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Re: A favor from our readers

From: Cindy (anonymous@obgyn.net)
Sun, 13 Feb 2000 20:42:10 -0500


I just delivered at a hospital where I saw a resident most of the day. As soon as I was in my room the resident came in and introduced himself. Once he found out how complicated my situation was he sat down and stayed with me for 1 hour. By the end of the hour we seemed best of friends.

He went beyond the call of duty to learn everything he could about my complicated pregnancy. He was not rushed. When my doctor was present she did the exams but he stayed close by and observed. I think by being so friendly when I first got to the hospital that made me relax when it was time to do my first pelvic. He apologized if he felt like he was hurting me.

I would suggest having a very open line of communication. If the patient approves of the resident what about letting the resident go in by himself or herself and talk to the patient before you come in? Both should be present for the vaginal but letting the patient get to know the resident alone would help. A nurse could still be present the whole time though.

Hope this helps.

Cindy

>----- Original Message -----
From: D. <anonymous@obgyn.net> To: Multiple recipients of list WOMENS-HEALTH <womens-health@forum.obgyn.net> Sent: Sunday, February 13, 2000 9:13 AM Subject: A favor from our readers

> Ladies-
>
> I hesitate to use the forum for a nonmedical post, but I need a hand
> with this. In addition to a busy private ob/gyn practice, my partners
> and I also serve as full-time faculty for a Family Practice residency
> program. We teach our residents how to perform Pap smears, bimanual
> exams, breast exams, and how to deliver babies. Although many patients
> enjoy interacting with our residents (all of whom are doctors already),
> many decline to participate. At first glance it seems obvious- why
> would someone want another doctor participating in a genital exam?
> However, medicine is an apprentice system. There is no other way to
> learn physical exam skills, and someday younger doctors will be in
> offices, hospitals and emergency rooms. Without adequate skills they
> will be unable to provide quality care. My theory has been that the
> majority of patients, once they understand this, will allow a resident
> to participate.
>
> Any insight into this from our readers? Thank you very much in advance!
>
> --
> David Ashley Hill, MD
> Associate Director
> Department of Obstetrics and Gynecology
> Florida Hospital Family Practice Residency
> http://home.mpinet.net/dahmd
>
> My apologies, but due to time constraints I am unable to answer private
e-mails. >

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