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Re: Family practice and OBFrom: Glen Elrod (dr99645@yahoo.com)Sun Dec 30 17:41:04 2007
Garry, A hand shake would be fine, and better than what I've gotten so far. I have only had one FP doc introduce themself to me so far and no one has come forward to say anything other than, if they call you have to come. Granted, I'm pretty flexible and easy going and won't ever say no if asked to come in. But to me there is a huge difference between the patients we get (I hear) dropped off from the local at home midwifery centers where there is no doc or priveleged provider at the hospital to consult with and ones that are engaged with FP, could have been discussed at any given time during labor. But to get the call, like my office partner did last week...'I need to you do a c-section" Period. Not I have a 29 yo G...at 39 wks with x problem that we pitted and she is stuck at 6. I just have a problem with it. But, maybe once I get to know the FP docs it won't seem so irritating. Glen
>----- Original Message ---- FWIW, Robert and others have made most excellent points about your situation. Unless I'm missing something, the FPs who don't do sections are going to rely on the Ob docs on staff, regardless of any pre-arrangement. What would be wrong with a multi-disciplinary meeting among the involved Ob and FP docs to figure out how to best work it (for your circumstances), and then create bylaws that are appropriate to your situation and that make the hospital/JCAHO happy. If there are docs who won't agree, then the medical staff may be obliged to set up bylaws that address the situation clearly. Obviously, you (and others) are going to be called in as consultants for difficult cases, forceps, sections, etc. It seems like a good idea to set up a mechanism, which could be a handshake among the various docs, perhaps backed up by medical staff policy. Garry
At Sat, 29 Dec 2007, rmodugno@aol.com wrote:
>
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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