Clinical Component

Navigating the Clinical Component

This is a full-spectrum women's health practice built on a collaborative model between OB/GYNs and midwives. Midwives manage most vaginal deliveries and carry primary call, while you focus on high-risk obstetrics, C-sections, and gynecologic surgery. The practice supports a low-intervention birth philosophy, including VBACs and water births for low-risk patients, alongside a full surgical and outpatient gynecologic component.

Patient Population

  • Women's health patients across the Kenai Peninsula
  • Balanced mix of obstetric and gynecologic care
  • Low-intervention birth focus, including VBACs and water births for low-risk patients
  • Reproductive and maternal-fetal medicine support available, including telehealth, with the nearest physical MFM in Anchorage

Clinical Snapshot

EMR
Epic
Clinic Volume 15 to 18 patients per day
New Patient Wait Approximately 5 weeks
C-Section Rate 22%
Annual OB Volume Approximately 120 deliveries (program)
Per-Physician Deliveries 10 to 17 per year
Delivery Gestation Limit Up to 35 weeks, transfers handled beyond that point
Anesthesia CRNA and anesthesiologist coverage for epidurals and C-sections

Procedures and Services

  • Full-spectrum obstetrics with focus on high-risk deliveries and C-sections
  • Gynecologic surgery in the OR
  • Outpatient female procedures performed in clinic
  • Onsite imaging and labs
  • Procedure room available in clinic

Obstetric Care Model

  • Midwives take primary call and manage most vaginal deliveries
  • OB/GYNs are notified of deliveries and support high-risk and surgical cases
  • Deliveries managed up to 35 weeks gestation, with transfers beyond that threshold
  • Maternal-fetal medicine support by telehealth, nearest physical MFM in Anchorage
  • Full postpartum support including new mother and breastfeeding care

Call

Frequency Detail
Frequency Approximately 10 days per month
Location From home
Triage Nurse triage line screens calls first
Call Volume 0 to 4 calls per night of call
Unassigned Deliveries Covered by the physician on call
Extra Call Paid

Clinical Support

  • Collaborative midwife team carrying primary call
  • Nurse triage line
  • Onsite imaging and laboratory services
  • Scribe and dictation support
  • CRNA and anesthesiologist anesthesia coverage

Teaching

Teaching opportunities with medical students and PA students

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