November 9-15 is National Nurse Practitioner Week, an event designed to recognize the contributions that nurse practitioners (NPs) make to our health care system. According to the American Association of Nurse Practitioners (AANP), there are more than 192,000 NPs practicing in the US today, approximately 8% of whom focus on women’s health.
In order to deliver the best health care, ob-gyns must develop strong relationships with our patients. We need to discuss sensitive issues in the exam room, including sexual health, family planning, mental health, and domestic violence concerns. Keeping the line of communication unhindered allows physicians to provide the needed information to keep patients healthy.
That’s why a Florida law called the Firearm Owners’ Privacy Act, or the “physician gag law,” is so troubling. Continue reading
As ob-gyns, we are entrusted with protecting women’s health, including providing preventive health care services. During an annual well-woman visit, each of us has an opportunity to discuss many topics: contraception, reproductive health, cardiovascular risk factors, healthy eating, exercise, smoking cessation, and more. It’s also an important time to discuss and provide necessary immunizations.
The Centers for Disease Control and Prevention and ACOG recommend vaccinations for adults throughout life. However, data from its National Health Interview Survey show that adults are not getting the immunizations they need. Continue reading
The value of the Medicaid program in ensuring care for low income women and families cannot be overstated. Nearly one out of every five woman in the US (19%) is insured by Medicaid. Yet the importance of the Medicaid program is undercut by the current biased payment system. Continue reading
For most of my career, I have been able to care for women without fear of major complications or death from abortion. However, I have not forgotten those days when safe abortion was generally unavailable. I was delighted when I delivered my first baby in 1968. But at that time in our history, the exciting events of bringing babies into this world were often countered by the tragedies of illegal abortion. Continue reading
Ob-gyns know the critical role contraception plays in preventive care for women. When patients need a prescription for contraception, we expect that they will be able to fill it without hassle. Unfortunately for many women, that isn’t the case. All too often, pharmacists insert their own personal beliefs into the health care equation, refusing to fill prescriptions for birth control or emergency contraception. Continue reading
This year there were over 20,000 graduates of US medical schools who applied to the National Resident Matching Program. Many of them, including over 100 who applied to ob-gyn, were without a residency position on Match Day.
It’s no surprise. While the number of US medical school graduates is growing through increased class sizes and new medical schools, the number of graduate medical education (GME) residency slots has not increased proportionately. Indeed, there has been no significant increase in the number of obstetrics and gynecology resident positions since the mid-1990’s. Continue reading
As physicians who care for women, ob-gyns must recognize the unmet needs of some of our patients—and the over-met needs of others. Carefully evaluating the needs of each of our patients will help improve care and reduce costs.
Every woman deserves health care that is necessary and appropriate for her. She also deserves a health care system that doesn’t burden everyone with unnecessary costs. In the changing healthcare environment, optimizing resources is critical for the continued improvement of women’s health care. Continue reading
In my role as ACOG President, I have the opportunity to work with many talented and dedicated people who serve on the Executive Board. The Board consists of national officers, district chairs, members at large, subspecialty representatives, and a public member. Our purpose is to carry out the objectives of ACOG by conducting the general management of the organization.
The recent meeting on July 12-14 was particularly productive. Continue reading