Re: gynecologic oncologists

From: Braun, R. Daniel (rbraun@iupui.edu)
Wed Mar 31 13:00:41 1999


But if I remember right you got scorched about it. Am I right? Dan R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN

-----Original Message----- From: Geffrey H. Klein, MD [SMTP:gklein@icsi.net] Sent: Wednesday, March 31, 1999 2:27 PM To: Multiple recipients of list OB-GYN-L Subject: Re: gynecologic oncologists

At 11:44 AM -0600 on 3/31/99, Betty Rommel, MD, PhD wrote:

> At Wed, 31 Mar 1999, Paul Prior MD wrote:
> >
> >On Tue, 30 Mar 1999 19:20:44 -0600, you wrote:
> >
> >>The following is an excerpt from the NIH Consensus Development
> >>Conference Statement, April 5-7, 1994:
> >>
> >>"Women with ovarian masses who have been identified

preoperatively as > >>having a significant risk of ovarian cancer should be given the
option > >>of having their surgery performed by a gynecologic oncologist"
> >
> >I do this routinely.
> >
>
> Let's extrapolate the logic further...
>
> Ovarian mass = gyn onc referral
> Low risk gyn = nurse practitioner
> OCP = OTC
>
> Prolapse, incontinence = urogyn referral
>
> High risk ob = mfm referral
> Low risk ob = midwife
>
> Infertility = endocrine referral
>
> Ob Gyn training = brief, superficial rotations with future
referral docs > with emphasis on internal medicine...
>
> Seems like tomorrow's ObGyns are headed for the Museum of Natural
> History!
>

Well, Betty. Your progressive thinking is still 2 years behind mine. Please see http://forums.obgyn.net/forums/ob-gyn-l/OBGYNL.9706/1049.html

I proposed a simple plan that I thought would immediately prompt action. I am apalled that ACOG has not acted more quickly on my recommendations to eliminate our unneeded specialty.

:)

Geffrey H. Klein, MD geffrey.klein@obgyn.net 2200 Nasa Rd 1 #200 Houston, Texas 77058 (713) 741 2273 ext 2628





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