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Re: For those of you who cover family docs doing ob...From: Anna Meenan, MD (annam@uic.edu)Sat Apr 8 12:06:37 2000
At Thu, 06 Apr 2000, Paul Prior MD wrote: > >On Thu, 6 Apr 2000 17:15:23 -0500, annam@uic.edu (Anna Meenan, MD) >wrote: > >>At Tue, 04 Apr 2000, Paul Prior MD wrote: >>> >>>I appreciate the input. One issue here is that another OB is not >>>willing to cover the FP practice, so I would be on-call all the time >>>(vs. when I could sign out my own practice). >>> >>>Do the FP's you work with refer their OB u/s work to you? > >>I would not call that "covering" the FP. I would call it being >>available for a specialty consultation and I have NEVER encountered a >>specialist in ANY field, including OB, who refused a phone call with a >>request to consult on a patient. That's pretty tacky if you ask me. > >I call it "covering" only in that one has to be available at all times >for backup. Basically in a way (and I don't mean this rudely) it is >very similar to covering midwives - they have a limited ability to >manage complicated labor and they may need help, though usually they >do not. Consultation to me implies seeing the patient at a subsequent >point, covering means come see this patient -now- which is what often >happens. > >This other OB (whom I've not yet met) has not won over many friends >in this regard, but I can't argue with his premise in that if he does >not feel that he wants to cover FPs that is his choice. Not what I >would do, mind you. > >>Isn't there a hospital policy on refusing consults at your hospital? Is >>there a "no-doc" call schedule for emergency OB's? > >Not sure - this is not where I currently am. > >>If the place you're in is that short of OB's, isn't the other guy glad >>the FP's are seeing some of the routine stuff and only bothering him for >>the important stuff? Or, if there aren't enough patients to go around >>and he is resentful, he should be glad to come in for a fully prepped >>and worked-up c-section. I would think that's easy money, but what do I >>know? I'm just an FP. > >I think there were some major personality issues, and the OB is busy >enough he doesn't need the "hassle" of backup up the FPs so he >refuses. Hospital currently is paying locums to provide the FPs >backup. I am considering going there, but don't want to be stuck on >24/7/365 if the other OB won't cover them at all.... > >thanks for your continued input. Guess nobody else cares to provide >any experiences. > >-- >Paul Prior MD Get rebates on online purchases - up to 25% cash back. >Ashland, KY USA Including Disney,Borders,DVDexpress,800.com,Dell, petstore >Using Spamkiller iBaby, etoys, JCrew,800-flowers,PlanetRX,Avon & many more. >so spam away... try: http://www.ebates.com/index.jhtml?referrer=pprior > My first response got eaten by the computer, I guess. What I said was essentially that OB's who are alone in a small town and claim they are too busy with their own practice to consult for FP's should be glad that the FP's are there to do a lot of the normal stuff or the OB's would be way busier than they want to be. In certain parts of the country where it is difficult to get OB's to go, FP's and midwives are essential.
-- Anna Meenan, MD, FAAFP
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