1. No category

The Obstetrical Society of Philadelphia
Newsletter
MAY 2015
President’s Message
ingredientnews
This past year, I have
been honored to serve as
the 126th President of
the Obstetrical Society
of Philadelphia. Our
theme for the year has
been Safety. Please join
us for President’s Night,
Thursday, May 7, as we
wrap up the academic year - Top of the
Tower, 1717 Arch St, Philadelphia. The
title of my talk is "Making It Safe: For
Our Patients, For Our Colleagues, and For
Ourselves.”
Jason Baxter, MD, MSCP
President – Obstetrical Society of
Philadelphia, 2014-2015
IN THIS
Issue
PAGE 1
President’s Message & Bio
PAGE 2
Patient Safety: Who is Responsible?
Ankita Gupta, MD, MPH
PAGE 3-4
Healthcare Cost and Reimbursement
Models & The Future of Ob/Gyn
Practice
Albert El-Roeiy, M.D., MBA, MBI
PAGE 5-6
The April Meeting
PAGE 7
In Memoriam: Theodore J. DeConna,
M.D.
PAGE 8
Philadelphia Perinatal Society
Announcement
PAGE 9
Council Member Page
THE OB SOCIETY OF PHILADELPHIA
Jason K. Baxter, MD, MSCP,
FACOG, grew up outside
of Houston, Texas and
earned his B.S.E. degree in
Engineering Management
Systems from Princeton
University where he met his
wife, Heather. He received his
medical degree from the University
of Texas Medical Branch (UTMB)
in Galveston, Texas and completed a
residency in Obstetrics and Gynecology
at Abington Memorial Hospital. Dr.
Baxter completed his fellowship training
in Maternal-Fetal Medicine and a Master
of Science in Human Investigation in
the NIH-funded Clinical Pharmacology
Training Program at Thomas Jefferson
University. Jason and Heather's three
children were born at the three hospitals
at which Jason trained.
Dr. Baxter is an
Associate Professor
in Obstetrics and
Gynecology
and
the Director of
Inpatient Obstetrics
at Thomas Jefferson
University Hospital in Philadelphia.
He chairs the Research Committee
for the Department of Obstetrics
and Gynecology at Jefferson Medical
College. Dr. Baxter enjoys mentoring
fellows as Associate Director of the
Maternal-Fetal Medicine Fellowship
Program. He is board certified in
VOL. 41, NO. 8
Obstetrics & Gynecology
Maternal-Fetal Medicine.
and
Dr. Baxter has authored or
coauthored over 150 peer-reviewed
manuscripts,
abstracts,
and
chapters. He has obtained grant
funding from numerous innovative
medical companies. Dr. Baxter
is currently the President of the
Obstetrical Society of Philadelphia
and has served as President of the
Philadelphia Perinatal Society.
He has been an active member
of ACOG, SMFM, and various
committees and task forces at
Thomas Jefferson University and
in the city of Philadelphia at large.
Dr. Baxter has been honored with
numerous awards for clinical care,
teaching, mentoring, and research.
Dr. Baxter enjoys his clinical,
educational,
research,
and
administrative responsibilities in
Obstetrics and Maternal-Fetal
Medicine at Thomas Jefferson
University. His research interests
include prediction and prevention
of preterm birth, pharmacology
in pregnancy, and evidence-based
clinical obstetrics and maternal-fetal
medicine. He cherishes time spent
cheering on and coaching youth
sports with his children.
VOLUME 41-ISSUE 8
PAGE 1
Patient Safety:
Who is Responsible?
part in patient handoffs or physician “sign-outs.” Most
institutions have mandated a standardized format for signouts, as well as supervision by senior residents and attendings,
in order to ensure that key information during these transitions
is not omitted. Technology has left its mark on these patient
transfers as well. Several companies offer mobile apps to
ensure handoffs that are stream-lined but comprehensive,
and thus safer for the patient. The use of electronic medical
records (EMR) prompts physicians to ask pertinent questions,
especially in the areas of patient safety and mental health.
EMR also includes medication and allergy checks, helping to
fulfill two vital criteria included in the Joint Commission’s
2015 National Patient Safety Goals.
Ankita Gupta, MD, MPH,
Ob/Gyn PGY-2
Albert El-Roeiy, MD, MBA, MBI
Crozer Chester Medical Center
“Do not get sick in July” is a common recommendation
that rumbles through the medical community, because the
month ushers in new interns. As summer approaches, most of
us who work at teaching institutions begin to steel ourselves
for a fresh group of eager individuals who are transitioning
from being medical students to being medical practitioners.
Patients are also aware of the “July Effect” and are often
hesitant to allow residents to direct their care. Whether their
concern is founded is debatable, because studies have shown
no worsening in mortality rates in July when compared to
other months of the year. Additionally, our careful scrutiny
of the data overlooks the joy and enthusiasm exhibited by the
newest members of the medical team.
As a second year resident, I still remember the first few days
of my internship. I remember the elation and terror with my
first delivery, the fear of perforating the uterus during my first
hysteroscopy and a routine prenatal revisit that lasted an hour.
I counseled the patient on everything from birth control to car
seats. However, the most prominent and comforting memory
of that first year is that of my senior resident’s constant presence
by my side. I remember her hands guiding mine as we delivered
the baby, her voice as she talked me through the hysteroscopy
and her painstaking efforts to streamline my office note to fit
the limited EMR space. Resident and attending supervision
plays a key role in negating the “July Effect.”
“resident
from a time
when physicians-in-training resided on
hospital premises in order to be readily
available to their patients. Residents
still constitute part of the front line
of a patient’s care, despite the fact that
stringent guidelines established by the
Accreditation Council for Graduate
Medical Education (ACGME) now
limit duty hours. Whether dealing with
a postpartum fever or calf tenderness,
residents are often invaluable advocates
for their patients. Residents also take
THE OB SOCIETY OF PHILADELPHIA
promotes activities such as morbidity and mortality (M&M)
conferences to improve patient safety. Patient Safety Indicators
(PSIs) such as perioperative rates of deep vein thrombosis and
Foley catheter infection are measured and closely followed
and are helpful when developing hospital policies and practice
guidelines. Most institutions support open communication
between physicians and patients and reporting of accidents,
near misses or unsafe environments or events by hospital staff.
With widespread access to
social media and websites that assign
“safety scores” to hospitals, it is important
now more than ever to scrutinize our
work environments and assess how we
can make our patient care efficient,
effective and safe. Patient safety is a team
approach. It is a joint endeavor between healthcare providers
and the patients themselves. And ensuring patient safety is an
important step towards improving patient satisfaction.
WELCOME
stockimages: freedigitalphotos.net
The
term
physician” comes
Residents play a large role in quality improvement and
patient safety initiatives. At Chester-Crozer, simulations
and clinical drills are led by residents and participation and
involvement by residents and attendings is encouraged. The
Agency for Healthcare Research and Quality (AHRQ)
Teri Wiseley - Executive Secretary
Cell: 484-343-8199
Email: [email protected]
Address: Theresa B. Wiseley, CMM
Executive Secretary
Obstetrical Society of Philadelphia
308 Rolling Creek Rd.
Swarthmore, PA 19081
Always happy to help.............
Teri Wiseley, CMM
VOLUME 41-ISSUE 8
PAGE 2
Healthcare Cost and
Reimbursement Models & The
Future of Ob/Gyn Practice
Albert El-Roeiy, M.D., MBA, MBI
Director, Fertility Center of Crozer
Chester Chester Medical Center
In the March newsletter, I put forth that the real transformation
of practice in obstetrics and gynecology depends on how
we approach the significant questions of payment reform
and healthcare redesign. We discussed the importance of:
1) population management, 2) increasing patient
experience and satisfaction and 3) healthcare costs and new
reimbursements models, such as bundled payments, pay for
performance (P4P), innovation centers, and accountable
care organizations. In this newsletter, I would like to discuss
the importance of the new reimbursement models.
Provider reimbursement is currently based
on a fee-for-service (FFS) system that promotes
Stuart Milesat freedigitalphotos.net
over treatment of patients
and affords no incentive
for providers to efficiently
coordinate a patient’s
care.
Furthermore,
this system does little
to encourage quality
care improvements. It
perpetuates the growth of
healthcare expenditures
without necessarily improving the population’s health and
also creates an enormous potential for fraud and abuse.1
FFS unfortunately also supports the undervaluation of
preventive services as well as the overvaluation of nonpreventive care; inadequate payment to physicians for
services required to provide patient-focused, coordination
of care; and the establishment of incentives for volume of
services with little regard to quality of care or utilization of
resources.2
Types of payment methods - There are six methods of
provider reimbursement, which have been traditionally
utilized within the healthcare system:3
1. Fee-for-service: A provider is paid a fee for
rendering a specific service.
2. Per Diem: A provider is paid a set amount per
patient for each day that the patient is in the
provider’s care. All services rendered during that
day are covered under a set amount.
3. Episode-of-Care: A single provider is paid a set
amount for all services rendered by that provider
during a defined “episode” of care. For example,
a provider may be paid a predetermined amount
for a patient undergoing a liver transplant. The
payment covers the surgery and all services,
including follow-up, associated with the surgical
“episode.” This arrangement typically includes
multiple payments for a single episode since more
than one provider may treat the affected patient.
In this setup, Medicare employs a prospective
payment system (PPS), which depends on
diagnosis-related groups (DRGs) to classify
services that can be bundled together into a single
payment for an “episode.”
4. Multi-Provider, Bundled, Episode-of-Care:
Multiple providers are jointly paid for all services
rendered during an episode of care. In this method
there is only a single payment made by the payer
(employer or health insurance plan) which covers
the services rendered by all providers.
5. Condition-Specific Capitation: One or more
providers are paid a pre-determined fee to cover
all services rendered for a specific condition.
Payments entail either a one-time fee or ongoing
payments, depending on the severity of the illness.
6. Capitation: One or more providers are paid a
regular, pre-determined fee to cover all services
rendered for the continuous care of a patient.
This fee covers all episodes and all conditions.
Currently, the majority of providers are reimbursed
using either an FFS, per diem, or episode-of-care
payment system; FFS is the system most predominantly
used. A 2012 National Commission on Physician
Payment Reform recommended a five-year plan to
move away from fee-for-service payments.4 As a result,
current payment reform is transitioning away from feefor-service to value-based payment systems, a process
hastened by the Affordable Care Act (ACA).
(Continued on page 4)
THE OB SOCIETY OF PHILADELPHIA
VOLUME 41-ISSUE 8
PAGE 3
In a value-based payment system,
Stuart Milesat freedigitalphotos.net
the payer
shifts the risk of overutilization to the provider side and
adjusts incentives towards rewarding for quality and
satisfaction, rather than volume of care. Imagine a case of
a patient with “ovarian cancer episode-of-care” in which
all providers (gynecology, gynecologic oncology, general
surgery, trauma, pathology, hospital services, and emergency
department) must divide a single “bundled payment” for
all services rendered. In order to maximize profit, every
member of the health care team is responsible for the
clinical quality, cost, patient satisfaction, postoperative care
and recovery time. This strategy could lead to discussions
whether new modalities, such as robotics and genomics
testing are necessary
and cost effective.
In the obstetrical
arena, although it is
true that the “total
obstetrical package”
is a kind of a
bundled payment for
a group of services,
it is limited to a single provider or to a group of providers.
In most circumstances, it is not coupled with payments to
other health care providers, hospital payments, or incentives
that are related to quality or patient satisfaction.
In the office, a capitated form of payment for care will
reward less direct patient contact and more use of costeffective communication techniques via phone, email, or text
messaging. Rewards for meeting quality standards such as
pap screening, mammograms, smoking cessation counseling
and vaccination will improve compliance with best practice
goals. Payments based on patient satisfaction ratings will
promote good office and patient communication and prompt
follow-up evaluation. When the obstetrician/gynecologist
is not motivated by volume-based models, then he is more
likely to participate in “team medicine,” which uses lowercost ancillary health providers and makes more appropriate
specialty referrals. In the end, the patient’s individual needs
will be more efficiently met, enabling an improved patient
experience, good clinical outcomes
becoming employed
by
hospitals.
As
providers
become
employees,
the
hospitals
will
ultimately
control
management services
and coordinate care
for the providers
and will likely reward them for health outcomes and
quality of care provided to patients. Albert Einstein
said, “The measure of intelligence is the ability to
change.” For decades if not longer, we have had to
adapt to the dynamic and unpredictable cycles of
medical economics. To survive and perhaps even
flourish, we must be smart and embrace change when
faced with the challenges ahead.
Stuart Milesat freedigitalphotos.net
(Continued from page 3)
1) Schoen C, et al. Bending the Curve: Options for
Achieving Savings and Improving Value in U.S. Health
Spending. The Commonwealth Fund. December 2007.
2) American College of Physicians. Reform of the
Dysfunctional Healthcare Payment and Delivery System.
2006. Available: http://www.acponline.org/advocacy/
where_we_stand/policy/dysfunctional_payment.pdf.
3) Miller HD. Creating Payment Systems to Accelerate
Value-Driven Health Care: Issues and Options for
Policy Reform. The Commonwealth Fund. September
2007.
4) National Commission on Physician Payment
Reform. Report of the National Commission on
Physician Payment Reform. March 2013. Available at:
http://physicianpaymentcommission.org/wp-content/
uploads/2013/03/physician_ payment_report.pdf.
As the financial risk for a given patient
population is transferred to providers and as payments
are made on a bundled basis, physicians are not only
consolidating into larger groups, but they are aligning with or
THE OB SOCIETY OF PHILADELPHIA
VOLUME 41-ISSUE 8
PAGE 4
April Meeting
“Hypertensive Emergencies During Pregnancy”
Michael Foley, MD
April’s meeting was enjoyed by all. Dr. Margie Angert, representing Council’s nominating
committee, introduced the Society’s new officers. Dr. Luisa Galdi (DUCOM) was invited to sign
the book as the newest member of the Obstetrical Society of Philadelphia. In my review of the
archives with regards to the treatment of eclampsia in the late 1800’s, it was clear how far we have
come in our understanding of the disorder.
Dr. Guy Hewlett introduced Dr. Kristina Williams, who is a firstyear resident at Pennsylvania Hospital. Dr. Williams presented
a case of a 29 year old primigravida with chronic hypertension,
superimposed pre-eclampsia and HELLP syndrome. The patient
had a significant cardiac history and an allergy to labetalol. At an
outside institution, the patient was started on a nicardipine drip
and transferred to Pennsylvania Hospital. Unfortunately, a fetal
Dr. Louisa Galdi signs The Book
loss was diagnosed, and labor was induced. The patient delivered
on hospital day three. While hospitalized, the patient required a
nitroprusside drip for blood pressure control. She was ultimately discharged on four different
anti-hypertensive medications.
Dr. Michael Foley, Chair of Obstetrics and Gynecology at Banner Health in
Phoenix, took the podium. But he did not actually stand behind the podium Dr. Kristina Williams
very much. His talk gave proof of his laurels as a master educator and dynamically
brought physiology and pharmacology to the forefront of our minds, as Dr. Foley discussed the treatment of women with acute
hypertensive disorders.
Dr. Foley began with a story about treating two antepartum patients experiencing hypertensive emergencies. Dr. Foley and his
residents set about to figure out why the two patients required different therapies. What were the differences in their clinical
pictures? What were the differences in the etiologies of their underlying hypertensive
disorders? Dr. Foley broke it down by taking us back to the basics of physiology.
Blood Pressure = Flow X Resistance. With hypertension, increased flow is caused
by three factors: hypervolemia, increased cardiac output, and increased contractility,
which is modified by beta activity. In cases where flow seems to be the contributor,
Dr. Foley treats patients with beta-blockers. When hypervolemia is the contributor,
he uses diuretics. On the flip side, increased resistance manifests as vasoconstriction.
If vasoconstriction is the problem, treatment should include vasodilators.
How does one tell the difference between
a patient with increased flow and one with increased resistance? In a patient with
a normal heart, diastolic pressure reflects the degree of vasoconstriction (very high
diastolic pressure = excessive vasoconstriction). The pulse pressure (systolic diastolic) can be used to discern the intravascular volume in the system. High pulse
pressure (average is 55 mm Hg) is consistent with high intravascular volume. Low
pulse pressure is also abnormal. Assessing a patient’s pulse pressure and diastolic
pressure can be used to determine the nature of the hypertensive abnormality and
whether to treat with a beta-blocker and a diuretic (Labetalol and furosemide) or with
vasodilators (hydralazine, calcium channel blockers, and/or nitroprusside sodium).
Monitoring pulse pressures can help to determine the appropriate preload for neuraxial anesthesia. A narrowing pulse pressure
may indicate acute blood loss.
THE OB SOCIETY OF PHILADELPHIA
VOLUME 41-ISSUE 8
PAGE 5
(April Meeting Continued from page 5)
Dr. Foley outlined treatment fundamentals of hypertension. An initial history and physical cannot
be supplanted. Assessment of hemodynamic status, intravascular volume, and pulse pressure is
extremely important. Appropriate pharmacologic therapy should be chosen, with care to avoid
long-acting medicines in a drip form. Avoid lowering the diastolic pressure below 90-100 mm Hg
and the systolic pressure below 150-160 mm Hg. Dr. Foley advised us to carefully assess volume
status and replace volume if deemed necessary.
Dr. Foley presented two patients, Ms. Toxemia and Ms. H. Tension, who presented with hypertension
caused by contrasting causes. Both were evaluated and treated with help from the audience. As
usual, the question and answer session was lively. Dr. Foley’s slides are posted on the Society’s
website, at the request of all of us who were wowed by his presentation. We thank Dr. Foley for an
entertaining and enlightening discussion. I am sure that many of us will approach our hypertensive
patients using his framework.
Dr. Michael Foley signs The Book
Jasjit K. Beausang, MD
Resident Education Committee – Philadelphia Obstetrical Society
Drs. Mackeen, Khalifeh & Hua
Jennifer Yocum, Deborah Cruz & Anna-Liza Madrinan
Drs. Baxter & Hotmer
Drs. Widzer & Glazerman
Drs. Gold, Cohen & Rubin
Drs. Hewlett, Cohen, Foley, Baxter & Delvadia
Pennsy Docs!
Drexel Docs!
(Continued on page 7)
THE OB SOCIETY OF PHILADELPHIA
VOLUME 41-ISSUE 8
PAGE 6
In Memoriam
Theodore J. DeConna, M.D.
It is with sadness that we report the passing of Theodore J. DeConna, M.D., age 87, of Cherry Hill, New
Jersey. Dr. DeConna passed away on February 18, 2015. He was the beloved husband of Renate (nee Sporn),
was predeceased by Alice (nee Miller) and Nina (nee Porth), and dear father of John and Celeste DeConna,
James DeConna, Reiner and Nicole Braeuer, and Sabine and Michael Reker. He was the loving grandfather
of Marcel, Michelle, Robin, Vivian, Tim, Pia, and Jan.
Dr. DeConna worked for over 40 years as an obstetrician/gynecologist. He was affiliated with West Jersey
Hospital, where he was a former chairman of the Ob/Gyn Department. He was a member of the AMA and
ACOG. Dr. DeConna loved traveling and playing golf. He was a member of Tavistock Country Club.
The family requests that memorial contributions go to - USA, Inc., 333 Seventh Avenue, 2nd Floor, New
York, NY 10001.
For more information, please visit the following web page:
http://obits.dignitymemorial.com/dignity-memorial/obituary.aspx?n=Theodore-DeConna&lc=1442&pid=1
74226467&mid=6334708
THE OB SOCIETY OF PHILADELPHIA
VOLUME 41-ISSUE 8
PAGE 7
Philadelphia Perinatal Society Hosts
Annual Neonatal-Perinatal Research Symposium
&
Boggs Award for Neonatal-Perinatal Research
Wednesday, May 20, 2015
Presiding: Ogechukwu R. Menkiti, MD
Moderator: Ogechukwu R. Menkiti, MD
Sheraton at Society Hill
Second and Dock Streets, Philadelphia
Cash bar - 6:00 pm
Buffet Dinner – 6:30 pm
Presentations – 7:00 pm
Fellows are guests of PPS (no charge for dinner)
Contact: Rosemary Dworanczyk
[email protected]
Office – 856-662-4903
Mobile – 856-465-4667
Thomas R. Boggs, Jr. - 2015 Young Investigator Award
The Philadelphia Perinatal Society honors young investigators in the Philadelphia area who are conducting neonatal and perinatal
research with the: Boggs Award for Neonatal-Perinatal Research Dr. Thomas R. Boggs, Jr., the leading Neonatologist of Philadelphia in the 1960’s and 70’s left a legacy of excellence in clinical
care, education, and clinical research. He was a mentor to many neonatal leaders. In the late sixties, he founded the Philadelphia
Neonatal Society, parent organization of The Philadelphia Perinatal Society. Its purpose was to create a collegial environment
among individuals who care for newborns and are committed to life-long learning.
Members of the Society may nominate fellows in training in perinatology, neonatology and related doctoral programs in the
Philadelphia region to present their research. Each nominee is required to submit a manuscript of the research that the young
investigator has completed during their training program. The manuscript should be in standard peer-review journal format,
but may not yet have been accepted for publication. The emailed manuscript must be supported by and cc’ed to the active PPS
member who is supporting their work. Selected nominees will be invited to present their research in an oral presentation at the May
Annual PPS Boggs Award meeting (see Meetings page for date, time...). A panel of experts will judge these presentations. The
Thomas R. Boggs, Jr. Research Award (and cash prize) will be presented at the conclusion of the meeting to the selected
outstanding young investigator.
Thank you for participating to support and honor the achievements of our junior colleagues in the fields of Perinatology,
Neonatology, Nursing, Physiology and other allied areas.
Dr. Ogechukwu R. Menkiti, MD
President, Philadelphia Perinatal Society
Deadline for Submissions: May 7, 2015
Email your manuscript & nomination letter to:
[email protected]
THE OB SOCIETY OF PHILADELPHIA
VOLUME 41-ISSUE 8
PAGE 8
OBSTETRICAL SOCIETY OF PHILADELPHIA
Council Members: 2014-2015
PRESIDENT
PAST PRESIDENT
SECOND YEAR PAST PRESIDENT
Thomas Jefferson University
833 Chestnut Street, 1st Floor
Philadelphia, PA 19107
Hospital of the University of Pennsylvania
Pennsylvania Hospital
Philadelphia Department of Public Health
Retired
Crozer-Chester Medical Center
One Medical Center Boulevard
Upland, PA 19013-3995
PRESIDENT ELECT
VICE PRESIDENT
SECRETARY
Women’s Associates for Healthcare
Einstein Healthcare Network
633 W. Germantown Pike Suite 203
Plymouth Meeting, PA 19462
DUCOM - Dept. OB/GYN
245 North 15th Street
Philadelphia, PA l9l02-1192
2701 Blair Mill Rd. Suite C
Willow Grove, PA 19090
TREASURER
ASSISTANT SECRETARY
Peter F. Schnatz, DO
RESIDENT EDUCATION AND
ARCHIVES
Geisinger Health System
100 N. Academy Ave.
Danville, PA 17822
The Reading Hospital and Medical Center
Department of OB/GYN
6th Ave & Spruce Street
West Reading, PA 19611
DUCOM - Dept. OB/GYN
245 North 15th Street
Philadelphia, PA l9l02-1192
RESIDENCY PROGRAM LIAISON
HEALTH ACTION COMMITTEE
BYLAWS
Director of Medical Education
Designated Institutional Official
One Medical Center Blvd. POB 302
Upland, PA 19013
919 Conestoga Road
Building 1, Suite #104
Rosemont, PA 19010
DUCOM - Dept. OB/GYN
245 North 15th Street
Philadelphia, P Al9l02-1192
COUNCIL AT LARGE
NOMINATION COMMITTEE
FOUNDATION
Delaware Valley Urogynecology Healthplex
196 West Sproul Road
Suite 208
Springfield, PA 19064
Suite S-93, Executive Mews
1930 State Hwy 70 East
Cherry Hill, NJ 08003
COUNCIL AT LARGE
COUNCIL AT LARGE
Jason Baxter, MD, MSCP
Helen M. Widzer, MD
A. George Neubert, MD
Guy Hewlett, MD
Jose S. Maceda, MD
Jack M. Fitzsimmons, MD
Virtua Perinatal Associates
100 Bowman Drive
Voorhees, NJ 08043
COUNCIL AT LARGE
REPRODUCTIVE HEALTH
Steven J. Sondheimer, MD
Hospital of the University of Pennsylvania
3701 Market Street, 8th Floor
Philadelphia, PA 19104
RESIDENT EDUCATION
COMMITTEE
Adrian Quesada-Rojas, MD
Suite 1900
4755 Ogletown-Stanton Road
Newark, DE 19713
SOCIAL MEDIA
Aasta D. Mehta, MD
Lehigh Valley Health Network
1245 Cedar Crest Blvd, Suite 201
Allentown, PA 18103-6267
THE OB SOCIETY OF PHILADELPHIA
Marjorie Angert, DO, MPH
Dipak Delvadia, DO
Joan H. Zeidman, MD
Susan Kaufman, DO
Albert El-Roeiy, MD
Sherry. L. Blumenthal, MD
Mark B. Woodland, MS, MD
Carl Della Badia DO
Arnold W. Cohen, MD
Albert Einstein Medical Center
5500 Old York Road
Philadelphia, PA l9l41
Donald DeBrakeleer, DO
RESIDENT EDUCATION
COMMITTEE
Center for Women’s Health of Montgomery County
1000 Walnut Street, Suite 122
Lansdale, PA 19446
Planned Parenthood of Delaware
625 N. Shipley St.
Wilmington DE 19801
Larry Glazerman, MD
COUNCIL AT LARGE
MEMBERSHIP DIRECTOR
Lankenau Medical Building, East
100 East Lancaster Avenue, Suite 561
Pennsylvania Hospital
2 Pine east 800 Spruce Street
Philadelphia, PA 19107
Norman Brest, MD
Wynnewood, PA 19096-3450
RESIDENT EDUCATION
COMMITTEE
Xuezhi Jiang, MD
The Reading Hospital and Medical Center, Department of OB/GYN
6th Ave & Spruce Street
West Reading, PA 19611
Harish Sehdev, MD
NEWSLETTER EDITOR
Fay Wright, MD
111 E. Levering Mill Road
Bala Cynwyd, PA 19004
RESIDENT EDUCATION
COMMITTEE
Jasjit K. Beausang, MD
DUCOM – Dept. OB/GYN
245 Norht 15th Street
Philadelphia, PA 19102-1192
VOLUME 41-ISSUE 8
PAGE 9