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Re: Urogynecology/Reconstructive Pelvic Surgery FellowshipsFrom: David Hunter (hunter.d@ghc.org)Thu Oct 30 10:54:17 1997
In a new practice several years ago I naively suggested one of us gain the expertise and do most of the laparoscopic stuff, another the hysteroscopic/ablation cases, and the other urogyn. My partners were kind enough not to say what they were thinking; the silence was sufficient. No one wanted to compromise one's self-image as a complete ob-gyn or to limit future options in a changing medical economy. But that doesn't change the reality that aside from the few superdocs among us (and I assume overrepresented in this list!), we can't all be experts in all the new surgical techniques, infertility protocols, primary care issues (is it a sprain or a fracture, etc), and so on. This is a different world than 10-20 years ago and something's got to give. ABOG though perhaps misguided is responding to this reality. I agree that ACOG leadership may be lacking (but better than AMA, at least we don't have ACOG selling its seal to Mityvac and Depends)--for many years I stayed out of ACOG for similar reasoning but have now joined because its education efforts are too difficult/expensive to access without membership.
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