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Re: VolumeFrom: Henry Gregor (henrygregor@yahoo.com)Sun Jun 18 21:58:53 2006
Good points Dan. "R. Daniel Braun" <rd.braun@gmail.com> wrote: We have way too many residents today, and have had for decades. Why are so many OB's doing less than 8 deliveries a month and 1 hyst a month, and doing so much Primary Care? because there are so many that they can't make a living doing OB-GYN that is why. Why do we have people showing up to take their oral boards and they have not done a hyst since they finished their residencies? Same reason. I had 40 hysts and 200 high risk delivereis on my case list. No NON_pregnant hypertensives or diabetics, etc. Dan On 6/18/06, Henry Gregor <henrygregor@yahoo.com> wrote: I say bravo to residents willing to push for better lifestyles, which would include IMHO wierd reimbursement programs such as being paid appropriately and promptly and a decent rate...with differentials for offhours work...sorta' like plumbers, you know? Our generation played the game with third party reimbursements and government payment plans and slid downt the slippery slope to where we are now, with payments often falling below the cost of providing care, total loss of control of costs and any ability to pass them onto payors, etc. Hank Charlie Chambers <ricechaz@gorge.net> wrote: I think this will be an emerging problem. You are not increasing residencies programs by a huge degree, plus, more people opting out of ob (malpractice concerns) or lifestyle choices. The net effect will be a shortage of providers though I think it is admirable that residents are holding out for better lifestyles. On Jun 16, 2006, at 9:52 PM, Meenan, Anna wrote: In spending more time with residents lately, I am struck by how much more concerned about lifestyle issues they are than my fellow residents and I were 25 years ago. I can't say i blame them, but it doesn't bode well for the future. Have you gotten the same impression where you are, Ashley? And how will the current crop react when they get sued earlier and earlier in their careers, as they undoubtedly will? It's a lot easier to walk away when you're getting close to retirement. Anna Meenan, MD I wonder how many of us decide to give up OB due to lifestyle issues, or because of a lawsuit, or because of a really bad case. I know someone who walked out of a terrible shoulder dystocia and said "that's it," and it was. Ashley -- D. Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Medical Directo, Loch Haven Ob/Gyn Group Division Director, Dept. of Ob/Gyn, Florida Hospital Orlando Orlando, Florida **************************************************************************** Charlie Chambers Hood River, OR -- cchamber@alumni.rice.edu
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