67% of residency directors reported that a lack of faculty expertise in medical ethics was a significant barrier to their attempts to provide a more comprehensive educational process. I have a proposal for a solution to these problems: Teaching about the “house of ethics” in ob/gyn, as we do at Vanderbilt University.
Even if you see few Medicare patients, start preparing for value-focused payment.
Following a normal delivery, a woman develops an infection that leads to severe consequences. Plus: Another case alleging scarring from forceps.
An Alabama woman went for an annual pelvic exam and underwent a Pap test. It showed a high-grade squamous intraepithelial neoplasia and the gynecologist could not rule out cancer. The patient then had a colposcopy, which revealed high-grade dysplasia with negative endocervical currettings. Each was identified as a form of pre-cancer.
The professional responsibility model of obstetric ethics provides a powerful antidote to maternal rights-based reductionism.