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Background

The Department of Obstetrics and Gynecology welcomed its four first-year residents in 1997, the same year that Geisel School of Medicine at Dartmouth (formally known as Dartmouth Medical School) celebrated its 200th birthday.

Geisel School of Medicine at Dartmouth is the fourth-oldest medical school in the United States. After 220 years, this school, with over 300 students, remains a center of excellence for physician and medical scientist training.

An OB/GYN procedureThe Geisel School of Medicine and Dartmouth-Hitchcock Medical Center (DHMC), the sole academic medical center in this rural state and one of the few in northern New England, possess a character reflective of the region, a set of unique strengths, and the ability to influence health care in ways not always possible in other geographic settings.

The Hitchcock Clinic is a multi-specialty group practice. Formed originally by five doctors in Hanover in 1927, the clinic now includes a growing network of primary care and specialty physicians with more than 60 sites in New Hampshire and Vermont. Clinic physicians at DHMC in Lebanon, NH, constitute the major component of clinical faculty at the Geisel School of Medicine.

The Department of Obstetrics and Gynecology includes physicians and other healthcare providers at the DHMC campus in Lebanon and at Catholic Medical Center in Manchester, and Hitchcock clinic sites in Concord, Manchester, and Keene, NH. Long before the current flurry of "buzzwords" and mandates, our department was a leader in developing collaborative models of practice. Physicians, nurse-midwives and nurse practitioners work side by side and enjoy mature, collegial relationships.

Outreach programs and regionalized healthcare systems are second nature to us

Our geographic location and the institution's commitment to the use of computer technology since the 1970s have served as forces in the development of outreach clinics in underserved areas throughout the region and the development of programs like the Northern New England Perinatal Quality Improvement Network (NNEPQIN). NNEPQIN is a multi-hospital, regionally-focused quality improvement organization whose goal is to improve perinatal outcomes in Northern New England by collecting and analyzing data regarding patient care and safety, developing best practice guidelines, and providing a forum for interaction and collaboration among hospitals in our area. This innovative organization also provides continuing medical education to many of the obstetrical providers in the region.

Clinical experience in both rural and urban settings

We are fortunate to have teaching faculty and staff of Catholic Medical Center join our efforts to provide a rich learning experience to our 2nd year residents in a more urban environment. The ten-month rotation provides a substantial educational experience to residents who gain exposure to a diverse patient population in a busy community practice of obstetrics and gynecology. By the conclusion of the program, residents have exposure to a variety of practice styles, sizes, and locations which surely assist with further career decisions.

Outcomes research was born at Dartmouth and is alive and well in the Department of Obstetrics and Gynecology

The Dartmouth Institute for Health Policy and Clinical Practice (TDI) is a dynamic force within Dartmouth College, dedicated to improving health care through education, research, policy reform, leadership improvement, and communication with patients and the public. Many of our faculty members have received advanced degrees within TDI and work daily on health care quality, cost savings, shared medical decision making, and innovative approaches to patient care.

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