US Naval Hospital Corps School - Yearbook (San Diego, CA)

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CAPTAIN WILLIAM S. BAKER, JR., MC, USN Chief, Obstetrics and Gynecology Service OBSTETRICS AND GYNECOLOGY SERVICE The Obstetrics and Gynecology Service is primarily con- cerned with the proper care of all Obstetrical and Gynecol- ogical patients coming under its management and with the training of Interns and Residents in the specialty of Ob- stetrics and Gynecology. The Chief of the Service is normally the Senior Attending Obstetrician-Gynecologist and is directly responsible to the Commanding Officer via the Executive Officer for the proper management of the Service. The Assistant Chief of the Service is normally the next Senior Attending Obstetrician-Gynecologist present and is directly responsible to the Chief of the Service for the proper and efficient management of both the Obstetrical and Gyne- cological Divisions. The Service consists of both an Inpatient and Outpatient Section. The Obstetrical Inpatient Section consists of four well equipped air conditioned delivery rooms and ten labor beds arranged semiprivately in five rooms. A Recovery Room is located on the Labor and Delivery Room floor for the immediate care of puerperal patients and a Recovery Ward is operated in the general Post Partum Ward area. There are I0 beds in the Recovery Ward and 28 beds on the Post Partum Ward. These latter beds are all semi-private in individual cubicles. A separate ward for antenatal complica- tions is also maintained. On this ward there are 30 beds and adequate precautions or isolation of contaminated cases are carried out when required. The nursing personnel on all obstetrical wards are separate from those assigned to general hospital nursing functions. There are 32 beds for the care of gynecological conditions. These beds are generally in great demand due to the Very adequate amount of clinical material available for teaching. The Obstetrical Division consists of both an Inpatient and Outpatient Service. The Inpatient Service includes the Labor and Delivery Room Suite, the Abnormal Obstetrical Ward and the Post Partum Wardg the Outpatient Service includes the New and Old Prenatal Clinic, the Post Partum Clinic and the Abnormality Prenatal Clinic. The Obstetrical Division is normally administrated by a Senior Attending Staff Obstetrician who is responsible for the performance of the Division. The General Prenatal Clinic is supervised and operated by the Head of the Obstetrical Division and his house staff with the help of all currently assigned attending Staff Ob- stetricians and Obstetrics and Gynecology Outpatient Clinic Service. It functions as a combined Attending and Resident Staff evolution. The Gynecology Division consists of both an inpatient and outpatient service. The inpatient service is both medical and surgical and is called the Gynecology Ward, Building 38-2. The outpatient service includes both Resident and Attending Staff Gynecology Clinics. The Gynecology Division is admin- istered by a Senior Attending Staff Gynecologist. The Outpatient Service consists of the New Prenatal Clinic, Old Prenatal Clinic, Abnormality Prenatal Clinic, and Post Partum Clinic. Gynecology Clinic consists of Walk-In Gynecology Clinic, Cancer Detection Clinic, Sterility Clinic, Gynecology En- docrine Clinic, Gynecology Tumor Board, and Presurgery Gynecology Clinic. The secondary mission of this Service is to train Interns and Residents in the fundamentals of good obstetrical and gynecological practice and to afford ample opportunity for residents to become eligible for certification by the American Board of Obstetrics and Gynecology after the completion of three years of satisfactory supervised training.

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T 'h,.. -5, QF' Q4 5' Y OBSTETRICS -GYNECOLOGY: Lieut. Milly Shelton, NC, weighing expectant mother. , .ak Q g..,p0Y' 32 R 5 at at , was A f p Q -2 MEDICAL STOREROOM: Nedra Neeland, HM2, assist- ing Joe Struble, HMI, in plant account inventory. .7 haw? 6 EMERGENCY ROOM: Lieut. Waymcn McCoy, MC, Laura Funder- LABORATORY: Nedra Neeland, Ben Br00kS, HMI, Ch6CkiI1g hema burg, HM3-performing minor surgery-removing a plantar wart. tology Slides With miCr0SCOpe. 4133.199 1 PHARMACY: Vcrla A. Pask, HM2. PHARMACY: Barbara White, HMI. We are told that Verla Pask and Barbara White are the only Waves graduated from Navy Phar- macy Technician's School.

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The training program is approved for three years by the American Medical Association, American Hospital Associa- tion, American College of Surgeons, American College of Obstetricians and Gynecologists, and American Board of Ob- stetrics and Gynecology. During this period of training the Resident rotates through a planned series of assignments in both Obstetrics and Gynecology as well as spending a mini- mum of six months on General Pathology. An opportunity is also available for elective work in Urology and General Surgery. The Interns on Obstetrics are responsible for all histories and physical examinations of labor patients and accomplish a minimum of 12 uncomplicated deliveries under the super- vision of the Resident Staff. They also complete all labor records and charts and are responsible for all initial new- born physical examinations and circumcisions. The Interns on Gynecology are responsible for the histories and physical examinations on all Gynecology admissions and perform minor surgical procedures under supervision of the Resident staff. The First Year Residents are normally four in number and in the event of a great influx of patients or a shortage of Interns they assist in writing admission histories and phys- icals. They examine all unusual cases on the wards. The Second Year Residents are normally four in number. They supervise the activities of the First Year Residents under their immediate jurisdiction. They write an admission summary and progress note on all patients on the Service to which they are assigned. They assure that all interns, his- tories and physicals and First Year Residents' notes are properly written on each patient's record. The Third Year Residents are also four in number. The Senior Third Year Resident is designated the Chief Resident and is responsible for the supervision of all residents junior to him and for the management and care of all patients on the Service. The Third Year Residents are expected to visit all patients on their assigned wards daily. They are responsible for the closing out of all charts on their wards and personally countersign all discharge sum- maries. They keep the Chief Resident informed of all ad- missions and discharges on the Service. Below is a statistical record covering three years of this Service at San Diego Naval Hospital: 1955 1956 1957 New Prenatal Visits 5,654 4,703 3,166 Old Prenatal Visits.. 29,697 27,040 16,932 Gynecology Visits ..., 12,974 16,025 15,847 Major GYN Surgery ...... . 334 382 346 Minor GYN Surgery 776 703 760 Patients Delivered ......., 4,115 5,752 2,708 Infants Delivered ......., 4,163 5,805 2,737 f2.3'7bJ f2.0'ZnJ f2.8'Zpl Caesarean Section .v...... .... 9 7 120 81 f3.0Wl f2.7'Z2l 03.4271 Fetal and Neonatal ...... .... 1 28 162 92 Mortality ...,... .......... .... ........ Maternal Mortality ...... Miss Hattie B. Smith, Lieut. Comdr., NC, Nursing Supervisor. foomy 40.0770 f0.037'7bJ 3 4 1 Captain Baker, Marion E. Sarich, fsecretaryl.