Re: Circs MD vs CNM/PNP was OB vs Peds

From: Suzanne S. Powell, ICCE (ccsu2348@earthlink.net)
Tue Mar 31 22:33:02 1998


> From: shiraz suleman <suleman@sk.sympatico.ca>

> kathleen [tash] robb bodor wrote:
> >
> > It seems that the issue is really who has trained and keeps up the
> > skills...for example there are 3 female CNMs who are mohels (reform
> > tradition) and they do a fin job...and I know of many MDs who I would not
> > recommend. I guess what I am calling for is a training program (no just
> > turn the intern loose as was done 2 decades ago) and some type of
> > credentialling program with subsequent CQI monitoring.
> >
> > Tash Robb-Bodor CNM
> > tashcnm@usa.net
> > AOL instant messenger: tashcnm
> > ICQ: 4625677
> Why do you allow CNMs to do surgical procedures on patients?What kind of
> medical practise is that.
> --
> Dr.Shiraz Suleman

Dr. Suleman, are you saying that you do not believe mohels should do circumcisions?

If it is a matter of them doing them in a clinical setting (as CNM's) then my question is... trained is trained, is it not? Would you rather have a CNM who is trained as a mohel and has done many circumcisions doing them, or an OB or Ped for whom it is their first alone, without supervision?

I think my major concern would be if something DID go wrong. It seems obvious that it is not the standard of care for a CNM to do circumcision. And if the CNM is doing it in a clinical setting, rather than during the bris ceremony that a mohel works in, then the CNM is operating as a CNM, not a mohel. If there were a lawsuit after something went wrong, how much trouble would the CNM and the hospital be in for going against the standard of care?

--
Suzanne S. Powell, ICCE
Childbirth Educator, Labor Doula, Postpartum Doula
Peachtree City, Ga.




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