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Re: ACOGFrom: Lynn Montgomery (apgar10@thebirthcentermt.com)Thu May 31 10:34:15 2007
It would be interesting for me to find out how many of us who complain so bitterly about these things have ever taken the time and expense to actively participate in our respective ACOG Section and District Advisory Councils, posing those complaints to the 'leadership' directly, and try to effect change from within. How many attend and participate in the business meetings of ACOG? Or volunteer to participate on policy setting committees of ACOG? I suspect the number would be very small. Is it any different than complaining about who wins elections when we fail to vote? Gordon M. Goldman, M.D., FACOG Private Practice, St. Louis, Mo. Missouri Section Chair, ACOG [Lynn] Gordon, with all due respect, I would beg to differ. I had several reasons for leaving private practice and returning to do my fellowship in MFM and one of them was so that I may be more "involved" in the political landscape of our profession. Despite trying, I have never been able to crack the "good ole boy" glass ceiling in this regard. I am looked at as a young whipper snapper who is still wet behind the ears and has nothing valuable to add. Further, at the most basic level, I do participate by paying significant dues each year with the expectation that the organization and those who represent it are going to look out for the welfare of those of us in the trenches each day. I do contact those supposedly representing me at ACOG, as well as the national office when issues of importance arise, but just like the current med mal issue, I either get a patronizing response or no response at all... In our district, it tends to be the same people who hold the offices, get the mini-fellowships to Washington, yet remain silent when we have a crisis such as the current medical malpractice crisis we have in Montana. Notifications to contact the state congressional delegates regarding liability reform come from the insurance companies themselves rather than our state or district ACOG organizations. In the Society of Maternal Fetal Medicine, when I joined in the 90's, there was a special interest group for community-based MFM's. The group began to make inroads into the here to for academically dominated sub-specialty, including getting a community-based representative on the Board. All of sudden one year, the special interest group was gone - essentially cancelled, again by the "good ole boys" in academics who remain bitter about anybody completing a fellowship and having the audacity to go into private practice. (Don't get me wrong, thankfully, there are some outstanding physicians in academics) As I, and others have mentioned, if there has been a co-opted reform of the certification process, why hasn't the College issued an explanation and justification for the changes coming down the pike for it's members. If the members were polled, I believe the prevailing attitude would that we are being re-certified to death, not to mention the significant expense all of this adds up to, and that "our" organization should be stepping up to the plate and refuting initiatives asserted by outside interests... Just my opinion and my apologies to our international colleagues who are not affected by these issues. Lynn
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