Routine/Low risk PAPs

  • Order: "AMB REF to Well Women's Clinic (IMA GYN)". This is a gyn clinic run by IMA for routine screening. Please make sure the patient has a cervix before referring to this clinic.

  • Hours: Wed AM

  • Scheduling: "Schedule at front desk".

  • Contact Persons: Dr. Irene Rahman and Dr. Sara Towne

  • Phone: (212) 659-8551

  • **Criteria for referral to GYN: If the patient is established with gynecology already, per patient preference, history of abnormal pap, or active gynecologic concern.

Gynecology clinic


Expedited OB/GYN Appointment including pregnancy interruption

For truly urgent visits (needed within 1 week) please email Bobbi Brown with the following information:

  • Patient First and Last name
  • MRN
  • DOB
  • Reason for request

OB/GYN NURSE TRIAGE LINE (urgent consultation, walk-ins)

  • Nurse Triage Line: (212) 241 9791(leave VM if busy; call will be returned)

General Well Women's Clinic How-To's

  • Progress Note Template: .imagyntemplate
  • To use in wrap up: .imapapinstructions

Pap Smear:

  • Order CYTOLOGY, GYN (also comes up with "PAP SMEAR") --> Pick A)CERVIX, PAP ONLY (and HPV On Reflex will autofill) if 21-29yo or B)CERVIX, PAP + HPV COTEST SCREENING if 30-65yo
  • Brush: (small green brush) 1/4 to 1/2 turn inside the os --> swirl 10x along walls of collection vial and toss
  • Broom: (big purple broom) 5 turns inside the os --> gently jab 10x on floor of collection vial and toss

Billing Level: EST4 (if attending comes in)

Billing Diagnosis: Try to put a non-Z code as primary if possible (e.g. if you discussed any symptoms). If not, use Cervical Cancer Screening.

What to do at the end of the visit:

  • Pap Collection Vial: MAKE SURE IT IS LABELED! (MA/LPN prints out labels and places them on the counter outside the MA station -- these are printed for you without you having to enter any Epic orders) Place in inner pocket of a specimen bag.
  • Pap Log Book: If you did a pap, place a patient label in the Pap Log Book.
  • Order Requisition: Once the order is placed in Epic, place both copies of the order requisition pages that print (4 sheets) into the outer pocket of the lab specimen bag.
  • STI Testing: If done, label the specimen by hand with the patient's last name and place it in the same specimen bag with the pap vial. The MA will place the test label on it for you.
  • Specimen Bag: Leave specimen bag with requisition orders +/- STI vial in the lab (1st room).

Guidelines for Abnormal Results: (ask preceptor to confirm next steps for all abnormal Pap smears)