Mountain Regional Gynecology welcomes physicians, expands to include obstetrics

Megan Metcalf, MD

Megan Metcalf, MD

Clay Smallwood, MD

Clay Smallwood, MD


Mila Bruce, MD

Mila Bruce, MD

Sylva, NC – WestCare Health is pleased to announce the expansion of Mountain Regional Gynecology to include obstetrics.

Mountain Regional OB/GYN, a physician practice employed by WestCare and dedicated to serving the gynecological and obstetrical needs of women in Jackson and surrounding counties, will be located on the third floor of Harris Medical Park in Sylva, adjacent to Harris Regional Hospital, with physicians Clay Smallwood, MD, FACOG, Mila Bruce, MD, JFACOG, and Megan Metcalf, MD, JFACOG, seeing patients beginning in early August.
Dr. Smallwood, who is a Fellow of the American College of Obstetrics and Gynecology and is accredited in Advanced Laparoscopy by the Accreditation Council for Obstetrics and Gynecology, has served patients in western North Carolina for 30 years, most recently practicing as the sole physician at Mountain Regional Gynecology, where he has and will continue to focus exclusively on patients’ gynecological needs.
Dr. Smallwood received his medical degree from the Medical College of Georgia in Augusta and completed his internship and residency at the United States Air Force Medical Center at Keesler Air Force Base in Mississippi.
“I welcome Dr. Bruce and Dr. Metcalf to the practice and am happy that they will be offering obstetrical and well as gynecological care,” said Dr. Smallwood. “It is and has been my privilege and passion to serve patients in this community, and I believe that combining our level of skill and experience will broaden access to excellent care for patients in the region.”
Dr. Bruce, who began serving patients locally in 2012, is a Junior Fellow of the American College of Obstetrics and Gynecology. Dr. Bruce received her medical degree from St. Matthews University College of Medicine in Grand Cayman, West Indies and completed a residency at the Louisiana State University Health Sciences Center in Shreveport. Bruce is trained in high-risk obstetrics, including treating a variety of situations during pregnancy such as diabetes, hypertensive and endocrine disorders, multi-fetal gestations, cardiac conditions, and advanced maternal age. She also has experience with infertility assessment and treatment and specializes in performing minimally invasive gynecological surgeries.

Dr. Metcalf joins the practice having recently relocated to western North Carolina from Virginia, where she completed a residency in obstetrics and gynecology at Virginia Tech Carilion School of Medicine. She received her medical degree from the University of Texas Health Science Center and is a Junior Fellow of the American College of Obstetrics and Gynecology, having also received numerous academic honors including awards for research and the Apple Teaching Award all four years of her residency, with special distinction as the top resident teacher in 2012. Metcalf also speaks Spanish and enjoys conversing with her Spanish-speaking patients.
“Our outstanding team of physicians and nurses, coupled with almost $1 million of investment in new facilities, equipment and technology for the New Generations Family Birthing Center, have positioned us to be the leading provider of women’s services in our region for years to come,” said Steve Heatherly, President and CEO of WestCare.
A longstanding leader in labor and delivery care, Harris Regional Hospital performs over 600 deliveries each year and was recently recognized by the North Carolina Hospital Association as having an early elective delivery rate at or below 1% for the entire year of 2013, meeting a state-wide goal set by the NCHA. An early elective delivery, often through induction or Cesarean section, can lead to complications for the baby, resulting in admissions to neonatal intensive care units, increased length of stay, and higher costs for patients and payers.
In addition to successfully meeting the NCHA’s goal for reducing early elective deliveries, Harris was also ranked second of all North Carolina hospitals for avoiding unnecessary C-section deliveries, according to Consumer Reports data, which is based on C-section rates for mothers who anticipate low-risk delivery and is the largest single source of comparative C-section data for individual hospitals in the country. Harris received the best out of five possible ratings, indicating one of the lowest percentages of unnecessary C-sections out of the state’s 82 hospitals.
“Drs. Smallwood, Bruce, and Metcalf are incredibly skilled physicians and their partnership will undoubtedly increase our efficiency in providing care as well as our outstanding reputation in labor and delivery services,” Heatherly said.

Mountain Regional OB/GYN will occupy Suite 320 at Harris Medical Park. Dr. Billy Noell will continue to provide excellent general surgery care with Paragon Surgical in Suite 310.

For more information or to schedule an appointment, contact the practice at (828) 631-8913.