--
Richard Chudacoff, MD
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of art
fougner, md
Sent: Tuesday, May 29, 2001 9:08 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: 66% Induction Rate
point of clarification - if an increased induction rate yielded a high
patient satisfaction rate, no increase in either section rate nor
perinatal mortality/morbidity, what exactly would be the problem?
art
At Tue, 29 May 2001, Richard Chudacoff, MD wrote:
>
>What is this OB's c-section rate, complication rate or other adverse
outcome
>rate? If it is the same or less than the other OB's on staff, what is the
>problem?
>
>--
>Richard Chudacoff, MD
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Dr Don
>Miller
>Sent: Tuesday, May 29, 2001 7:48 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: 66% Induction Rate
>
>>i am starting to do more work in an l & d where one lone ob - so far - has
>>a 66% induction rate this year -
>>i am going to ask for prospective induction reviews
>
>Unless you are the department chair, your request will probably not be
>well-received as the practice and political dynamics at the L&D have
>allowed this rate to occur in the first place. It's likely that there
>is some unspoken agreement among those that have worked there longer
>than you.
>
>IMHO, if you get the dept chair to agree, retrospective (?monthly) bar
>charts of all providers' rates distributed every month can do a lot to
>lower such rates especially when there is one outlier.
>
>Be careful, you may be perceived as a sanctimonius (like a lot of us on
>this list) outsider and the docs already there may turn their sights on
>someone who doesn't fit into their view of normal (e.g. a doc who wears
>black leather jackets, has piercings or wears chrome jewelery, or rides
>a Harley!)
>
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
