|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: gynecologic oncologistsFrom: Robert J. Woolley (wooll005@tc.umn.edu)Tue Mar 30 22:09:53 1999
In message <4.1.19990330232830.009f8010@mail.enter.net> writes: > Bob: > > I don't think that's his (or her) position at all. It was just a quote. The > case could be made that with a significant risk for ovarian CA, a gyn onc > should at least be available. I don't disagree that the patient should be > given the option of a gyn onc for this type of surgery. In practice, > however, I find most women are happy to have them on standby. If I truly > believe it is an ovarian cs, I send right to the oncologist, because they > do a better job than I do Allow me to make my point more explicitly, then. I have particular interests in certain pieces of a general medical practice. In these particular areas (e.g., specific diseases or procedures), I am likely to have both more interest and more knowledge than the average specialist (say, dermatologist). Suppose I take the view that patients always have the "right" (whatever that means) to be referred to a specialist. If the patient before me has one of the things in which I have special knowledge and interest, then the referral may well send him or her to a person less qualified. This does not seem in the patient's best interest. (Not to say that I *wouldn't* if pressed, just that it seems a shame to go from a more qualified physician to a less qualified one.) In order to maintain that a patient with ovarian Ca always has the right to choose a gyn onc (meaning, presumably, more "right" than any other patient has to choose any other physician), one would, it seems to me, have to believe that such a choice is always going to be in her best interest. (Unless you want to bestow a special right to lesser-quality care, and if you do, I'd like to know why.) ---------------------------------------------------------------------------
--------------------------------------------------------------------------- Bob Woolley -- --------------------------------------------------------------------------- St. Paul, Minnesota
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:31:02 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.