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What Training is Required for a Family Physician to do OB?

What Training is Required for a Family Physician to do OB?. Rebecca Williams, MD, MHPE, FAAFP Maternity Care Coordinator Montefiore Department of Family and Social Medicine Bronx, New York. Maternity care choices.

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What Training is Required for a Family Physician to do OB?

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  1. What Training is Required for a Family Physician to do OB? Rebecca Williams, MD, MHPE, FAAFP Maternity Care Coordinator Montefiore Department of Family and Social Medicine Bronx, New York

  2. Maternity care choices • Full scope = diagnosis of pregnancy, prenatal, intrapartum, delivery & postpartum care. • Shared care = planned, structured involvement of two or more health care professionals. Typically, one provider renders prenatal, postpartum and newborn care while the other supplies intrapartum care.

  3. ACGME Requirements Duration & Scope There must be a minimum of 2 months of experience in maternity care, including the principles and techniques of prenatal care, management of labor and delivery, and postpartum care. Each resident must become capable of managing a normal pregnancy and delivery.

  4. ACGME Requirements Total Deliveries Each resident must perform a minimum of 40 deliveries over the 3- year program, of which a minimum of ten must be continuity deliveries. At least 30 of the total deliveries must be vaginal deliveries. Two residents may be given credit for the same delivery if one of those residents is supervising. The experience of each resident must be documented as to the role played in the delivery.

  5. ACGME: Continuity Deliveries For the minimum of 10 continuity patient deliveries, each resident must assume responsibility for provision of antenatal, natal, and postnatal care during their three years of training. Whenever possible, these patients should be derived from the residents' panels of patients in the FMC. Where this is not possible, the continuity experiences may be met at other clinical sites with Appropriate supervision. A list of these patients must be available in the resident's file.

  6. Residency Program Characteristics In 1997, Taylor & Hansen conducted a Delphi study of faculty at family practice residencies that produce a large percentage of graduates doing OB.

  7. Selected Characteristics • Faculty provide maternity care • Family medicine department credentials fps doing maternity care • FP residents have real responsility • Curriculum encourages maternity care • Family physicians accepted in the community as maternity care providers

  8. How many deliveries? • 2 definitions for ideal volume: • 40 deliveries w/ 10 continuity • 100 deliveries w/20-30 continuity

  9. How much training? • 2 months & 40 deliveries provides exposure • Aim for 100 deliveries • FMDRL WIKI Maternity Care Electives

  10. References • Boyle G, Banks Jr, Petrizzi M, Larimore W. Sharing maternity care. Fam Pract Manag 2003;10:37-40. • Maternity Care in New York City • AAFP Practice Survey • ACGME • Taylor H, Hansen, G. Perceived characteristics of successful family practice residency maternity care training programs. Fam Med 1997;29(10):709-14.

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