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Re: GYN: Primary Care (was Fibroids and a Pelvic Kidney)From: DoctorJoe (DoctorJoe@aol.com)Sat Feb 28 13:51:03 1998
In a message dated 2/27/98 9:33:00 PM, you wrote: <<In addition,in the US, the new breed of gyns will be very well versed in primary care! In other words they'll be able to immunize women and take care of their blood pressure and diabetes, but vaginal surgery? Nah! That's why we have the new subspecialty of reconstructive pelvic surgery! Sorry, I'll stop rambling now.>> Well, my impression was that the College is schizophrenic about this. We want to be "primary care" simply to have unrestricted access to the patients (i.e., no gate keeper to go thru to get to the GYN). My feeling generally is that the rank and file OB-GYNs DON'T want to take care of hypertension and diabetes on a regular basis... they just don't want to have a gate keeper have to refer a woman who has yeast or who needs a Pap. On the other hand, the College is doing all of this primary care "stuff", postgraduate course, etc. And the RRC is mandating all sorts of primary care stuff in the residencies, which DOES erode the teaching of surgery. Joe P.
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