LETTERS.

Too Much Credentialing

I would like to comment on the article "Extra Credentialing Worries Experts" (April 15, 2001, p. 1): I have been performing operative laparoscopy in my small rural practice for over 25 years. I learned the advanced techniques from a past partner who had personal instruction from Dr. Kurt Semm in Germany.

I have attended several courses on laparoscopy and hysteroscopy since then and my skills have improved significantly. I have taken care of at least 60 ectopic pregnancies, mostly by linear salpingostomy. I have removed many ovarian cysts and have done many laparoscopically assisted vaginal hysterectomies when ovarian removal was indicated. My patients do fine. Other than the hysterectomy patients, all leave the hospital in several hours.

Now I read that the Accreditation Council for Gynecologic Endoscopy, simply by reviewing my patient list and accepting $500-$750, will certify me as having these special skills. A physician at Aetna U.S. Healthcare was quoted as saying that the program is "a quality measure to make sure those doctors with special expertise are being rewarded."

Hogwash! If I weren't doing fine work my hospital and malpractice carrier would certainly know about it.

The American College of Obstetricians ...