As part of the Obstetric Medicine rotation, exposure is offered to a broad variety of clinics dedicated to medical problems in pregnancy. Trainees will attend the General Internal Medicine Obstetrical Medicine clinic as well as rotate through various focused medical subspecialty pregnancy clinics including:
Obstetric Medicine - MOM clinic
This clinic is dedicated to a broad range of medical disorders in, and complications of, pregnancy. They are based at the Royal Victoria Hospital. The trainee will develop knowledge and skills relating to the treatment of hypertensive disorders, neurologic, hematologic (including thromboembolic), endocrine, and rheumatologic conditions as they relate to pregnancy.
Trainees will become proficient in the management of chronic medical conditions in pregnancy and the peripartum period. They will gain an understanding of the physiologic changes of pregnancy, and how these impact on various disease states. Trainees will develop skills in pre-pregnancy optimization and counseling of patients, up to and including issues surrounding medication and ionizing radiation safety in pregnancy and lactation.
Endocrinology
Trainees will be exposed to a broad variety of endocrine disorders, ranging from common disorders such as diabetes and thyroid disease, to more uncommon entities such as pituitary and adrenal disorders.
Cardiology
This clinic will provide the trainee with exposure to a wide variety of cardiac disorders in pregnancy, including congenital heart disease, valvular heart disease, cardiomyopathies and arrhythmias.
Hematology
This clinic offers a unique opportunity to manage thromboembolic disorders, thrombocytopenias, anemias, various hemoglobinopathies (thalassemia, sickle cell disease) and alloimmunization issues during pregnancy.
Maternal Cardiovascular Health (MatCH) clinic
This clinic is a specialized postpartum clinic targeting women with hypertensive disorders of pregnancy. The purpose of the clinic is to perform guideline-recommended comprehensive cardiovascular risk assessment in these women, as well as patient education, and risk factor management.
Nephrology
This clinic will provide the trainee with the opportunity to manage a variety of complex renal disorders in pregnancy, with a focus on glomerular diseases.