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Re: CNM vs. MDFrom: ainsron (ainsron@sbcglobal.net)Thu Feb 1 17:10:54 2007
Fortunately you had a chain of command to follow. In private practice, the lines are a lot fuzzier and sometimes non-existent. How long ago was that? I trained at Travis from 75-79. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Len2976@aol.com Sent: Thursday, February 01, 2007 2:56 PM To: Multiple recipients of list OB-GYN-L Subject: Re: CNM vs. MD When I was in the Air Force, I disagreed with a management decision of a staff obstetrician. I went to the hospital commander with my concerns. Although the commander was a physician, he was not an obstetrician and he called the OB Chief (who was at home, on leave). She (although reluctant not to back up a fellow physician) agreed with my judgement. When the obstetrician still protested it was his right as the obstetrician on the case to make the final call, the commander called the OB consultant at Travis AFB, who concurred with my position. I think there is a duty to the patient if you know you are right--particularly if in your judgement the mother or baby's health or life is at risk. Although if you take it that far--you'd better be right!! Lenora McCall, CNM
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