Laura Jacques, MD, associate professor in the Division of Academic Specialists in Ob-Gyn, and gynecologic oncology fellow Matthew Wagar, MD, recently co-authored an article in the Wisconsin Medical Journal. Co-authors include Bridget Kelly, MD, John Soehl, Janine Rhoades, MD, Elise S, Cowley, BS, Peter G. Pryde, Abigail Cutler, MD, and David Eschenbach.
In “Peripartum Uterine Clostridial Myonecrosis: A Report of Two Fatal Cases,” Jacques, Wagar, and co-authors compared two cases with clostridial infections, both having fatal endings.
“The utilization of point-of-care ultrasound may expedite the diagnosis of uterine myonecrosis. When uterine myonecrosis is suspected, immediate initiation of penicillin-based antibiotics, alongside clindamycin, and aggressive surgical intervention including hysterectomy are essential for ensuring survival.”
The research team believes awareness for these types of cases will help improve diagnosis and treatment options for this uncommon issue in the future.
Read the whole article here.
**by Ob-Gyn Communications Intern Paige Stevenson
Huge congratulations to Janine Rhoades, MD, of the Division of Maternal-Fetal Medicine! The School of Medicine and Public Health CHS Promotion to Associate Professor Committee unanimously voted to approve Rhoades promotion to Associate professor (CHS), effective June 30, 2024.
Rhoades joined the UW Department of Ob-Gyn in 2018 after completing MFM fellowship at Washington University in St. Louis. Since that time, she became director of our MFM fellowship program and will become director of the Division of Maternal-Fetal Medicine in summer of 2024.
Congratulations on this well-deserved honor, Dr. Rhoades!
In early November, three Department of Ob-Gyn faculty served as American Board of Obstetrics and Gynecology board examiners in Texas!
Janine Rhoades, MD, assistant professor in the Division of Maternal-Fetal Medicine; Steve Rose, MD, professor in the Division of Gynecologic Oncology; and Igor Iruretagoyena, MD, MS, professor and director of the Division of Maternal-Fetal Medicine, all served as specialty oral examiners.
It's an exciting department accomplishment to have three faculty serve as specialty board examiners. Thank you all for your work supporting the next generation of ob-gyn physicians!
Faculty, residents, fellows, researchers and more brought numerous posters and presentations to the virtual 2021 Society for Maternal-Fetal Medicine Annual Meeting at the end of January! Learn more about the wealth of research shared by our colleagues at the conference:
PRESENTATION:
Racial disparities in post-operative pain experience and treatment following cesarean birth
John Poehlmann; Tiffany Green, Katie Antony, Amy Godecker
POSTERS:
Trouble with the curve: Is an ultrasound growth curve needed to predict SGA infants?
Bradley Bosse; Jacquelyn Adams, Melissa Meyer, John Poehlmann, Janine Rhoades, Igor Iruretagoyena
Obtaining accurate blood pressures: A quality improvement initiative to increase obstetric nursing knowledge and confidence
Matt Wagar; Jacquelyn Adams, Amy Godecker, Katie Antony
Prediction of vaginal delivery utilizing intrapartum transperineal ultrasound
Stephanie Peace; Melissa Meyer, Jacquelyn Adams, Katie Antony; Luther Gaston
Comparing 32-week vs 36-week growth ultrasound for prediction of LGA infants in obese gravidae
John Poehlmann; Jacquelyn Adams, Melissa Meyer, Jenna Racine, Janine Rhoades, Igor Iruretagoyena
Impact of a Standardized Post-Cesarean Analgesia Regimen on Postpartum Opioid Use
Melissa Meyer; Katie Antony
The impact of pre-existing maternal anxiety on pain and opioid use following cesarean birth
John Poehlmann; Amy Godecker, Katie Antony
Blood pressure pattern of women with hypertensive disorders of pregnancy is highly affected by obesity
Narmin Mukhtarova (MFM research intern); Kara Hoppe co-authored
Postpartum blood pressure of Black women is significantly higher compared to non-Black women
Narmin Mukhtarova (MFM research intern); Kara Hoppe co-authored
Did institutional changes and patient behaviors surrounding COVID-19 affect perinatal outcomes?
Jenna Racine; Igor Iruretagoyena, Kara Hoppe
Distance matters. The effect of distance to the hospital on estimated blood loss.
Kara Hoppe; Alexa Lowry
Blood pressure pattern pre-pregnancy through 42-day postpartum of women with preeclampsia, gestational, and chronic hypertension
Narmin Mukhtarova (MFM research intern); Kara Hoppe
Though the meeting was virtual this year, the UW Ob-Gyn Division of Maternal-Fetal Medicine brought an impressive raft of research to the Society for Maternal-Fetal Medicine’s 42nd Annual Pregnancy Meeting! Read about some of the incredible posters and presentations they shared at the conference:
Risk calculator for hypertension related postpartum readmission - Jinxin Tao, Yonatan Mintz, Ramsey Larson, Dakota Dalton, Kara Hoppe
(check out the risk calculator, recently published on Dr. Hoppe’s Staying Healthy After Childbirth site!)
A Spatial Approach to Examining Individual and Disparity-Level Factors and Hypertensive Disorders of Pregnancy - Erin Bailey, Maria Kamenestky, Alexa Lowry, Ronald Gangnon, Kara Hoppe
Is isolated small head circumference at 20 weeks predictive of FGR or SGA at delivery? - Brad Bosse, Madeline Wetterhahn, Erin Bailey, Janine Rhoades, J. Igor Iruretagoyena, Jacquelyn Adams
A Spatial Approach to Examining Individual and Disparity-Level Factors and Birth Outcomes - Alexa Lowry, Maria Kamenetsky, Erin Bailey, Ronald Gangnon, Kara Hoppe
Understanding endothelial dysfunction in preterm preeclampsia with severe features: utility of bedside brachial artery Doppler - Jenna Racine, Ryan Pewowaruk, Alejandro Roldan-Alzate, Ian Bird, Jason Austin, Dinesh Shah, J. Igor Iruretagoyena
Diabetes Distress Scores and Black race predicts poorer diabetes control in third trimester - Jennifer Jacobson, Amy Godecker, Jennifer Janik, April Eddy, Jacquelyn Adams
Is an isolated short femur an indication for growth ultrasounds? - Erin Bailey, Brad Bosse, Madeline Wetterhahn, J. Igor Iruretagoyena, Janine Rhoades, Jacquelyn Adams
Predicting small for gestational age infants: is it time to update the Hadlock model? - Joseph Chou, Brad Bosse, Madeline Wetterhahn, Jacquelyn Adams
Do obese women without comorbid conditions need a growth ultrasound during pregnancy? - Madeline Wetterhahn, Kathleen Antony, Brad Bosse, Jacquelyn Adams
Congratulations to all!
Janine Rhoades, MD, assistant professor in the Division of Maternal-Fetal Medicine, will become associate director of the division on July 1, 2023! She will work closely with Division Director Igor Iruretagoyena, MD, MS, in this role.
Rhoades joined the UW Department of Ob-Gyn in 2018 following MFM fellowship at Washington University in St. Louis. She has been a leader in fellow education since arriving, serving on the MFM Fellowship Program Evaluation and Clinical Competency Committees since 2018. She was the MFM Fellowship Associate Program Director until 2022, when she took over from Iruretagoyena to become Fellowship Program Director.
In addition to leading the MFM Fellowship Program, Rhoades is a member of the Ob-Gyn Residency Program Evaluation Committee and the Department of Ob-Gyn Education and Quality Improvement Review committees. Outside our department, she serves on the Wisconsin Department of Health Services Maternal Mortality Review Impact Team and the Society for Maternal Fetal Medicine Clinical Education Committee. All of these past experiences have prepared her to help lead the complex, active Division of Maternal-Fetal Medicine in the UW Department of Ob-Gyn.
Congratulations, Dr. Rhoades!
Faculty, residents, and fellows brought an exciting variety of posters and presentations to the 2023 Society for Maternal-Fetal Medicine Annual Pregnancy Meeting February 6-11 in San Francisco! Just some of their incredible accomplishments:
Erin Bailey, MD, MS (MFM fellow) presented “Treatment for mild chronic hypertension during pregnancy: is tighter better?” during an oral plenary session to an audience of more than 3,000 people! The abstract won the Norman F. Gant Award for Best Research in Maternal Medicine.
Scott Infusino, MD (MFM fellow) gave an oral presentation during a Fellow Case session: “Mo' Baby, Mo' Problems”
Kara Hoppe, DO, MS, presented during a Scientific Forum: “The CHAP trial: clinical implications and recommended practice changes”
The department and the Division of Maternal-Fetal Medicine were also well-represented during poster sessions throughout the conference:
Poster: Does excess gestational weight gain increase the risk for neonatal hypoglycemia? (Erin Bailey, Carrie Sibbald, Janine Rhoades, Jacquelyn Adams)
Poster: Evaluation of a cesarean surgical site infection (SSI) prevention protocol on SSI and neonatal hypoglycemia (Gabrielle Avery, Daniel Shirley, Sarah Gnadt, Dolores Krickl, Kelly Parrette, Kathleen Antony)
Poster: Body mass index and persistent hypertension in patients with hypertension disorders of pregnancy one-year postpartum (Kara Hoppe and MCW co-authors)
Poster: Prediction modeling of postpartum blood pressure spikes and investigation of preventive management strategies (Jinxin Tao, Scott Infusino, Yonatan Mintz, Kara Hoppe)
Poster: Is interpreter use an independent risk factor for small for gestational age infants? (Carrie Sibbald, Amy Godecker, Erin Bailey, Janine Rhoades, Jacquelyn Adams)
Huge congratulations to all involved!
UW Ob-Gyn Maternal-Fetal Medicine Fellowship Director Janine Rhoades, MD, has published a new article in AJOG-MFM!
In “Maternal-Fetal Medicine fellowship program director perspective on virtual interviews following matriculation of the first virtual interview class”, Rhoades and co-authors compared program directors’ experiences with fellows who interviewed virtually to their experiences with fellows who interviewed in-person. The study, which utilized a survey distributed through the Society for Maternal-Fetal Medicine to fellowship directors across the country, found:
“There was no difference in the position of the matched fellow on the program's NRMP rank list between candidates interviewed in-person and candidates interviewed virtually. There was also no difference in the number of programs who took an internal or external candidate outside of the NRMP match process or did not fill their fellowship position. Program directors reported no difference in the fellows’ performance meeting their expectations from the interview whether the fellow interviewed in-person or virtually in their clinical capabilities (p=0.67), technical skills (p=0.96), research potential or experience (p=0.54), professionalism and ability to be a team player (p=0.72), or compatibility with the division and fellowship program (p=0.67).”
Read the whole study here! This is not Rhoades’ first time researching the virtual interview experience in fellowships – take a look at these 2021 studies examining fellowship program director experiences as well as applicant experiences with virtual interviewing.
UW Ob-Gyn Assistant Professor Janine Rhoades, MD became the director of the Maternal-Fetal Medicine fellowship on July 1, 2022! Rhoades takes over the fellowship director role from Division of Maternal-Fetal Medicine Director Igor Iruretagoyena, MD. Iruretagoyena will be the associate fellowship director for a transition period.
Rhoades served as associate director of the fellowship for a few years before taking on the director role. Her leadership is already appreciated by the MFM fellows and faculty, and she will no doubt be an incredibly successful fellowship director.
Congratulations, Dr. Rhoades!
Each fiscal year, the Department of Obstetrics and Gynecology Faculty Development Committee makes available a total of $10,000 for professional development. Faculty may submit applications at any time (until funds are exhausted for the current fiscal year).
Read more about Dr. Janine Rhoades’ experience with the Faculty Development Funding Program, and learn how you can apply for faculty development funds here!
Why were you interested in the SMFM Obstetric Critical Care course?
I was interested in the SMFM critical care course, because I had several colleagues from my fellowship training who had completed the course in the past and found it really valuable. It’s a really comprehensive course, they have 23 topics and lectures. It's all online, so you have a one-year subscription or access to it to complete the courses. It's a really comprehensive sort of covering of many things that we see as MFMs of patients who are on the more, the critical care side. It includes topics on cardiac disease and pregnancy, both acute heart failure, and, you know, congenital cardiac disease and pregnancy. It has obstetric emergencies like hemorrhage. It covers topics like diabetic ketoacidosis, sepsis, a lot of things that we encounter every day. I felt like it would help me become a better MFM physician and also help me be a better educator. I now have all of these resources and materials that I can share with the residents, medical students, and fellows to help them with their critical care skills as well.
How have the skills or competencies you gained in this training supported the department more broadly?
It’s nice because they let you save the materials, so I have now all of the PowerPoints and documentation from the lectures and so I have that that I can share when I'm on service with the residents, with the students and fellows on service, and pass on the education to them. And I also have it for my own reference when I'm encountering a situation that I need to kind of jog my memory.
What was the approximate time commitment to complete your training?
I was able to do it at my own pace because you do have access for the whole year. There are 23 topics and each one is an hour to an hour and a half. So it was a lot of time, but since you can spread it out over a year, it was very manageable and a doable course.
Would you recommend this course to your colleagues?
I think it's a great course. I had heard great things about it from other people around the country who have completed it and I would support anyone whether they're MFM faculty or upcoming trainees to complete the course.
How was your experience with the UW Ob-Gyn Faculty Development Grant process?
I found the process very easy. It was very clear on their website how to apply for the grant. You had to kind of support why you were interested in what you were asking the funding for, but it was not a laborious process by any means, and I felt like they were interested in supporting me and supporting my development.
What do faculty in the department need to know about the Faculty Development Grant system?
I think it's just great for people to know that it exists. Dr. Igor had supported me in applying for it and frequently reminds our division members that it is there. I think part of it is just remembering to think about it as another way to support things like this, these courses and things where maybe you run out of your CME money and but there's something that would really benefit your education or your career path.
On November 4, 2021, Janine Rhoades, MD, of the UW Ob-Gyn Division of Maternal-Fetal Medicine presented the Grand Rounds lecture “Virtual interviewing in medical education: what have we learned and is it here to stay?”.
In the presentation, Rhoades identified advantages, limitations, and areas for improvement in the virtual interview process, discussed best practices for virtual interviews, and shared strategies to promote diversity, equity, and inclusion in the virtual interview process.
Watch the whole lecture here.
We’re thrilled to share that Janine Rhoades, MD, of the UW Ob-Gyn Division of Maternal-Fetal Medicine, recently passed her oral MFM boards!
Please join us in congratulating Dr. Rhoades on this important accomplishment. Preparing for and taking board exams during a stressful pandemic is no mean feat!
UW Ob-Gyn Maternal-Fetal Medicine specialist and associate MFM fellowship director Janine Rhoades, MD, co-authored two articles in the American Journal of Obstetrics and Gynecology – Maternal-Fetal Medicine about the virtual fellowship recruitment season of 2020.
The two articles examined the 2020 MFM match process from candidates’ and program directors’ perspectives. “Maternal-fetal medicine program director experience of exclusive virtual interviewing during the coronavirus disease 2019 pandemic” shares results from a survey of 71 MFM fellowship program directors about their experience with virtual recruitment:
“The virtual interview experience was better than expected for most program directors. However, most program directors felt less able to present their programs and assess the candidates on a virtual platform compared with previous in-person experiences. Despite this, most program directors are interested in at least a component of virtual interviewing in future years. Future efforts are needed to refine the virtual interview process to optimize the experience for program directors and candidates.”
The second article, “Effect of virtual interviewing on applicant approach to and perspective of the Maternal-Fetal Medicine Subspecialty Fellowship Match”, examines the same virtual Match process from the perspective of candidates, and compares data collected from 2020 candidates to MFM fellows who interviewed in previous years. Experiences reported by 2020 fellowship applicants differed from applicants who participated in mostly in-person Match seasons in a few key ways: virtual applicants reported applying to more programs, spending less time away from work during the interview process, and spending less money.
Both publications provide excellent insight for approaching future fellowship recruitment seasons. Incredible work, Dr. Rhoades!
Preterm birth is fairly common, with one in eight women going into labor prior to 37 weeks of gestation, which qualifies as preterm.
On this episode of the Women’s Healthcast, Janine Rhoades, MD, of the UW Ob-Gyn Division of Maternal-Fetal Medicine, talks about what causes preterm labor, what options are available to slow or stop labor, and what people can do to reduce their risk of delivering their babies early.
Listen to Preterm Birth now.
Did you know the Women’s Healthcast is available on all your favorite podcast platforms? Whether you like to listen on iTunes, Spotify, Google Play, Stitcher, Podbean, or anywhere else, you can find us! (Just search Women’s Healthcast, and while you’re at it, may as well subscribe!)