OB/GYN 686: Yakima, WA

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Site information

Carly Ingalls, MD

Carly Ingalls, MD

Site Director

MultiCare Yakima Memorial Hospital

Mailing Address
3003 Tieton Drive 
Suite 230
Yakima, WA 98902

Contact

Kandace Nash
Student Experience Specialist
(509) 249-5670

Arla Dunlop
Manager of Clinical Experience and Student Experience

Introduction

Welcome to Yakima! We look forward to making your OB/GYN rotation an interesting and varied educational clerkship. At the same time, we want to encourage you to experience all of the recreational and cultural opportunities that abound in the Yakima Valley.

Credentialing

Clinical Coordinator/Site Director: Carly Ingalls, MD
Office phone number: (509) 248-3440
Cell phone number: (425) 346-7470
Fax number: (509) 249-4460
E-mail address: carly.ingalls@multicare.org
3003 Tieton Drive Suite 230
Yakima, WA 98902

***For this rotation, please bring your own eye protection (goggles or face shield). Memorial will supply PPE such as masks and gloves.

Check-In

Approximately one week before your rotation starts, Dr. Ingalls will email you detailed information regarding checking into the student housing and the orientation schedule. Before arriving in Yakima, please email a brief two paragraph auto biography so that we may introduce you to our patients. You will be able to check-in to the student housing on the Sunday before your first day.

On the first day of your clerkship, you will participate in the general orientation via Zoom. You will then be able to pick up your hospital badges prior to your afternoon orientation with Dr. Ingalls at the Generations OBGYN clinic. You will receive information regarding EMR logins via email prior to starting clinical activities.

Note: All hospital badges will need to be picked up with a government ID. Please make sure to upload photos at time of application submittal. Student/Intern badges should be return to the Security Office at the end of rotation.

Again, we welcome you to Yakima, and hope that your experience here will prompt a return to our valley in the future.

Clinical Faculty

You will primarily be working with the obstetricians and gynecologists of GENERATIONS OB/GYN.  Your primary preceptors in that group will be Dr. Ingalls and Dr. Bonnie Crouthamel. You will split your time with these individuals for the duration of the clerkship, but you will also be working with other OB GYNs in the group and occasionally with some of the other community physicians and with  nurse practitioners specializing in womens’ health. You will also have the opportunity to work closely with one of the ObGyn residents from the University of Washington. An R2 resident comes  every month from January through June and a third year resident comes every month from July through December. You will be spending several half days a week in the office, going to surgery, and attending deliveries with all of the Generations OBGYNs. We have also built into your schedule several “study times” when you are not otherwise assigned.

Hospital

Multicare Yakima Memorial Hospital ("Memorial") is the only hospital in Yakima that provides care for women and children. Memorial Hospital is a level III Perinatal Referral Center for all of central Washington. Approximately 3000 babies are delivered at Memorial Hospital each year. The L&D suite is located on the 4th floor. Adjacent to the labor and delivery area is a lounge and study area with several adjoining sleeping rooms.The clinic is conveniently located adjacent to the hospital, occupying the second floor of the West Pavilion. We are “one contraction away” from the delivery room. Click here for Memorial's policy on students in the OR.

Call 

Overnight call on Labor & Delivery is a critical learning experience, and you are expected to take 4 in-house calls during this rotation. The volume of laboring patients is a bit unpredictable so it will be important to be flexible. You will be able to choose to take call when there are several patients laboring such that it is a good night to stay overnight to get deliveries. Week day night call goes from 7 PM until 7 AM.  Weekend calls are 24 hours. You will be expected to stay in the hospital for the duration of the call. Additionally, there will likely be some evenings or nights when you will be in the hospital following patients in labor whom you have gotten to know.

Housing & Meals

A furnished 2 bedroom apartment is provided close to Memorial at 814 S 36th Ave Yakima, WA 98902.  Linens and dishes are provided but you will need to bring personal items. There is a washer and dryer and a cleaning service comes in at the end of the rotation. WiFi is provided within the apartment, but you will need to bring your own laptop. Meals are not provided; the cafeteria food is inexpensive and good and there is also a refrigerator if you want to bring a lunch.

Transportation

A few of your clinical experiences will be off site, so you will need to provide your own transportation.

Educational Conferences

IN PERSON LECTURES: Dr. Ingalls will hold 2 longer discussion format lectures early in the rotation. She will provide dates/times for these with your rotation schedule. These lectures cover contraception (reversible and permanent) and abortion. A lecture was previously provided regarding cervical cancer screening; please be sure to review ASCCP guidelines on your own time. These will also be reviewed during clinic visits (Dr. Ingalls will provide pdf documents).

VIRTUAL DIDACTICS: You are invited to participate in the UW OBGYN Residency didactics held every Wednesday morning; you will receive information and a Zoom link as part of your orientation with Dr. Mendiratta. If you are assigned to clinical activities during that time, you are welcome to review recorded didactics during your down time. 

CONFERENCES: There will likely be other opportunities for educational conferences during your rotation. These include a fetal monitor strip review, which is held on the first Friday of each month. Several departmental conferences have been cancelled due to the pandemic, but you will be informed if these are resumed during your time here.

Paperwork

You are responsible for two write ups. It is helpful to do one of the write ups early in the rotation and review it with your preceptor for guidance and feedback to improve subsequent write ups. There is a formal written evaluation that happens at mid rotation and a checklist for one observation of interview skills. Finally, there are forms to be filled out for the breast exam and the pelvic exam.

Feedback

As noted earlier, you will get a detailed schedule at the beginning of the rotation which will guide your activities on any given day. However, nothing on the schedule is set in stone. The key to this rotation is feedback, so if you find that your schedule is  too much of one activity or not enough, or if you feel you need more study time, please let us know. Similarly, we will strive to give you constant feedback on how you can make this your best rotation ever!

Activities

Yakima is a great place for biking, running, and golf most months of the year, and there is skiing at nearby White Pass in the winter months. For those who enjoy culinary exploration, we have several excellent restaurants located in town. There are also many local breweries downtown and in the surrounding area for those who enjoy beer. The majority of the world’s hops are grown here in the Yakima valley, so beer is a thriving industry here. Additionally, Yakima is situated in the middle of wine country and many winery tours are available. There are also a Native American Cultural Center in Toppenish and a great museum about 6 blocks from the hospital.