Comments on: Laborists, and how rising malpractice premiums and the physician payment system are fueling the rise of hospital-only obstetricians http://www.kevinmd.com/blog/2009/03/laborists-and-how-rising-malpractice.html medical blog Sat, 20 Mar 2010 08:06:54 -0400 http://wordpress.org/?v=2.8.4 hourly 1 By: sat http://www.kevinmd.com/blog/2009/03/laborists-and-how-rising-malpractice.html/comment-page-1#comment-92463 sat Tue, 16 Jun 2009 20:33:34 +0000 http://clients.emmense.com/kevinmd/2009/03/laborists-and-how-rising-malpractice-premiums-and-the-physician-payment-system-are-fueling-the-rise-of-hospital-only-obstetricians.html#comment-92463 Deron, Where I am OBs pay $70,000 per year. I have a friend in Illinois who pays $120,000 per year and in Florida it's gone as high as $250,000 per year which is why many of them have been forced to go bare. It varies depending on where you practice, and if you are an OB/GYN you should know that. Deron,

Where I am OBs pay $70,000 per year. I have a friend in Illinois who pays $120,000 per year and in Florida it’s gone as high as $250,000 per year which is why many of them have been forced to go bare. It varies depending on where you practice, and if you are an OB/GYN you should know that.

]]> By: Dr. L http://www.kevinmd.com/blog/2009/03/laborists-and-how-rising-malpractice.html/comment-page-1#comment-90118 Dr. L Fri, 06 Mar 2009 14:58:00 +0000 http://clients.emmense.com/kevinmd/2009/03/laborists-and-how-rising-malpractice-premiums-and-the-physician-payment-system-are-fueling-the-rise-of-hospital-only-obstetricians.html#comment-90118 @MIke: Midwifery is a better option, as supported by the Cochrane review recently. As far as complications, those are handled quite nicely in most European models where the MW is in charge of ~80% of low risk patients and the physician only steps in when the patient is high risk or has a complication during delivery.<br/><br/>@Deron: I think doing "the entire global OB package" is exactly what Kevin was talking about. If OB/GYNs are forced to limit the scope of their practice by malpractice premiums, isn't that a bad thing? @MIke: Midwifery is a better option, as supported by the Cochrane review recently. As far as complications, those are handled quite nicely in most European models where the MW is in charge of ~80% of low risk patients and the physician only steps in when the patient is high risk or has a complication during delivery.

@Deron: I think doing “the entire global OB package” is exactly what Kevin was talking about. If OB/GYNs are forced to limit the scope of their practice by malpractice premiums, isn’t that a bad thing?

]]> By: Deron Schriver http://www.kevinmd.com/blog/2009/03/laborists-and-how-rising-malpractice.html/comment-page-1#comment-90105 Deron Schriver Fri, 06 Mar 2009 00:18:00 +0000 http://clients.emmense.com/kevinmd/2009/03/laborists-and-how-rising-malpractice-premiums-and-the-physician-payment-system-are-fueling-the-rise-of-hospital-only-obstetricians.html#comment-90105 The malpractice premiums stated in Kevin's post do not represent the national averages. The OB/GYNs in my group pay about $50,000 in premiums, and the big money only comes if you do the entire global OB package. The post makes no sense, at least based on my experience. The malpractice premiums stated in Kevin’s post do not represent the national averages. The OB/GYNs in my group pay about $50,000 in premiums, and the big money only comes if you do the entire global OB package. The post makes no sense, at least based on my experience.

]]> By: Mike http://www.kevinmd.com/blog/2009/03/laborists-and-how-rising-malpractice.html/comment-page-1#comment-90087 Mike Thu, 05 Mar 2009 02:32:00 +0000 http://clients.emmense.com/kevinmd/2009/03/laborists-and-how-rising-malpractice-premiums-and-the-physician-payment-system-are-fueling-the-rise-of-hospital-only-obstetricians.html#comment-90087 A better option is to use a midwife. Unless anything goes wrong. Then you'll be saying "Jeez, maybe it was not a better option". <br/><br/>Answers like this are why being a doctor sucks nowadays. A better option is to use a midwife. Unless anything goes wrong. Then you’ll be saying “Jeez, maybe it was not a better option”.

Answers like this are why being a doctor sucks nowadays.

]]> By: Reality Rounds http://www.kevinmd.com/blog/2009/03/laborists-and-how-rising-malpractice.html/comment-page-1#comment-90082 Reality Rounds Wed, 04 Mar 2009 22:00:00 +0000 http://clients.emmense.com/kevinmd/2009/03/laborists-and-how-rising-malpractice-premiums-and-the-physician-payment-system-are-fueling-the-rise-of-hospital-only-obstetricians.html#comment-90082 I was actually going to say the same thing as anonymous. It is the nurses who labor the woman for hours on end. The physician usually shows up when the patient is complete and pushing, or if a cesarean section is needed. I would like to put a plug in for nurse midwives. They follow low risk women, but they tend to stay at the bedside the whole time a woman is laboring. They also have great patient outcomes, and usually satisfied customers! I was actually going to say the same thing as anonymous. It is the nurses who labor the woman for hours on end. The physician usually shows up when the patient is complete and pushing, or if a cesarean section is needed. I would like to put a plug in for nurse midwives. They follow low risk women, but they tend to stay at the bedside the whole time a woman is laboring. They also have great patient outcomes, and usually satisfied customers!

]]> By: Anonymous http://www.kevinmd.com/blog/2009/03/laborists-and-how-rising-malpractice.html/comment-page-1#comment-90080 Anonymous Wed, 04 Mar 2009 21:27:00 +0000 http://clients.emmense.com/kevinmd/2009/03/laborists-and-how-rising-malpractice-premiums-and-the-physician-payment-system-are-fueling-the-rise-of-hospital-only-obstetricians.html#comment-90080 Of course, a better option is to use a midwife instead of an MD. Of course, a better option is to use a midwife instead of an MD.

]]> By: Anonymous http://www.kevinmd.com/blog/2009/03/laborists-and-how-rising-malpractice.html/comment-page-1#comment-90079 Anonymous Wed, 04 Mar 2009 20:22:00 +0000 http://clients.emmense.com/kevinmd/2009/03/laborists-and-how-rising-malpractice-premiums-and-the-physician-payment-system-are-fueling-the-rise-of-hospital-only-obstetricians.html#comment-90079 Truthfully, you don't spend that much time with the doctor during delivery anyway.<br/><br/>It's almost all the nurses and there you get whoever is working when you get admitted. Truthfully, you don’t spend that much time with the doctor during delivery anyway.

It’s almost all the nurses and there you get whoever is working when you get admitted.

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