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Re: ,Death to ABOGFrom: J. Bulley (jbulley@cheshire.net)Thu Apr 24 22:50:01 1997
I also went into OB/GYN because it is a surgical field as well as a primary contact field. I absolutely agree that if there is not enough surgical training - then reorganize the residencies but don't break it down into an outpatient vaginitis practice and require fellowship for everything else. That is like an accusation made by a partner of mine (one who, by the way always has and will likely for the next 2 years before quitting does mediolaterals): he had an obstetric patient whose course became complicated while her pediatrician (Dr A) was out of town. All of the appropriate consultations were made with the MFM person we use (out of town) and Neonatologist AND the local pedis in the group practice with Dr A. This is a practice we have always had - consultation to keep care local. Appropriate management was planned to be carried out locally. (The high risk hospital is 75 minutes away.) The planned C/S happened to be the day Dr. A returned. Dr. A Flamed my partner for not making the patient go to our tertiary care referral site. Finally the Ob accused Dr. A of "throwing away his Pedi training to be a GD FP who just wants to wipe kids' snotty noses" Anyhow, I trained in Ann Arbor 81-85 at the community hospital and absolutely want the "general" part of the specialty to be full general obgyn with surgery, infertility, everything. We needed the high risk Ob and Gyn Onc of U Mich and they most definitely needed our low risk delivery and gyn surg numbers. Their residents would do as much (indicated) gyn surgery in ther 2 months at St Jo's as they did in the rest of their UMMC residency. The two programs now (I think) have a lot of overlap or are merging - I haven't kept track. Ob/Gyn won't be Ob/Gyn if we break it down. With FP's learning and doing colpos and dysplasia treatment if we give up the surgery we may as well be FP's with a bit extra training in outpatient gyn. Or be a Gyn ARNP - in our office they DO do everything but the surgeries and deliveries!!! I am so frustrated with the state of medicine I am looking to find some other way to make a living. After 12 years it is hard to look around but I will/am. I will recert this August because I am not yet traind in anything else. Joanne Bulley, MD Lahey Hitchcock Clinic - Keene Cheshire Medical Center Keene. NH
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