Methodist Hospital system is one of the largest in the South. For years Family Medicine privileges have been effecrtively road blocked by a "poison pill" in the delineation of prvileges document. Although privileges were allowed, family physicians were required to obtain written backup for guaranteed Cesarean coverage 24/7/365 from at least two obstetricians.
Secondly, although fellowship trained family physicians could be granted Cesarean privileges, the by-laws required that they have an obstetrician or another Cesarean capable physician scrub the case with them. FP's without Cesarean privileges are not allowed to assist at Cesarean section.
Monday June 16, after two years of requests and meetings, I was allowed to present the family medicine case for reform to the Methodist cross specialty task force. Although, it needs confirmation by the credentials committee and Medical staff executive, the following is encouraging. The previous and continuing support of the medical community is appreciated.
With best wishes for your professional success,
Wm. MacMillan Rodney MD, FAAFP, FACEP
Medicos para la Familia
Memphis, Nashville and rural
Dr. Rodney:
The cross-specialty task force will make several recommendations to the Credentials Committee:
1) Remove the requirement for a surgical second assist for FP to perform c-sections
2) Remove the requirement for written obstetrical back up for FP
3) Redefine FP OB Core privileges to include c-sections defining the criteria to grant the privilege (one year in a FP OB training program which included 50 c-sections, documentation of current clinical competence (case log for previous 24 months, including 20 c-sections per year average) Maintenance: current clinical competence and average of 20 c-sections per year)
4) Define criteria for required obstetrical consultation
Dr. Dormois or Dr. Handorf would be glad to discuss these recommendations with you if you need any other information.
Thanks,
Pat
Pat Busbey, CPMSM
Corporate Director, Medical Staff Services
Methodist LeBonheur Healthcare
www.psot.com
Index--privileges OB, Cesarean training, bylaws reform
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