Obstetrics and gynecology clinics of North America
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Obstet. Gynecol. Clin. North Am. · Sep 2015
ReviewRoles of Obstetrician-Gynecologist Hospitalists with Changes in the Obstetrician-Gynecologist Workforce and Practice.
Obstetrician-gynecologists (OB-GYNs) are the fourth largest group of physicians and the only specialty dedicated solely to women's health care. The specialty is unique in providing 24-hour inpatient coverage, surgical care and ambulatory preventive health care. This article identifies and reviews changes in the OB-GYN workforce, including more female OB-GYNs, an increasing emphasis on work-life balance, more sub-specialization, larger group practices with more employed physicians and, finally, an emphasis on quality and performance improvement. It then describes the evolution of the OB-GYN hospitalist movement to date and the role of OB-GYN hospitalists in the future with regard to these workforce changes.
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Obstet. Gynecol. Clin. North Am. · Sep 2015
ReviewPotential Impact of Obstetrics and Gynecology Hospitalists on Safety of Obstetric Care.
Staffing models are critical aspects of care delivery. Provider staffing on the labor and delivery unit has recently received heightened attention. Based on the general medicine hospitalist model, the obstetrics and gynecology hospitalist or laborist model of obstetric care was introduced more than a decade ago as a plausible model-of-care delivery to improve provider satisfaction, with the goal of also improving safety and outcomes through continuous coverage by providers whose sole focus was on the labor and delivery unit without other competing clinical duties. It is plausible that this model of provider staffing and care delivery will increase safety.
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Obstet. Gynecol. Clin. North Am. · Sep 2015
Review Historical ArticleA History of the Hospitalist Movement.
Hospitalists work in 90% of US hospitals with over 200 beds. With over 48,000 practicing hospitalists nationwide, the field of hospital medicine has grown rapidly in its 20 years of existence. ⋯ Obstetricians cannot be in both the hospital and the office at the same time, they face an increased acuity of hospitalized patients demanding a full time presence, and hospitals are searching for physicians aligned with their goals. OBGYN hospitalists are at a similar point today at which hospital medicine was in the late 1990s.
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Obstet. Gynecol. Clin. North Am. · Sep 2015
ReviewLaborist to Obstetrician/Gynecologist-Hospitalist: An Evolution or a Revolution?
The laborist model offers the best approach to standardize care and improve patient safety on the labor unit, improve physician well-being, and decrease physician dissatisfaction/burnout. The concept of the laborist was based on the hospitalist model. The laborist is free of the stresses of a private practice, works a constant and controllable schedule, and can have work shift limitations, thereby eliminating the issue of fatigue and impairment, and improving patient safety while decreasing the potential for adverse outcomes that may result in a liability action. This is what is being demanded both by patients and generation Y physicians.