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LAKE BUENA VISTA, FLA. -- The constraints of managed care could make ob.gyn. residency programs especially vulnerable to a dwindling pool of private physicians willing to volunteer their time to education, experts said at the annual meeting of the Council on Resident Education in Obstetrics and Gynecology and the Association of Professors of Gynecology and Obstetrics.
The involvement of private physicians in training is valued for giving residents a more diverse view of their specialty and its lifestyle options. But under ever-increasing time constraints, it may be difficult to build and maintain commitments to residency training, Dr. David B. Schwartz warned.
Even in the short period from 1995 to 1997, medical schools reportedly experienced increasing difficulty recruiting and retaining volunteer clinical faculty to participate in medical school teaching, according to a study sponsored by the American Medical Association (JAMA, 280[9]:803-08, 1998).
In one of the first studies aimed at assessing the scope and depth of volunteer private practice physicians in ob.gyn. residency programs, Dr. Schwartz and his associates at Sinai Hospital of Baltimore surveyed 217 ob.gyn. residency program directors.
Overall, 60% of programs involved private physicians in some aspect of residency programs. Their roles ranged from administrative duties to didactic teaching, research, and evaluation of residents.
About 45% of the programs were dependent on volunteer private practice physicians for the supervision of residents working in outpatient settings; in 31% of the programs, residents were rotating to private physician offices.
But volunteer private practice physicians also play a key role inside hospitals, especially community ...
Source: HighBeam Research, Ob.Gyn. Residency Programs Could Get Fewer Volunteers.