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Re: Florida AmendmentsFrom: ainsron (ainsron@sbcglobal.net)Wed Nov 3 13:52:14 2004
What are you going to do with the so-called "low risk VBAC?" For example, the patient who has had a previous vaginal birth prior to her C/S and the patient who has previous successful VBAC? Those are the ones I have the most difficult time reconciling risk with. Sorry about the rotten law, that is the most ridiculous use of a referendum I've heard of. When the people of Florida cannot get medical care, they may realize too late that they have reaped what they have sown. I doubt a mass exodus of physicians will occur, but you can bet that recruitment will be difficult to impossible in high risk specialities such as ours, ortho, neuro, etc. Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of D. Ashley Hill Sent: Wednesday, November 03, 2004 10:57 AM To: Multiple recipients of list OB-GYN-L Subject: Florida Amendments A quick follow up of our previous discussion: All 3 Florida liability amendments passed. Amendment 3 limits trial lawyer's reimburement for malpractice cases. Amendment 7 opens up previously confidential peer review to public scrutiny. Amendment 8 strips a physician of his or her medical license after 3 "strikes" from a trial, medical board, or arbitration decision. I have decided today that our private practice, residency faculty practice, and midwifery group will no longer offer elective VBACs. We were just about the only local group offering this, and I do not want to be a repository for all patients desiring VBAC in Orlando, especially since many of these had had multiple previous sections but still wanted a vaginal delivery, and because the liability risk of a ruptured uterus is tremendous. Further, it's going to be hard enough to recruit new physicians. We'll see how others adjust to this new amendment over the next 6 months. Ashley
-- D. Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency and Loch Haven Ob/Gyn Group Orlando, Florida
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