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Re: Sad but true --->Call the question!From: D. Ashley Hill (dahmd@cfl.rr.com)Thu Feb 16 13:06:29 2006
At Thu, 16 Feb 2006, Jamie wrote: >
snip>
>Would it be easier to answer specific situations? I don't think it's "wrong" but the patient's mother hopefully will be aware of how potentially insulting this is to her physician. To many thoughtful male gynecologists, asking this is akin to telling a black physician "my daughter is nervous about seeing a black physician, so please refer me to a white physician." I'm constantly amazed that women find it ok to ask male physicians for referral to a female like it's no big deal.
>2)woman presents to the ER with symptoms consistent with the If the on-call female is available and agrees to see the paitent, no problem. However, I don't think anyone should force the female physician to see the patient. We have on-call schedules that divide responsibilities, and it may be very disruptive for the physician and several of her patients if she has to leave their care to attend to someone else. Unfortunately for the patient, when you arrive with an emergency, you often have to take who is on call. As an aside, I recall a patient who wanted her tubes tied by a woman, because "only a woman will understand my tubes." She left our practice and saw a female physician across town. A few weeks later I was asked to help this physician perform a bilateral tubal ligation, because she did know how to perform laparoscopy. You guess it: the patient was the same one who left the practice, and I ended up doing her tubal, anyway, because her physician didn't know how to do the procedure.
>3)same scenario, but no qualified female doctor in house Patient can leave against medical advice and seek care elsewhere. Not many options.
>4)OB patient has prenatal care with a group of mixed gender OBs. She If one of the female members decides to come in off call and do the delivery, that's great, but the patient may be asking the doctor to perform considerable extra work off of the normally challenging call schedule. Or, the patient can seek care elsewhere (very tough at 36 weeks), or accept whomever is on call, regardless of gender. Note that if she "walks in" she will get the hospital's on call doctor, who may be male.
>5)OB patient from out of town presents in labor. She requests a female Same answer as question 2. 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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