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Re: Assistants at CESAREAN SectionFrom: Orlando Acosta (lpacosta@gorge.net)Sun Aug 4 15:44:15 1996
Paul Prior, MD writes:
>Interesting concept, except how many family docs log enough OR time to Paul, Thanks for asking. The answer to "Is this common?" is probably not. But one must understand that there is a wide variation in Family Practice training programs with respect to OB training. I don't have statistics handy, but undoubtedly you'll find many more Family practitioners/General Practitoners trained in and practicing surgical obstetrics West of the Mississippi, mostly in rural settings. Where I trained, 50% of the graduating residents go on to practice OB, and about 25% include surgical OB. The typical graduate has 40 - 100 C-sections as primary surgeon under his/her belt. An often overlooked fact is the amount of general surgical experience many FP residents have logged,in addition to the number of C-sections. Basic surgical skills, such as controlling hemorrhage, can be practiced and refined with other abdominopelvic surgeries. Of course, the other end of the spectrum (the FP/GP who has no interest in surgery or obstetrics) exists more commonly. This wide variation in training plagues the minority of FP's who are interested in practicing Obstetrics. In our group, there are 5 FP's, all practicing Ob, with 3 doing C-sections. At our rural hospital, we always have another physician assisting (sometimes its the 1 and only ob/gyn doc in town), but not necessarily one with surgical privileges. I feel having another physician, who can break scrub and perform neonatal resuscitation in an emergency,is imperative. Thank-you for the pulpit.
-- Orlando Acosta, MD Hood River, OR lpacosta@gorge.net
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