Re: Volume
From: Joe Cutchin (forcep@intercom.net)
Mon Jun 19 09:42:52 2006
Larry: Such wisdom. I wouldn't bet on ACOG being around 20 years from
now. Joe C
Larry Glazerman wrote:
> It’s because our College, in their ultimate wisdom, decided
> (incorrectly) that primary care is where the money is, and sold us out.
>
> Larry R. Glazerman, MD
>
> Ob-Gyn at Trexlertown, PC
>
> larry.glazerman@lvh.com
>
> ------------------------------------------------------------------------
>
> ------------------------------------------------------------------------
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Henry
> ------------------------------------------------------------------------
> Gregor
> Sent: Sunday, June 18, 2006 11:00 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: Volume
>
> 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
> <mailto: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 <mailto: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 <mailto:cchamber@alumni.rice.edu>
>
> "Almost anything you do will seem insignificant but it is very important
>
> that you do it....You must be the change you wish to see in the world"
>
> -- Mahatma Ghandi.
>
> *******************************************************************************
>
>
>
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> --
> R. Daniel Braun
>
> "The way to health is an aromatic bath and scented massage everyday".
> Hippocrates
>
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