Re: Fetal medicine

From: James Smeltzer (James.Smeltzer@wellstar.org)
Fri Oct 3 17:12:12 2008


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Hi! On Ultrasound and (or in) MFM: Ideally this is a union that produces a seamless first-rate product. The quality of my work and reputation depend critically on the quality of my sonographers and sonographic work, in all areas of practice. As an MFM, I am taking responsibility for advising and helping to manage the care of a woman with a known or suspected high risk for an adverse outcome.

The greatest advance in modern obstetrics is the recognition of the fetus as our patient. The greatest problem is that we accept responsibility for a patient at the period of highest risk in life, who we cannot see, touch, or talk to - unless we use ultrasound. This is where ultrasound comes in. I do not believe that the practice of MFM could be anything more than alchemy in most clinical situations without ultrasound.

I know there are MFMs out there who rely almost entirely on their sonographers. I would hope that they are now few in number. A lot of what we do relates directly to ultrasound. If you do NOT want to touch a transducer, probably a different line of work would be better, IMHO. Jim Smeltzer, MD

James S. Smeltzer, MD Consultant, Maternal Fetal Medicine Wellstar Physicians Group 833 Campbell Hill St., Suite 400 Wellstar NW Women's Care Marietta, GA 30060

>>> On 10/1/2008 at 4:09 PM, in message
<48E3D8CD.3090703@intercom.net>, Joe <forcep@intercom.net> wrote: Terry: Agree. Joe C > Joe, I think I understand what you mean; however I know a number of
excellent > sonographers who work with MFMs. This may be a matter of
differences in > the practice of medicine or sonography in different cultures.
>
> Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM
>
> Associate Professor & Director
> Diagnostic Medical Sonography Program
> University of Arkansas for Medical Sciences, CHRP
> 4301 West Markham St. Mail Slot #563
> Little Rock, Arkansas, 72205 USA
> 501-686-6510 or 501-686-5948
> DuBoseTerryJ@UAMS.edu
> http://www.uams.edu/chrp/sonography/
> http://www.obgyn.net/us/panel/panel.htm
> http://www.io.com/~dubose/
> ---------------------------------------------------------------
> =EF=81=90 Please consider the environment before printing this e-mail=20
> ---------------------------------------------------------------
>
> ---------------------------------------------------------------
>
> -----Original Message-----
> From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of
Joe > Sent: Wednesday, October 01, 2008 10:23 AM
> To: Multiple recipients of list ULTRASOUND
> Subject: Re: Fetal medicine
>
> \ MFM is NOT a sonographers field. Joe C
>
>> Dear all,
>>
>> I am an Obstetrician & Gynaecologist. I am interested in

Fet0-maternal >> medicine.I have got selected for fellowship in fetal medicine in a
>> recognised Institute in UK. How are my job prospects in Fetal
Medicine >> all Over the world. Please let me know the real facts. My friends
in >> General OBGyn discouraged me as it is a Sonographers field,
>> Obstetricians have less future prospects.
>>
>> Please advice.
>> Thanking you,
>>
>
> Confidentiality Notice: This e-mail message, including any

attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. >

________________________________________________ This email and any files transmitted with it may contain

--
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confidential and /or proprietary information in the possession
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and exempt from disclosure under applicable law. If the reader
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mail is strictly prohibited,
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Hi!  On Ultrasound and (or in) MFM:
Ideally this is a union that produces a seamless first-rate product. The quality of my work and reputation depend critically on the quality of my sonographers and sonographic work, in all areas of practice.  As an MFM, I am taking responsibility for advising and helping to manage the care of a woman with a known or suspected high risk for an adverse outcome.
 
The greatest advance in modern obstetrics is the recognition of the fetus as our patient.  The greatest problem is that we accept responsibility for a patient at the period of highest risk in life, who we cannot see, touch, or talk to - unless we use ultrasound.  This is where ultrasound comes in.  I do not believe that the practice of MFM could be anything more than alchemy in most clinical situations without ultrasound.
 
I know there are MFMs out there who rely almost entirely on their sonographers. I would hope that they are now few in number.  A lot of what we do relates directly to ultrasound. If you do NOT want to touch a transducer, probably a different line of work would be better, IMHO.  Jim Smeltzer, MD
 
James S. Smeltzer, MD
Consultant, Maternal Fetal Medicine
Wellstar Physicians Group
833 Campbell Hill St., Suite 400
Wellstar NW Women's Care
Marietta, GA 30060


>>> On 10/1/2008 at 4:09 PM, in message <48E3D8CD.3090703@intercom.net>, Joe <forcep@intercom.net> wrote:
    Terry: Agree. Joe C
> Joe, I think I understand what you mean; however I know a number of excellent
> sonographers who work with MFMs.    This may be a matter of differences in
> the practice of medicine or sonography in different cultures.   
>
> Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM
>
> Associate Professor & Director
> Diagnostic Medical Sonography Program
> University of Arkansas for Medical Sciences, CHRP
> 4301 West Markham St. Mail Slot #563
> Little Rock, Arkansas, 72205 USA
> 501-686-6510 or 501-686-5948
> DuBoseTerryJ@UAMS.edu
> http://www.uams.edu/chrp/sonography/
> http://www.obgyn.net/us/panel/panel.htm
> http://www.io.com/~dubose/
> -----------------------the environment before printing this e-mail
>
>
> = om/~dubose/">http://www.io.com/~dubose/
> ----------------------------Original Message-----
> From: ultrasound@obgyn.net [mailto:ultra= om/~dubose/">http://www.io.com/~dubose/
> -----------------------sound@obgyn.net] On Behalf Of Joe
> Sent: Wednesday, October 01, 2008 10:23 AM
> To: Multiple recipients of list ULTRASOUND
> Subject: Re: Fetal medicine
>
> \    MFM is NOT a sonographers field. Joe C
>  
>> Dear all,
>>
>> I am an Obstetrician & Gynaecologist.  I am interested in Fet0-maternal
>> medicine.I have got selected for fellowship in fetal medicine in a
>> recognised Institute in UK.  How are my job prospects in Fetal Medicine
>> all Over the world.  Please let me know the real facts.  My friends in
>> General OBGyn discouraged me as it is a Sonographers field,
>> Obstetricians have less future prospects.
>>
>> Please advice.
>> Thanking you,
>>
>>
>>  
>>    
>
>
>
> Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information.  Any unauthorized review, use, disclosure or distribution is prohibited.  If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.
>
>
>
>  



____________________________________________________________  ____________________________________________________________ 
This email and any files transmitted with it may contain confidential and /or proprietary information in the possession of WellStar Health System, Inc. ("WellStar") and is intended only for the individual or entity to whom addressed. This email may contain information that is held to be privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any unauthorized access, dissemination, distribution or copying of any information from this email is strictly prohibited, and may subject you to criminal and/or civil liability. If you have received this email in error, please notify the sender by reply email and then delete this email and its attachments from your computer. - Thank you.



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