Obstetric and Gynecologic Hospitalists and Laborists, An Issue of Obstetrics and Gynecology Clinics

Brigid Mccue

Description

The Ob/Gyn Hospitalist, the newest subspecialist in the field of obstetrics and gynecology, has the potential to improve patient safety, patient and provider satisfaction, workforce challenges and clinical outcomes. Programs are exploding across the country, mirroring the growth of the internal medicine hospitalist programs 10 years ago. Ob/Gyn hospitalist jobs are the most sought after in the field. We will present the history of the Ob/Gyn Hospitalist movement, available evidence to date supporting Ob/Gyn Hospitalists, and where we believe the field is going.

Sujets

• Médecine
• Gynécologie et Obstétrique
• Gynecology
• Medical
• Obstetrics

Informations

• Publié par: Elsevier
• Date de parution: 07 septembre 2015
• Nombre de lectures: 2
• EAN13: 9780323395762
• Langue: English
• Poids de l'ouvrage: 1 Mo

Extrait

Clinics Review Articles OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA
Obstetric and Gynecologic Hospitalists and Laborists

Brigid McCue, MD, PhD
Beth Israel Deaconess Hospital-Plymouth, Plymouth, MA, USA

Jennifer A. Tessmer-Tuck, MD
North Memorial Medical Center, Robbinsdale, MN, USA
ISSN  0889-8545 Volume 42 • Number 3 • September 2015
Elsevier
Table of Contents
Cover image
Title page
Copyright Page
Contributors
Consulting Editor
Editors
Authors
Forthcoming Issues
Forthcoming Issues
Recent Issues
Foreword: The Ob/Gyn Hospitalist: An Expanding Area of Practice Deserving Our Attention
Preface: Obstetric and Gynecologic Hospitalists and Laborists
Laborist to Obstetrician/Gynecologist–Hospitalist
Key points
A History of the Hospitalist Movement
Key points
Introduction
Early history of hospitalists
Modern history of hospitalists
Early challenges and solutions
Current state of hospital medicine
Outcomes
Common issues facing hospital medicine today and potential solutions
Future of hospital medicine
Hospital-focused specialties
Obstetrics and gynecology hospitalist model
Summary
Hospitalists and Their Impact on Quality, Patient Safety, and Satisfaction
Key points
Background
Hospitalists and patient safety
Hospitalists and quality
Hospitalists and patient-centered care
Emergence of subspecialty hospitalists
Speculation of impact on obstetric-gynecologist hospitalist
Summary
Roles of Obstetrician-Gynecologist Hospitalists with Changes in the Obstetrician-Gynecologist Workforce and Practice
Key points
Introduction
Changes in the obstetrician-gynecologist workforce and practices
Roles of obstetrician-gynecologist hospitalists
What is an Obstetrics/Gynecology Hospitalist?
Key points
Introduction
The Role of Obstetrics/Gynecology Hospitalists in Reducing Maternal Mortality
Key points
Introduction
Postpartum hemorrhage
Complications of preeclampsia
Summary
Impact of Obstetrician/Gynecologist Hospitalists on Quality of Obstetric Care (Cesarean Delivery Rates, Trial of Labor After Cesarean/Vaginal Birth After Cesarean Rates, and Neonatal Adverse Events)
Key points
Introduction
Cesarean delivery
Trial of labor after cesarean delivery and vaginal birth after cesarean
Summary
Potential Impact of Obstetrics and Gynecology Hospitalists on Safety of Obstetric Care
Key points
Introduction
The problem of maternal mortality
Infant mortality
Timeliness of delivery in emergent situations
Preventable perinatal outcomes with close monitoring and intervention
The role of the obstetrics and gynecology hospitalist in patient safety
Summary/Discussion
Sleep Deprivation
Key points
Introduction
Why do humans sleep?
Sleep deprivation
Can sleep deprivation be cured?
Sleep deprivation in the age of electronics
Sleep deprivation in pregnancy
Evolution of work restrictions for residency programs
Attending physician fatigue
Combating sleep deprivation with a hospitalist program
Summary
Obstetrics Hospitalists
Key points
Risk management, claims, getting to Havarti
The obstetrics hospitalist movement and models of care
Overcoming challenges/the role of the risk manager
Early resolution, apology, and disclosure
Summary
Organizing an Effective Obstetric/Gynecologic Hospitalist Program
Key points
Introduction
Clinical excellence
Team leader physician or medical director
Well organized start-up process
Patient education/preparedness
Customization/prioritization of program design based on the facility's needs
Obstetric emergency department
Clinical support/education
Maternal fetal medicine support
Staff obstetric support
Obstetric service agreements
National quality forum and quality metrics monitoring
Stratification of support initiatives
Cost considerations
Summary
Business and Organizational Models of Obstetric and Gynecologic Hospitalist Groups
Key points
Business and organizational models of obstetric and gynecologic hospitalist groups
Summary
Obstetrics and Gynecology Hospitalist Fellowships
Key points
Introduction
Steps undertaken to create the first obstetrician/gynecologist hospitalist fellowship
Learning objectives of the obstetrician/gynecologist hospitalist fellowship
Fellowship program evaluation
Our first hospitalist fellow research project
Summary/discussion
Index
Copyright Page
Elsevier
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OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA Volume 42, Number 3
September 2015 ISSN 0889-8545, ISBN-13: 978-0-323-39575-5
Editor: Kerry Holland
Developmental Editor: Kristen Helm
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Contributors

Consulting Editor
WILLIAM F. RAYBURN, MD, MBA
Associate Dean, Continuing Medical Education and Professional Development, Distinguished Professor and Emeritus Chair, Obstetrics and Gynecology, University of New Mexico School of Medicine, Albuquerque, New Mexico

Editors
BRIGID MCCUE, MD, PhD
Chief, Department of Obstetrics, Gynecology, and Midwifery, Beth Israel Deaconess Hospital–Plymouth, Plymouth, Massachusetts
JENNIFER A. TESSMER-TUCK, MD
Clinical Program Director, Women and Children’s Services, Medical Director, North Memorial Lab