Newsletter MARCH 2018 VOL. 45, NO. 3

Transcription

1 The Obstetrical Society of Philadelphia To embrace our legacy, foster collegiality, and share expertise to improve the health of women in Philadelphia and beyond Newsletter MARCH 2018 VOL. 45, NO. 3 President s Message Common wisdom suggests that there are two certainties in life - death and taxes! I am beginning to believe that there is a third. Specifically, it is almost certain that at least one Obstetrical Society of Philadelphia meeting per year will be affected by weather or some other unanticipated factor. That was certainly the case for our March meeting. With our second bomb cyclone of the winter bearing down on the region it became clear that we should not meet as planned. I was very disappointed in having to cancel but it was the safest thing to do. Dr. Davis is an insightful speaker and hopefully we can re-invite him at some time in the future. My apologies to all for any inconvenience because of the meeting cancellation. My disappointment with the cancellation has been tempered by my excitement for our April meeting at which time we will welcome Dr. Philip Darney. Dr. Darney is well known to many of us for his voluminous contributions to our literature and long standing commitment to women s reproductive health issues. He currently serves as Chief of Obstetrics and Gynecology at San Francisco General Hospital as well Professor of Obstetrics, Gynecology, and Reproductive Sciences and Director of the Center for Reproductive Health Research and Policy at University of California San Francisco. Dr. Darney s presentation will provide us with insights to the question of what can resource-poor countries teach wealthy ones about reducing maternal mortality? He has kindly provided the following preview of his presentation. Maternal mortality rates are falling in most countries of the world with some exceptions, most notably the USA. While US maternal mortality was rising, a dozen countries in various stages of development, but all poorer than the USA, achieved their UN maternal mortality Millennium Development Goals by 2015 and were celebrated at the last FIGO meeting in Vancouver. These countries used various methods to reduce maternal mortality: only seven kinds of interventions directed at key causes accounted for most reductions in maternal mortality worldwide. Among them are prevention of unintended pregnancy and birth, prevention and treatment of pregnancyassociated hemorrhage and hypertension, early recognition of high risk pregnancies, and timely caesarean delivery when indicated. These interventions cost only 0.1% of GDP, showing that the expense of reducing maternal mortality ought not be a limitation anywhere. Critical to all of these interventions are education and training of pregnancy and obstetrical caregivers, availability of basic drugs and equipment, including for contraception and uterine evacuation, and timely transport for pregnancy complications and obstetrical emergencies. Dr. Darney will examine trends in maternal mortality and its causes in poor and rich countries, provide examples of implementation of the most effective training and interventions, and discuss their applicability in the context of resource poor and wealthy health systems. I hope you will be able to join us for another wonderful evening of fellowship and education. I look forward to welcoming you then. A. George Neubert, M.D. President Upcoming Lecture Thursday, April 12, 2018, 6:00 PM What can resource poor countries teach wealthy ones about reducing maternal mortality? We hope that you will be able to join us for our April meeting, when Philip Darney, M.D., M.S.C., of University of California, San Francisco, will discuss reducing maternal mortality. I N T H I S Issue PAGE 1 PAGE 2 PAGE 4-6 PAGE 7 PAGE 8 PAGE 9 PAGE 10 PAGE 11 President s Message Embrace Our Legacy Share Expertise Call for Papers RED Information Advertising Opportunity Upcoming Meetings Council Members THE OB SOCIETY OF PHILADELPHIA VOLUME 45. ISSUE 3. PAGE 1

2 Embrace Our Legacy The following was selected from Transactions of the Philadelphia Obstetrical Society COMMENTARY BY LUISA GALDI DO, ASSISTANT PROFESSOR OF OB/GYN AT DREXEL UNIVERSIT Y COLLEGE OF MEDICINE The next patient on your schedule is a 34 y/o woman who has not had a gynecological exam in 10+years. She is timid, and when you introduce your touch and she is startled. The tip of the speculum barely clears the hymeneal ring, and suddenly she jumps off the table and lets out a loud shriek: OUCH! Embarrassed, she meekly defends herself, It s been a while. Vaginal and vulvar pain syndromes arise from several etiologies: infection, neuralgia, muscular hypertrophy, inflammation and autoimmune disease. Vaginismus, specifically, is one of several gynecologic problems that is common among sexual abuse survivors. In these women, actual or anticipated pain causes an aversion to any vaginal penetration, including the gynecological exam.1 As a result, survivors may be less likely to present for regular pap smears, seek medical care for gynecological or urologic problems, and receive any or adequate prenatal care.2 If she does make it to your examining room, shame, lack of trust, or complete avoidance may prevent a patient from addressing her current condition or her past abuses with you. If you know or suspect that your patient has been a victim of sexual abuse, ACOG recommends providing these patients with empowering messages, counseling referrals, and empathetic care during sensitive examinations. 2. The most important first step, however, is to remain cognizant that physical pain can be manifestation of traumatic sexual assault. Find out more about Sexual Assault Awareness Month 2018 and how you can encourage survivors to Embrace Your Voice at 1. Binik, Yitzchak M. The DSM diagnostic criteria for vaginismus. Arch. Sex. Behav., vol. 39, no. 2, Apr. 2010, pp Adult manifestations of childhood sexual abuse. Committee Opinion No American College of Obstetricians and Gynecologists. Obstet Gynecol 2011;118: THE OB SOCIETY OF PHILADELPHIA VO LU M E 4 5. I S S U E 3. PAG E 2

3 Embrace Our Legacy Reminiscences of the OB Society and What the Society Has Meant to Me JOAN H. ZEIDMAN, MD As a resident at Albert Einstein Medical Center in the late 1980 s, this thing called the OB Society was very much a part of our culture. Early in my residency, I didn t really know what it was, but I knew that once a month it came up in our meetings, and we were strongly encouraged to go. In fact, it was an expectation. It wasn t until I was a third year resident that I actually got the opportunity to go, and when I did, I was mesmerized. We got all dressed up in suits and dresses and made our way to the very imposing and impressive College of Physicians. The place was always packed with probably 150 or more attendees. Every bigwig in the Philadelphia OBGYN community was there, including many of our AEMC attendings, and we had lovely multi-course sit-down dinners served to us by waiters. We then, like today, would listen to a speaker who was generally a well-known figure in the field either nationally or internationally. I was awestruck. I knew that I would someday become a member and sign The Book. But I also knew that I would never be one of those people speaking at the podium. That was for those with more confidence and knowledge than I would ever be able to obtain. I would just come to meetings as one of the crowd, see my friends and colleagues, have a nice dinner, and learn something. So here we are close to 30 years later. I ve served on the Council since I ve held committee appointments, served as Assistant Secretary, Secretary, Vice President, and yes, they even allowed me the honor of serving as President of the society. Holy cow! And now, I am that elder statesperson on the Council trying hard not to become obsolete in what still remains a very impressive and well-respected nationally recognized society. And as we celebrate the 150th anniversary of the Obstetrical Society of Philadelphia in 2018, it s important to me to recognize what being a member of this society has done for me personally and professionally, so that going forward the Society will remain relevant and continue to inspire today s residents and young attendings to stay active and committed and keep us moving forward through the 21st century. My first job on the Council was as Program Chair. In those days, that required me to correspond with the speakers, pick them up from the Bellevue Hotel, bring them to the College, and take them back afterwards. It allowed me to meet up close and personal some pretty impressive folks at the time. (It also inspired me to upgrade my little econobox of a car to something a little less embarrassing.) I remember one of them asking me what I thought of the OB Society and what it meant to me. I told him that for me it was a wonderful way to connect with my colleagues monthly, come downtown for a nice dinner and speaker, and if I wasn t too careful, maybe even learn something. I made him laugh! Score! But what my years as an OB Society member, officer, and President really has done for me was to build my confidence in myself and allow me to step far out of my comfort zone to a new area that was inconceivable to me. One of the traditional honors bestowed upon the president is to present a talk to the membership on President s Night, the last meeting of the academic year. As a completely non-academic OB/GYN in private practice, that aspect of the job panicked me. I gave many months thought to my topic, researched it, learned how to make a rather primitive Power Point presentation, and gave my talk on Coping With Adverse Events. In the years following that presentation, I was asked to give that talk around the Philadelphia region to OB/GYN departments, medicine departments, and to an Ethics Committee. In all, I presented my talk approximately ten times. No other president that I know had been asked to take their talk on the road that many times. And since then, I ve gained the confidence to accept other invitations to speak on a multitude of topics without the immediate inclination to run and hide (although my Power Points still remain quite primitive baby steps!). Without the OB Society, I never would have learned to trust myself to be able to stand up in front of a group and actually teach them something. I would never have even tried. Well, OB Society has certainly changed since my first meetings as a resident. We no longer dress up in suits and dresses. The dinners are casual buffets, we no longer meet at the College of Physicians, and it s a rare meeting that attracts the numbers that we did in the past. But the Society will always remain relevant to me, and I believe that going forward it will continue to inspire young doctors to be more than they ever thought they could be. Some of those bigwigs who intimidated the heck out of me I now have the honor to call my friends. I wasn t careful, therefore I learned tons. I can say without any hesitation that my years as an OB Society member has made me a better, more knowledgeable, gynecologist which has benefitted my patients, my practice, and certainly me. Here s to moving forward after our Sesquicentennial year to a long and healthy future! THE OB SOCIETY OF PHILADELPHIA VOLUME 45. ISSUE 3. PAGE 3

4 Share Expertise Medicine as a Moral Code: Harassment is Not Good! LISA PERRIERA, MD AASTA MEHTA, MD MARK B. WOODLAND, MS, MD, FACOG The Obstetrical Society of Philadelphia is celebrating its 150th year. This is a big deal! We who participate in the Society Council sit around a table before each meeting and contemplate what the society will be remembered for in the next 150 years. We celebrate the rich history of our profession by reviewing things that have been archived from the past at each meeting. In doing so, we can t help but think of how the things we are doing and writing right now will be remembered over time. As we sat together at our last meeting, it became clear that we must recognize and highlight events that are happening in the world around us. We, as the primary health care providers for women, trans men, and gender non-binary individuals, would be remiss if we remained silent about sexual harassment. Silence is equivalent to complicity, and 150 years from now we do not want to be remembered as a group that is or was complicit. The #metoo and #timesup movements started in Hollywood and have opened up the flood gates of discussion about gender, equality, and the role each of us has to play in ensuring that everyone has equal opportunity and respect in this world. However, sexual harassment and inequality are not unique to Hollywood. Medicine historically has been a profession steeped in hierarchy, privilege, and patriarchy. It is a fact that women physicians wearing scrubs around the hospital are often called nurse rather than doctor, and are less likely to be introduced with the title Doctor when presenting at grand rounds. Women physician salaries are lower than our male counterparts with the same title and level of experience. Comments have been directed towards female residents regarding their work as generalists relating to starting a family and working part time have been made at our very own meetings. Even so, these comments are mild compared to what many of the women in our field experienced forty years ago when only 7% of gynecologists were women. As members of the Obstetrical Society of Philadelphia, we want to be on the record saying #timesup. We align ourselves with the anti-harassment policy statement of the American College of Obstetricians and Gynecologists (ACOG) The American College of Obstetricians and Gynecologists Harassment-Free Workplace Policy prohibits sexual harassment, as well as other forms of harassment, as well as the recent published statement by our current President, Dr. Haywood Brown ACOG s stands against harassment and supports our high ethical standards. The ACOG Meetings Anti- Harassment policy joins current ACOG policies, including the ACOG Code of Professional Ethics, the Statement of Values, and the Diversity Statement for Volunteer and Leadership Positions. Moreover, ACOG s commitment to equity and inclusion is refl ected in the Statements of Policy on Racial Bias and on Global Women s Health and Rights and its personnel policies. Additionally, we endorse other societies like AAGL Harassment, discrimination, or creation of a hostile environment based on personal attributes, including but not limited to race, color, national origin, sexual orientation, gender identity, religion, age, sex, physical or mental disability, marital status, pregnancy, veteran status, or any other classification protected by law, is inconsistent with the ideals and principles of the AAGL and is prohibited. You can read the comprehensive document at Moving forward it must be our commitment to confront harassment in the moment. It is best to confront it with kindness and an open heart. Sometimes misunderstandings can arise from a lack of awareness, rather than malicious intent. It is important to remember that these issues are not limited to a single gender or demographic. Anyone can be harassed and anyone can harass. We as members of the Obstetrical Society of Philadelphia should take the lead on this issue. We owe it to our patients and to our colleagues. THE OB SOCIETY OF PHILADELPHIA VOLUME 45. ISSUE 3. PAGE 4

5 Share Expertise Sexual Assault, a Time to Act DONALD DEBRAKELEER, DO CHIEF, FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY EINSTEIN HEALTH SYSTEM APRIL IS SEXUAL ASSAULT AWARENESS MONTH. Take Back the Night, a protest started in 1975 by a group of women in London, England to highlight the sexual violence that they encountered during the night time hours spread to the United States in 1978 when Take Back the Night protests were held in San Francisco and New York. By the 1980 s the protest evolved to an awareness week. Pennsylvania Coalition Against Rape (PCAR) celebrated the first Sexual Assault Awareness month in April, Sexual Assault Awareness month gives us a great opportunity, as women s health care specialists, to shine light on this very important cause. Here are just a few of the facts: Every 98 seconds, another person in the U.S. experiences a sexual assault In the military, 18,900 people experience a sexual assault every year 1 out of every 6 American women has been the victim of an attempted or completed rape in her lifetime (14.8% completed, 2.8% attempted) From , Child Protective Services agencies substantiated, or found strong evidence to indicate that, 63,000 children a year were victims of sexual abuse 1 out of every 10 rape victims are male. About 3% of American men or 1 in 33 have experienced an attempted or completed rape in their lifetime 21% of TGQN (transgender, genderqueer, nonconforming) college students have been sexually assaulted, compared to 18% of non-tgqn females, and 4% of non-tgqn males. 33% of women who are raped contemplate suicide. 13% of women who are raped attempt suicide. SEXUAL ASSAULT, A TIME TO ACT The #MeToo and #TimesUp movements that started late last year have thrust sexual abuse, sexual assault, and gender discrimination into the media spotlight. This has resulted in a much-needed national conversation. As advocates for women for over 150 years, The Society and its members should be a part of the conversation. While our position on this topic should be obvious, without vocalization, we may appear complicit in the issues that the movement represents. An editorial by Francis S. Nuthalapaty, M.D. in the most recent issue of Obstetrics & Gynecology, highlights that sexual harassment is alive and well in our academic programs. The Council has vigorously discussed this topic and the statement authored by Drs. Mehta, Galdi, and Woodland has been published in this issue of the newsletter. We claim to be the primary women s health care specialty, but what have we done regarding this topic? Having been in practice for over twenty years, this author feels that screening and treating for rape, sexual assault and domestic violence has always been part of Ob/Gyn practice. Our offices have had referrals to domestic abuse centers placed in strategic places for the discrete use of our patients for as long as I can remember. In the past, Ob/Gyn residents have conducted numerous forensic rape exams, preceeding the SANE (Sexual Assault Nurse Examiner) nurses now found at most hospitals or rape centers. It would appear that Ob/Gyn doctors have been at the forefront of this issue long before there were hashtags. But, have we been there as leaders? In doing some research for this article, the lack of information coming from our societies and peer reviewed journals was dismaying. There are five Committee Opinions that deal with sexual assault, directly or as part of intimate partner violence or caregiver abuse. These primarily are about physical exam, and THE OB SOCIETY OF PHILADELPHIA VOLUME 45. ISSUE 3. PAGE 5

6 Sexual Assault article continued from page 5. Share Expertise screening without much discussion on long term discussion of treatment and no discussion on the insidious nature of less aggressive forms of sexual assault, such as, harassment, inappropriate touching or inappropriate language. The Committee Opinion that addresses sexual history taking asks intimate questions that include specifics like penis in the anus but no questions about history of sexual abuse or assault. There are no Practice Bulletins. A search of Obstetrics & Gynecology, using assault as the search word in titles, yields a total of twenty-one articles. These articles deal almost exclusively in physical exam, emergency contraception, and treatment and screening for STI s. Finally, a medline search combining sexual assault and women yielded 7752 results. Reviewing the first 1000, there were no articles in Ob/Gyn peer-reviewed journals. On the other hand, the internet provided an abundance of information. There are two web-sites that are very comprehensive in dealing with this issue. The Rape, Abuse and Incest National Network (RAINN) at is the largest anti-sexual violence national network. They created and operate the national sexual assault hotline ( HOPE). RAINN is in partnership with more than 1,000 local sexual assault service providers across the country and operates the DoD Safe Helpline for the Department of Defense. On a more local level, the Pennsylvania Coalition Against Rape (PCAR) was founded in The mission of the Pennsylvania Coalition Against Rape is to work to eliminate all forms of sexual violence and to advocate for the rights and needs of victims of sexual assault. PCAR also operates the National Sexual Violence Resource Center. PCAR assures that communities in Pennsylvania have access to quality victim services and prevention education by providing funding, training, materials and assistance to a network of rape crisis centers that serve all of Pennsylvania s 67 counties. Their web site, provides access numbers for medical care, legal information and psychological help. It is time that Ob/Gyn s take a leading role in this issue. As the ACOG Committee Opinion states, frequently the Ob/Gyn is the first point of contact for patients experiencing sexual assault. That may mean conducting an evidentiary exam or knowing the guidelines for performing that exam. Evidentiary exams should be done, ideally, within 72 hours of the assault and patients should be instructed to not urinate, defecate, bathe, brush their teeth, brush their hair or clean their nails until that exam is done. If the Ob/Gyn does not have the proper resources or experience to perform an evidentiary exam, the patient should be referred to a hospital or center that has the proper experience and resources. Once the patient s immediate physical and legal needs have been met, issues like emergency contraception and screening for STI s should be addressed. The Ob/Gyn is also in the position to identify and treat patients with a history of sexual assault. Pelvic pain, dysmenorrhea, sexual dysfunction and substance abuse are issues that should trigger a more detailed discussion about history of sexual assault. Post traumatic stress disorder is common among sexual abuse survivors and performance of Ob/Gyn procedures may trigger an exacerbation of PTSD and include exacerbation of anxiety or panic attacks. Women with a history of sexual assault should be screened for substance abuse because of the high incidence of substance abuse in survivors. Similarly, women who have a history of substance abuse have a high incidence of a history of sexual abuse. There is an opportunity with every patient to screen, educate and raise awareness on this issue. Early detection allows physicians to treat patients to decrease the incidence of long term sequelae of sexual abuse. Sexual dysfunction, somatic complaints, relationship difficulties, job difficulties, substance abuse and PTSD are all issues that can be avoided or diminished with proper identification and intervention. We need to use the momentum of the #MeToo and #TimesUp to educate our colleagues and enhance their knowledge of not just the physical exam in sexual assault, but how to appropriately screen and discuss this delicate topic. We need to understand the phases of recovery from sexual assault. We need to especially understand the third (long-term) phase which includes Post-traumatic Stress Disorder and the myriad other related problems, such as substance abuse, depression, and job and relationship issues that these victims experience. Most importantly, we need to empower our patients in ways that help them never experience the trauma of sexual assault. We must, as OB/Gyn specialists, add the exclamation point to #TimesUp! Take up the challenge this April by standing with our patients in care, education and advocacy. THE OB SOCIETY OF PHILADELPHIA VOLUME 45. ISSUE 3. PAGE 6

7 Call for Papers S. Leon Israel Award The S. Leon Israel Award was established to recognize excellence in research in the discipline of obstetrics and gynecology. The award is open to all current obstetrics and gynecology residents in programs associated with the Obstetrical Society of Philadelphia. Original research manuscripts not published prior to April 1, 2018 will be accepted for review. The resident must be the first author, but not necessarily the only author of the paper. It is expected that the resident will have primary responsibility for the literature review, implementation of the study and final drafting of the discussion section. Review articles will not be accepted. Papers should be written in a scientific format to include title, authors, institution, abstract, introduction, materials and methods, results, and discussion and should conform to the instructions for the American Journal of Obstetrics and Gynecology. Two copies should be submitted. One copy should have all institution and author information removed. The award and stipend ($500.00) will be conferred at the Annual Resident Day Bowl and Symposium on Friday, May 4, The author of the winning paper will be asked to present a brief summary of his/her work at the Resident Day Symposium and at President s Night, Thursday, May 10, Due to a miscommunication in sending out the guidelines, the deadline for submissions has been extended to April 5, Manuscripts must be received no later than April 5, 2018 to allow adequate time for review. Any manuscripts received after April 5, 2018 will be ineligible for consideration. Manuscripts should be submitted to: Teri Wiseley, CMM, Executive Secretary via to obphila@yahoo.com THE OB SOCIETY OF PHILADELPHIA VOLUME 45. ISSUE 3. PAGE 7

8 RED Information THE OBSTETRICAL SOCIETY OF PHILADELPHIA Presents The 51th Annual Resident Education Day AND The 41th Annual Resident Bowl FRIDAY, MAY 4, 2018 Hosted by READING HOSPITAL Preparations for Resident Education Day 2018 are well underway. This year s host will be Reading Hospital. Our theme for this year is Non-clinical potpourri. We have speakers confirmed on the following topics: Domestic Sex Trafficking Innovation in Ob-Gyn: From Concept to Market Cancer Survivorship We re working on a speaker to discuss the future of the specialty and of resident training. After the critical acclaim for last year s mock trial, we re following up with a mock deposition. Marvel at our attending and resident as they navigate these shark-infested waters. RESIDENT BOWL INFORMATION There will not be any pre-tests this year. This year each program is choosing its own Champion to compete in the Resident Bowl. Program Directors, Coordinators and faculty are encouraged to attend to cheer on their Champion! More information to come THE OB SOCIETY OF PHILADELPHIA VOLUME 45. ISSUE 3. PAGE 8

9 Advertising Opportunity Obstetrical Society of Philadelphia 150th Celebration - Commemorative Book Request for an Ad PLEASE FILL OUT THIS FORM AND SUBMIT WITH YOUR AD AND OR PHOTOGRAPH. PLEASE RETURN WITH YOUR CHECK BY MARCH 15 TO THE ADDRESS BELOW. If you have any questions, please contact: Theresa B. Wiseley, CMM or Susan I. Kaufman, DO Executive Secretary skaufman17@comcast.net 308 Rolling Creek Road Swarthmore, PA obphila@yahoo.com PLEASE CHECK APPROPRIATE BOX: Institution: Contact Person: Phone Number: Ad size: Whole page $500 Half page $250 Quarter page $125 Shout out one line.. $50 Picture included THE OB SOCIETY OF PHILADELPHIA VOLUME 45. ISSUE 3. PAGE 9

10 A Conversation about Adolescent Health, Sexual Orientation, and Gender Identity President s Message WITH DR. RACHEL LEVINE, ACTING SECRETARY OF HEALTH AND PHYSICIAN GENERAL OF THE COMMONWEALTH OF PENNSYLVANIA Sunday, April 8, 9:30 AM 12:00 PM Congregation Rodeph Shalom 615 N. Broad St, Philadelphia PA Dr. Levine will focus on the psychological, social, and medical issues that face young people who are transgender and gender non-binary. A panel discussion will follow Dr. Levine s talk. Visit rodephshalom.org/drrachellevine for more information and to RSVP. Questions? Contact Alicia Broudy at abroudy@rodephshalom.org/ Organized by Rodeph Shalom s prism This program is made possible by the Behrend Lecture Fund. April Meeting The Obstetrical Society of Philadelphia OUR MISSION: TO EMBRACE OUR LEGACY, FOSTER COLLEGIALITY, AND SHARE EXPERTISE TO IMPROVE THE HEALTH OF WOMEN IN PHILADELPHIA AND BEYOND. PHILIP DARNEY, M.D., M.S.C. DIRECTOR, BIXBY CENTER FOR GLOBAL REPRODUCTIVE HEALTH UNIVERSITY OF CALIFORNIA, SAN FRANCISCO Topic: What can resource poor countries teach wealthy ones about reducing maternal mortality? Date: Thursday, April 12, 2018 Location: Philadelphia County Medical Society Building, 2100 Spring Garden Street Time: 6:00 pm Cocktails, 6:30 pm Dinner and Program Please note the new location! Free parking available in the lot next to the PCMS Building. Payment by check or online at We cannot accept payments at the door. Members - $60.00 Non-members $70.00 RSVPs are due no later than Tuesday, April 3. Please make your check payable to The Obstetrical Society of Philadelphia 308 Rolling Creek Road, Swarthmore, PA THE OB SOCIETY OF PHILADELPHIA VOLUME 45. ISSUE 3. PAGE 10

11 Obstetrical Society Of Philadelphia Council Members: OBSTETRICAL 2018 SOCIETY OF PHILADELPHIA Council Members: PRESIDENT A. George Neubert, MD Geisinger Health System 100 N. Academy Ave. Danville, PA IMMEDIATE PAST PRESIDENT Dipak Delvadia, DO DUCOM - Dept. OB/GYN 245 North 15th Street l9l nd PAST PRESIDENT - 2 YEAR Helen M. Widze r, MD Women s Associates for Healthcare Einstein Healthcare Network 633 W. Germantown Pike Suite 203 Plymouth Meeting, PA PRESIDENT ELECT Peter F. Schnatz, DO The Reading Hospital and Medical Center Department of OB/GYN 6th Ave & Spruce Street West Reading, PA TREASURER Harish Sehdev, MD Pennsylvania Hospital 2 Pine East 800 Spruce Street VICE PRESIDENT NEWSLE TTER EDITOR Donald DeBrakeleer, DO Center for Women s Health of Montgomery County 1000 Walnut Street, Suite 122 Lansdale, PA ASSISTANT SECRE TA RY Aasta D. Mehta, MD Pennsylvania Hospital 800 Spruce Street st SECRETA RY - 1 YEAR Norman Brest, MD Lankenau Medical Building, East 100 East Lancaster Avenue, Suite 561 Wynnewood, PA ARCHIVES Mark B. Woodland, MD The Reading Hospital and Medical Center Department of OB/GYN 6th Ave & Spruce Street West Reading, PA RESIDENCT EDUCA AT ION LIA IS ON Guy Hewlett, MD Cooper University Hospital Dept of Ob/Gyn One Cooper Plaza Camden NJ MEDICO/LEGAL COMMITTEE Jane Porcelan, MD, JD Lankenau Medical Building, West 100 Lancaster Avenue, Suite #433 Wynnewood, PA MEMBERSHIP Fay D. Wright, MD 111 E. Levering Mill Road Bala Cynwyd, PA RESIDENT EDUCA AT TION COMMITTEE Larry Glazerman, MD Planned Parenthood of Delaware 625 N. Shipley St. Wilmington DE NEWSLE TTER COMMITTEE Luisa Galdi, D.O. Drexel University College of Medicine Department of OB/GYN 216 N. Broad St SESQUICENTENNIAL COMMITTEE Susan Kaufman, DO Suite S-93, Executive Mews 1930 State Hwy 70 East Cherry Hill, NJ nd MEMBER AT LA RGE - 2 YEAR Dr. Abigail Wolf Thomas Jefferson Hospital 833 Chestnut Street, 1st Floor PA MED SOCIETY LIAISON Sherry. L. Blumenthal, MD 2701 Blair Mill Rd. Suite C Willow Grove, PA NEWSLE TTER COMMITTEE Rori Dajao, M.D. Cooper University Hospital PGY-3 One Cooper Plaza Camden NJ WEBSITE Albert El-Roeiy, MD Crozer-Chester Medical Center One Medical Center Boulevard Upland, PA FOUNDATION Arnold W. Cohen, MD Albert Einstein Medical Center 5500 Old York Road l9l41 nd MEMBER AT LA RGE - 2 YEAR Lisa K. Perriera, M.D Thomas Jefferson Hospital 833 Chestnut Street 1st Floor RESIDENT EDUCA AT TION COMMITEE Nicole D. Salva, M.D. Penn Medicine Washington Square 14th Floor, 800 Walnut Street BYLA AW WS Joan H. Zeidman, MD 919 Conestoga Road Building 1, Suite #104 Rosemont, PA NOMINATING COMMITTEE Jason Baxter, MD Thomas Jefferson f University 833 Chestnut Street, 1 st Floor MEMBER AT LA RGE 1 st YEAR Stephen C. Rubin, M.D. Fox Chase Cancer Center Division of Gynecologic Oncology 333 Cottman Avenue THE OB SOCIETY OF PHILADELPHIA VOLUME 45. ISSUE 3. PAGE 11