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Dissolution of OB-GYNFrom: Kenneth J. Moise (kmoise@bcm.tmc.edu)Sun Jun 29 17:50:16 1997
Geff, Stanford is ahead of the game. The Department of Obstetrics and Gynecology was dissolved, obstetrics cam under the Department of Pediatrics and gynecology was moved to the Department of Surgery. I have several additional comments: 1) There are not enough programs in nurse midwifery in the US to educate the workforce needed for some 10 years if they all expanded tommorrow. 2) The US public outcry would overwhelm the insurance industry. Most companies are now allowing women to see an OB-GYN annually without a PCP referral. I just sat down with Arnie Cohen of US HealthCare recently. Since there are multiple companies competing for the market, no one is willing to upset the apple cart and lose business to their competetors. 3) Finally, when the American Board of Obstetrics and Gynecology decided in 1977 to create the three supspecialities of basic OB-GYN, it was done in an effort to enhance progress in women's health care. Clearly, the amount of clinical and basic science research in the field of perinatology has vastly improved as a result of MFM. To lose this edge would be a crime against progress in women's health. As you probably recall, all previous RCT's in cardiovascular disease have only included men. Ken Moise Baylor College of Medicine
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