Re: Co-management

From: Charlie Chambers (cchamber@embarqmail.com)
Thu Apr 24 21:01:33 2008


Would not enter into this relationship with the local FP. I've been in a similar situation previously and regretted agreeing to it. Co- management meant that I had to attend all the deliveries and stand by in case of a problem. I didn't get to dictate any of the care till that point. I did this until one of the docs ruptured membranes followed by the trailing twin's arm. After that expereince, I said that I would be glad to assume care but not "co-manage". When I think about it, what other procedure/surgery gets done when a specialist always has to be present in the room in case of a complication? Just doesn't make sense.

On Apr 23, 2008, at 12:39 PM, Glen Elrod wrote:

> Does anyone have a legal definition of co-management with regards
> to patient care? I have been asked by a local FP to co-manage
> twins with her. She has done a one year postresidency fellowship
> in obstetrics and does c-sections etc. One two occasions now the
> patient has been admitted for preterm labor (once by an FP partner
> without such fellowship training) and on neither occasion were my
> partner or I consulted with regards to her care. On questioning
> this, I was told that co-mangement meant being available for the
> delivery to assist as needed.
>
> Thoughts?
>
> Glen
>
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> Try it now.

************************************************************************ * Charlie Chambers

--
Hood River, OR
cchamber@alumni.rice.edu

"No matter where you go... there you are." Dr. Buckaroo Banzai ************************************************************************





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