-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: VBAC question From: Glazerman, Larry MD (GlazerL@slhn.org) Wed May 16 11:24:28 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: AllanHo@aol.com: "Re: Need help with physical exam abbrevaition please" Previous message: AllanHo@aol.com: "Re: Need help with physical exam abbrevaition please" In reply to: Lynn Montgomery: "VBAC question" Next in thread: Victor Vines, MD: "Re: VBAC question" I wonder if this is politically motivated? Are the other providers hospital employees, or more politically connected? On the other hand, if you have a reasonably good relationship with the other groups, maybe you could ask them to "cover" your VBACs in labor, knowing that you're only 6 blocks away. That should satisfy the lawyers. Larry R. Glazerman, MD, FACOG Co-Director, Minimally Invasive Gynecologic Surgery St. Luke's Center for Advanced Gynecologic Care 250 Cetronia Road Suite 305 Allentown PA 18104 484-223-3279 484-223-2830 FAX glazerl@slhn.org ________________________________ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf -- ________________________________ Of Lynn Montgomery Sent: Wednesday, May 16, 2007 12:06 PM To: Multiple recipients of list OB-GYN-L Subject: VBAC question Listers, I have a question for you. Our new clinic is approximately 6 blocks from the only hospital in town that does obstetrics. We are the only obstetric provider "off campus". However, prior to moving into our new clinic, my office was on the third floor of an office building "on campus" but across a large parking lot from the hospital - a situation shared by many other obstetric providers. When we moved into the new office, the first ten times I was called to L&D, I actually timed myself and the time it took me to get from the new office equaled the time from my old office "on campus" - sometimes even quicker. Last week our practice got called by the medical director of obstetrics informing us that the hospital med-mal policy stated that when a VBAC is in labor at the hospital, the obstetric provider must be "on campus", thus requiring only our group to leave our office and sit on L&D with a VBAC in labor - we currently do more deliveries than any of the other groups in town. I have several points of contention here: -First, I rather doubt that any insurance carrier came to our facility, looked around and decided to mandate that a physician be required to be "on campus". I could see the policy adopting a policy similar to ACOG of "immediately available" or maybe even, "in the hospital", but not a random "on campus". I am requesting a copy of the insurance policy to review the wording. -Second, six of the obstetric providers are 60 years old or greater and to randomly state that they can be "on campus", as opposed to me being 6 blocks away doesn't consider the fact that I can beat them walking from my place. -It would seem more appropriate in this circumstance for the hospital to simply adopt a no VBAC policy rather than create divisions within a section. Comments please. Lynn Lynn D. Montgomery, M.D. Obstetrics & Gynecology, Maternal-Fetal Medicine The Birth Center/Rocky Mountain Women's Health 1211 S. Reserve St. Missoula, Montana, 59801 406-549-0978 fax 406-549-0987 e-mail: apgar10@thebirthcentermt.com Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Next message: AllanHo@aol.com: "Re: Need help with physical exam abbrevaition please" Previous message: AllanHo@aol.com: "Re: Need help with physical exam abbrevaition please" In reply to: Lynn Montgomery: "VBAC question" Next in thread: Victor Vines, MD: "Re: VBAC question"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Thu Oct 2 04:56:36 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.