on night float) and follows a panel of patients over all four years of training.

All senior residents have their own patient panels; PGY-1 residents team with a PGY-4 resident for initial intensive work in office skills. When a PGY-4 resident graduates, the PGY-1 resident with whom he or she 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 cryotherapy and LEEP cervical conization.

18,000 Office Visits Annually

The Department of Obstetrics and Gynecology has a total of fourteen physician office practices which see over 56,000 patient visits annually. Paley Ob/Gyn Associates (Resident Office) sees approximately 18,000 patient visits per year.

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, senior residents (PGY-4, PGY-3 and PGY-2) are scheduled to see, respectively, 10, 8, and 6 patients in a typical three hour morning continuity office.

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)

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 are required of all Ob/Gyn residents.  PGY-1 residents see patients with the PGY-4 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 PGY-1 resident will "pickup" the practice of their PGY-4 partner, thereby creating continuity for patients.

Colposcopy
There is a colposcopy clinic one session per week precepted by Dr. Charles Beckmann; colposcopy also is integrated into all clinics.  Dr. Beckmann provides training in cyrotherapy and Dr Philip Horn provides training in LEEP conization.

High Risk Obstetrics
Patients with complex, high-risk obstetric or medical problems are followed in MFM/High Risk Obstetrics clinic under the supervision of the PGY-4 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.

Resident Experience

A comparison of our Primary and Preventative Care Experience statistics with national data shows Albert Einstein to be well about the 80th percentile in almost all categories.

AEMC OBGYN Primary and Preventative Care:  Resident Experience
(Comparison to National Resident Experience Data, expressed in percentage)

Primary and Preventative Care Categories

2004

2005

Hypertension

90%

85%

Diabetes

88%

84%

Thyroid Disease

75%

65%

Dermatological Disorder

71%

85%

Gastrointestinal Disorder

86%

88%

Respiratory Disorder

91%

95%

Breast Disorder

76%

78%

Geriatric Visit (>60 years of age)

81%

73%

Behavioral Medicine

81%

86%

Immunization

81%

88%

Pediatric/Adolescent (<18 years of age)

96%

96%

Annual Health Care Maintenance

55%

46%

Other (Ambulatory Management)

70%

76%



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