Fresh out of residency, I was asked to join a small but successful practice of four ob/gyns in a large, metropolitan area. At first, everything seemed perfect. And then, the buy-in talks began. The "honeymoon" was over.
Do you remember bringing something to school for "show and tell" when you were a child? That's what I did recently, only it wasn't a game. I was teaching basic medicine, obstetrics, and gynecology to medical students, lay midwives, and physicians in Liberia.
Be concise, be cool, be prepared, and don't try to outwit the plaintiff's attorney.
Michelle, a 31-year-old G1P0, is in for a routine second-trimester prenatal visit at 18 weeks. During the visit, she mentions that her family is gearing up for their winter vacation. As you are walking out the door, she says, "Oh, by the way... can I ski?"
Before deciding what to do in this scenario, clinicians must weigh the evidence on length of stay, the risk of postpartum hemorrhage, infection rates, the threat of urinary incontinence, and a host of other complex issues.
True consent requires an understanding of decisions-and their consequences. With sensitivity, it's possible to respect a patient's autonomy while acknowledging limitations in her mental state.
Hysteroscopic removal of intrauterine devices (IUDs) during the first trimester is a viable option for patients who wish to continue their pregnancy, according to a presentation at the AAGL 2019 Global Conference.
Hiring a staff member's relatives; Should we purchase or rent office space?
How many times has a patient said, "Oh, by the way, doctor..." just as you're leaving the exam room? This column will help you quickly triage those seemingly offhand yet clinically significant encounters.
In this video, Dr. Ascher-Walsh discusses the future of simulation training and explains why the benefits aren't just limited to the surgeon.
While antibiotic dosing was correct, therapy duration was frequently inappropriate.
Allegations in this complex case include negligence in performing laparoscopic hysterectomy and delaying treatment of bladder injury.
If we truly want to “make America great again” we should start with a national effort to address our tragically high maternal mortality rate.
For ob/gyns who are seeking concrete steps to incorporate the newest evidence into practice, refer to these easy steps.
Doing nothing is no longer an option, say the authors. Cervical length assessment should be provided to a larger population of women to identify and treat those with cervical shortening.
Doing nothing is no longer an option, say the authors. Cervical length assessment should be provided to a larger population of women to identify and treat those with cervical shortening.
A commentary on some of the best research in this field published in the past year
An integral part of a treatment plan for managing sexual dysfunction in women is the use of hormonal and pharmaceutical agents, a variety of which are available.
A debate at ACOG 2017 looks at whether cervical insufficiency should be abandoned as a diagnosis. Plus: A study presented at ACOG 2017 examines whether human papillomavirus is linked to preterm birth?
Results from a longitudinal study suggest that bacteria in the cervicovaginal microbiome (CVM) may play a role in risk of progression of high-risk human papillomavirus (HR-HPV) to cervical precancer.
Advances in reproductive technology are making pregnancies over the age of 50 years possible, but they come with unique challenges, requiring tailored prenatal and postpartum care.
James Greenberg, MD, shares his thoughts on the HTx Single-Use Scope System from Hologic.
Ob/gyns can take simple steps to help patients understand their personal health information, promoting better outcomes.
A review of the risks, benefits, and indications for appropriate referral of fetal echocardiography
Expert commentary on Practice Bulletin No. 184: Vaginal Birth After Cesarean Delivery.
As value in healthcare becomes an increasing priority for healthcare systems, ERPs will play a vital role in improving the care provided to patients.
Review the steps in a cesarean and take a moment to examine the best available evidence for performing the procedure.
Review the steps in a cesarean and take a moment to examine the best available evidence for performing the procedure.
If a patient exhibits at least two of these 11 behaviors, it may signal a problematic pattern of opioid use leading to clinically significant impairment or distress.