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Re: A new poll!From: Garry Siegel (garrys@mindspring.com)Thu Mar 22 19:41:25 2001
At Thu, 22 Mar 2001, Caitlin Cusack MD wrote: > >Marco and Joanne- >I agree 100%-I do wish I had the courage to tell my partner that if he >wants to do unindicated inductions on patients with unfavorable cervixs >who are poor VBAC candidates to go ahead-but do it on his own time and >carry it out to it's finish. Unfortunately when put in these situations >I'm so flustered by the whole thing that he's out the door before I've >found my voice again! Just curious how many out there would truly ask >their partners to stay and continue to manage the patient... > Caitlin: I have the impression that your partner is senior to you in the practice, and perhaps your employer (meaning that you've not yet bought in and/or become a partner). I also suspect that you are out of residency recently. As Efrain said, a partnership is a marriage, and you need to discuss things. Ultimately, what will be most important for your marriage is not how you handle a given clinical situation (if both ways are reasonable), but how you communicated among the docs and how you are a "united front" to the shared (obstetric) patients most of the time. For instance, if you have 4 docs in a group, and one does his scheduled sections at 38 weeks, and the others at 39, the patients will learn of this discrepancy and exploit it--which will make intragroup relationships strained. So, FWIW, you should sit down with your partner for a minute, and discuss this case clinically, calmly, and non-confrontationally. For all you know, he will learn things that you know that he doesn't, and he may well be appreciative of the things a "newby" brings to the practice. I have been in practice since 1986, and in a group now for 4 years. Our new partner (an employee, FWIW) learns lots from me about private practice management in the real world; I often ask her how they did things in her residency, and have learned, and will continue to learn from her more recent training. It is a two-way street. Garry
-- Garry E. Siegel, M.D., F.A.C.O.G. Roswell, GA Private Practice
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