Re: Volume
From: Zachariah Newton (zbnewton@bellsouth.net)
Mon Jun 19 22:13:44 2006
The era of ACOG leadership forcing a policy of Ob/Gyn being "primary care" and force-feeding CME programs and College educational programs and literature to support that demented mindset is a sad chapter in the history of the organization. It represented an organization that fully qualified as fascist. Intellectual hubris to the extreme that was doomed to the ultimate failure for which it was destined. To this day, I do not comprehend the capacity of ACOG to invoke such a change of direction without a virtual "Bastille Day" response from the membership. It is chilling to consider the financial and human resources that were utterly wasted on that trajectory. Transformation is surely evolving with evermore Balkanization of the role of the traditional Ob/Gyn, as represented by the specialty since the beginning of ACOG. That is forward movement, as opposed to regression.
zbn
---
> ----- Original Message -----
From: R. Daniel Braun
To: Multiple recipients of list OB-GYN-L
Sent: Monday, June 19, 2006 10:42 PM
Subject: Re: Volume
Certainly not all of them, but a large number did. The College had the support of a large group. There were many dissenters, but at the time; "It seemed like a good idea"
Dan
On 6/19/06, Larry Glazerman <l.glazerman@rcn.com> wrote:
Dan:
I beg to differ. I'd question your assertion that "the membership pushed the college to support that,"
On Jun 19, 2006, at 12:11 PM, R. Daniel Braun wrote:
Actually the College was looking out for its members when they did that. There were already too many OB-GYN's doing primary care and they were afraid that they would lose it under managed care if they weren't PCP's. Hence the membership pushed the college to support that.
Then once that was done the LCGME & RRC were forced to require that primary care be included in the OB-GYN residency. The the Board had to start testing on it. So it all goes back to the fact that we already had too many to be doing just OB-GYN and make a living at ti. All those guys who were doing Primary Care at the time and were afraid of losing it are the ones to blame.
Dan
On 6/19/06, Joe Cutchin <forcep@intercom.net > wrote:
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
>>
>
> ****************************************************************************=20
>
> 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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--
R. Daniel Braun
"The way to health is an aromatic bath and scented massage everyday".
Hippocrates
--
R. Daniel Braun
"The way to health is an aromatic bath and scented massage everyday".
Hippocrates
