I subscribe to the FMDRL RSS feed.
Today – this resource came across. It's a great overview of perineal repair. Alas – I'm doing a lot of that lately .. and last night I cut an episiotomy – only the 3rd I've done in my 8 years and 11 months as a physician. Of course – there was an indication (the same as the indication for the vacuum I used) but all is well and I was reminded by the experience how easy it is to repair an episiotomy. It is MUCH easier to see and understand the anatomy with an episiotomy than with a spontaneous tear .. so since we are never teaching residents to get oriented with episiotomies – curricula such as this is more important than ever.
