Re: Family Practice Consultation Guidelines

From: Lynn D. Montgomery, M.D. (apgar10@montanadsl.net)
Tue May 6 13:34:56 2003


Dan, I agree completely; there are two issues, 1) those currently practicing have privileges and you can't change the privileges unless they want them changed, 2)They have their own family practice section, as many hospital do, who oversee ALL of their privileges and the OB section is powerless to mandate anything, again unless they agree.

That said, there are members of the OB section that have the attitude that "By God, I am an obstetrician and if I say they need to consult, that's final". On the other side of the coin, there are family practitioners who are saying, "You don't credential us, we credential ourselves and we'll decide when a consult is required".

Since The sections and bylaws are well established, neither side is gonna back down - unless of course there is a consensus reached. That is the impetus for my request for other's guidelines - I am sitting down with a representative from the family practice section to see if we can come to a mutually acceptable set of guidelines. Lynn

--
Lynn D. Montgomery, M.D.
Rocky Mountain Women's Health
2835 Fort Missoula Rd., Suite 303
Missoula, Montana, 59804
406-549-0978
fax 406-549-0987
e-mail: apgar10@montanadsl.net
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Braun,
R. Daniel
Sent: Tuesday, May 06, 2003 11:39 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Family Practice Consultation Guidelines

The short answer to that is anytime he/she does not have privileges to do what they want to do. The best thing is to have a good definition of what their privileges are and then enforce that.

Dan

-----Original Message----- From: Lynn D. Montgomery, M.D. [mailto:apgar10@montanadsl.net] Sent: Tuesday, May 06, 2003 11:27 AM To: Multiple recipients of list OB-GYN-L Subject: Family Practice Consultation Guidelines

Happy Tuesday y'all,

If anybody has guidelines in their hospital policies regarding when a family practitioner must consult an obstetrician regarding obstetric management, would you be so kind as to send a copy of them to my e-mail, off list. Thanks a bunch. Lynn

--
Lynn D. Montgomery, M.D.
Rocky Mountain Women's Health
2835 Fort Missoula Rd., Suite 303
Missoula, Montana, 59804
406-549-0978
fax 406-549-0987
e-mail: apgar10@montanadsl.net




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