Obstetric Hospitalist: Trenia

In Episode 4 of No Referral Required, Mandy, Courtney, and Lara sit down with OB-GYN Dr. Trenia, who made the leap from full-scope obstetrics and gynecology to working exclusively as an obstetrics hospitalist. Dr. Trenia explains what hospitalist and laborist roles look like in practice, how shift-based work has transformed her career and personal life, and why high-volume specialization makes her a better surgeon and clinician. The conversation dives into the realities of meeting laboring patients for the first time, the unique challenge of caring for two patients simultaneously, and the art of counseling patients whose wishes may conflict with medical recommendations.   The hosts and Dr. Trenia also tackle some of the biggest conversations shaping modern obstetrics: the rapid pace of evidence-based changes in C-section care, the growing distrust fueled by social media misinformation around drugs like Pitocin, the rise of unassisted "wild births," and the increasingly popular debate over whether OB and GYN should split into separate specialties. Through it all, Dr. Trenia's passion for her work shines — from her commitment to resident education to her daughter's budding interest in medicine. The episode wraps with a lively speed round covering labor and delivery superstitions, dream careers in homicide investigation, and why you should never wear a red shirt on the labor floor.