As ACOG President, I feel a great responsibility to help our members and our specialty lead and evolve in these changing and often challenging times. To do so, we must focus on building a strong foundation upon the rigorous standards of excellence that guide us every day. One of the things I most enjoy about membership in ACOG is the community. With a central goal at hand, superior care for women and families, we come together to learn from, support, and develop alongside our peers. As we face more constant, direct, and often negative forces beyond our exam rooms, our community has another imperative: advocacy.
By cultivating the knowledge and capability of our existing and newest members, we ensure the future of our profession and the patients we serve. In part, this requires legislative and political advocacy by all of our Fellows and Junior Fellows. We must lend the diversity and depth of our community’s knowledge and expertise to help reach safe and sustainable outcomes on issues regarding women’s healthcare.
Working in the field of global health has been a passion of mine since my wife, Melanie, and I served on a medical mission in the Dominican Republic many years ago. I saw first-hand the need to increase the quality of health care provided to women in other countries. All women require access to quality health care no matter where they live, and training and educating health workers is key to ensuring that care is available.
The World Health Organization reports that almost all (99 percent) of the nearly 300,000 maternal deaths every year occur in developing countries. Two of the most common cancers affecting women – breast and cervical cancers – are of growing global concern. These alarming statistics are what make our partnership with Health Volunteer Overseas (HVO) so important. For nearly 30 years, HVO has empowered health care professionals in resource-scarce countries with knowledge and skills to address the health care needs of their communities.
Tom Gellhaus, MD
ACOG’s 67th President
“The greatest reward for doing is the opportunity to do more.” ~Jonas Salk
This past Tuesday I was awarded a great opportunity to do more: I became ACOG’s 67th President. As the nation’s leading group of physicians providing health care for women, we have an unprecedented opportunity to do more and be empowered to make a difference in health care.
When I began my presidency, I ventured that we can make a difference in the next generation of health care through three main initiatives: global health, advocacy and new resident education models.
“The Times They Are A-changin”… That’s how I began my presidential inaugural address last year, and guess what? They are still changing! This theme underscored virtually everything we did this past year. Let me very briefly review where we are…
We began the year with a major legislative victory in that the SGR was repealed, and in its place is a more complicated program affecting physician payment, MACRA. I am finishing my year by appointing a work group of experts to better understand the new law and help translate it for our members. Stay tuned on that front.
Numerous issues arose during the year, ranging from over-the-counter contraception, home births, Planned Parenthood, TRAP laws, midwifery, Zika and many more. We have such an amazing staff in Practice and Communications…we were able to issue timely and meaningful statements about all of these issues and keep informed debate going on the national level about these and other important topics.
Vineeta Gupta MD, JD, LL.M
Technical Director, Global Women’s Health
American College of Obstetricians and Gynecologists
A woman dies from pregnancy or childbirth every two minutes. Almost all of these deaths (99%) are in developing countries. The most heartbreaking part is that the vast majority of these deaths are preventable.
As the nation’s leading group of physicians providing health care for women, ACOG strongly advocates for quality health care for women – everywhere.
That’s why, in an effort to demonstrate the urgency of global action to protect maternal health and rights, ACOG recognizes today as the International Day for Maternal Health and Rights.
As obstetrician-gynecologists, we understand the importance of providing safe, high quality care for our patients. But as the nation focuses on better ways to provide this care, the overuse of resources is an issue of considerable concern and many experts agree that the current way health care is delivered in this country contains too much waste and inefficiency. It’s crucial that providers across all specialties and patients work together to have conversations about wise treatment decisions. That’s why ACOG is a proud partner of Choosing Wisely®, a campaign led by the American Board of Internal Medicine (ABIM) Foundation, with a goal of advancing a national dialogue on avoiding unnecessary medical tests, treatments and procedures. The key word here is “unnecessary.”
March 8, 2016 marks International Women’s Day and as obstetrician-gynecologist we are dedicated to quality care of women throughout their lives. We know that gender-equality is a great issue for women here in the U.S. and around the world.
As women’s health care providers, we know many of the things that help women to achieve parity. One, of course, is reproductive autonomy. The ability to control if and when to become pregnant helps women to finish their educations, progress in their careers, and pursue their life goals. This cannot be emphasized enough, but unfortunately, millions of women around the world lack reproductive control.
The theme for the 2016 International Women’s Day is #PledgeforParity. I view this theme as making two important statements: one is that women, despite gains, still do not enjoy the equality that they deserve. The other is that we all must actively take a stand, and we can do so by signing the pledge and by joining the discussion on social media.
You asked and we listened. To better serve our Members, today marks the launch of ACOG’s Estimated Due Date Calculator (EDD Calculator). It’s an easy-to-use, straightforward, free app that is strictly based on joint recommendations from ACOG, the American Institute of Ultrasound in Medicine (AIUM) and the Society for Maternal-Fetal Medicine (SMFM) for determining pregnancy due dates.
Notably, the EDD Calculator is the only app of its kind that reconciles the discrepancy in due dates between the first ultrasound and the date of the last menstrual period. It also has an assisted reproductive technology (ART) component to help health care providers with patients who undergo embryo transfer.
Earlier this month at its Annual Meeting and Exposition, the American Public Health Association (APHA) adopted 18 new policy statements ranging from contraception access to preventing prescription painkiller abuse. Although they go beyond the Pap test and pelvic exam, many of the new standards are directly related to ob-gyns as population health is closely linked to our specialty. It’s important for us to pay attention to these related issues so, I’d like to take a moment to review a few of them here. Please note that these are only some of the women’s health focused policy positions.
When I assumed the presidency in May, I promised to work on behalf of our patients, our doctors and ACOG. Not quite halfway through a very busy year, I wanted to give you a progress report on my activities.