What training is required for a family physician to do ob
Download
1 / 11

What Training is Required for a Family Physician to do OB - PowerPoint PPT Presentation


  • 198 Views
  • Uploaded on

What Training is Required for a Family Physician to do OB?. Rebecca Williams, MD, MHPE, FAAFP Maternity Care Coordinator Montefiore Department of Family and Social Medicine Bronx, New York. Maternity care choices.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'What Training is Required for a Family Physician to do OB' - jethro


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
What training is required for a family physician to do ob

What Training is Required for a Family Physician to do OB?

Rebecca Williams, MD, MHPE, FAAFP

Maternity Care Coordinator

Montefiore Department of Family and Social Medicine

Bronx, New York


Maternity care choices
Maternity care choices

  • Full scope = diagnosis of pregnancy, prenatal, intrapartum, delivery & postpartum care.

  • Shared care = planned, structured involvement of two or more health care professionals. Typically, one provider renders prenatal, postpartum and newborn care while the other supplies intrapartum care.


Acgme requirements
ACGME Requirements

Duration & Scope

There must be a minimum of 2 months of

experience in maternity care, including the

principles and techniques of prenatal care,

management of labor and delivery, and

postpartum care.

Each resident must become capable of

managing a normal pregnancy and delivery.


Acgme requirements1
ACGME Requirements

Total Deliveries

Each resident must perform a minimum of 40

deliveries over the 3- year program, of which a

minimum of ten must be continuity deliveries. At

least 30 of the total deliveries must be vaginal

deliveries.

Two residents may be given credit for the same

delivery if one of those residents is supervising. The

experience of each resident must be documented as to

the role played in the delivery.


Acgme continuity deliveries
ACGME: Continuity Deliveries

For the minimum of 10 continuity patient

deliveries, each resident must assume

responsibility for provision of antenatal, natal, and

postnatal care during their three years of training.

Whenever possible, these patients should be

derived from the residents' panels of patients in

the FMC. Where this is not possible, the continuity

experiences may be met at other clinical sites with

Appropriate supervision. A list of these patients

must be available in the resident's file.


Residency program characteristics
Residency Program Characteristics

In 1997, Taylor & Hansen conducted a

Delphi study of faculty at family

practice residencies that produce a

large percentage of graduates doing

OB.


Selected characteristics
Selected Characteristics

  • Faculty provide maternity care

  • Family medicine department credentials fps doing maternity care

  • FP residents have real responsility

  • Curriculum encourages maternity care

  • Family physicians accepted in the community as maternity care providers


How many deliveries
How many deliveries?

  • 2 definitions for ideal volume:

    • 40 deliveries w/ 10 continuity

    • 100 deliveries w/20-30 continuity


How much training
How much training?

  • 2 months & 40 deliveries provides exposure

  • Aim for 100 deliveries

  • FMDRL WIKI Maternity Care Electives


References
References

  • Boyle G, Banks Jr, Petrizzi M, Larimore W. Sharing maternity care. Fam Pract Manag 2003;10:37-40.

  • Maternity Care in New York City

  • AAFP Practice Survey

  • ACGME

    • Taylor H, Hansen, G. Perceived characteristics of successful family practice residency maternity care training programs. Fam Med 1997;29(10):709-14.


ad