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Re: Assistants at CESAREAN SectionFrom: Arthurfree@aol.comFri Aug 2 23:39:01 1996
Many institutions who have in the past had physicians always assist at major surgeries are now facing requests for assist privileges from PA's, Midwives, and private scrub nurses. I see this as a cultural change which is being forced by third party payors' compensation decisions/policies. Right or wrong, it certainly makes it difficult to get a physician paid for assisting when it is definitely indicated. As an aside, my (admittedly biased) opinion is that a well trained family physician can make an adept assistant, and doubles well for neonatal rescusitation if necessary. Arthur Freeland (rural FP) Centerville, Iowa
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