|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Newly pregnant existing patientsFrom: D. Ashley Hill, MD (dahmd@cfl.rr.com)Tue Feb 25 22:37:06 2003
At Tue, 25 Feb 2003, Garry E. Siegel, M.D. wrote: snip >I am trying to continue with relationship based care (thanks, Deborah), >and simply hearing that "so and so" is pregnant seems to be a good >idea--for instance, if "so and so" calls at night 4 days after she made >her first appointment, you can impress her that you knew she was >pregnant! > >Garry Garry- There is another potential issue. Let's say you have a patient in your practice with a history of pelvic inflammatory disease, a prior ruptured appendix, and has had 3 prior ectopic pregancies (all treated with MTX or linear salpingostomy) who calls for an appointment. You're a popular dude, so it's scheduled 2-3 weeks from now. In the meantime, she gets abdominal pain and presents to the emergency department with a ruptured ectopic requiring surgery and two units of blood. I can see a lawyer blaming you because you did not call to warn her that she is at risk for an ectopic, and make arrangements for serial HCG determinations and sonography. In our 6-doctor practice a nurse sees all OB patients as soon as possible after they call. She interviews them, signs the paperwork, begins filling out the ACOG form, and obtains old records and labs. A doctor then reviews the chart, and, if necessary, requests more information or arranges appropriate follow-up. It works extremely well. Best wishes, Ashley
-- D. Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Orlando, Florida
|
|
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: Mon Nov 2 04:53:10 2009 |
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.