|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: VBAC, immediate availabilty and change in hospital policyFrom: Joanne Bulley (islesannie@yahoo.com)Sun Feb 11 22:06:21 2001
It sounds like we are talking about different communities - if the community is large enough to have already decided to have a 12 hour shift thing with various groups covering - then it is a quite different from a community (like Keene NH and others described here) where there are only 3 or 4 OB's and there is no one who is ONLY in-house for 12 or 24 hour shifts. Negotiations for coverage have to be tailored to the community. But either way - if the legal ramifications are potentially higher, then I would want myself - or my practice - to be wholly responsible for the patient - not accepting her in transfer at 2 AM with a ruptured uterus or failed VBAC. I am very much in favor of collaborative practices and the skills PA's, CNM's & ARNP's bring to patient care. However, if the lawyers - both prosecuting and defending - seem to have reached an agreement such that the College has stated that the attendant in house for VBAC must be able to do the C/S in 17 minutes - then it is only a matter of time before anything less than that is tried in court - and the doc who was part of the collaborative or cross coverage practice will be the one to pay - then all of us do because of insurance premiums! Is this the "best" for patient care? - to force the patient to go to MD's? and force the FP or CNM out? - maybe not, but it is the way it seems to have worked itself out at this point of time in the US. I don't have to like the red light at an intersection at midnight with no other car in sight - or the one way sign - but I am still supposed to obey it! Joanne
At Sun, 11 Feb 2001, Deborah J. Wage wrote:
>
-- Joanne Bulley, MD, FACOG Keene, NH, USA
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Tue Mar 2 04:48:53 2010 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.