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Biomedical subjects

W H Pearse

Publications and source records attributed to W H Pearse.

At least 37 records · Page 2Linked to original sources

The IAIMS project of the American College of Obstetricians and Gynecologists: using information technology to improve the health care of women.

The mission of the ACOG IAIMS project is to identify the core of knowledge necessary for the practice of obstetrics and gynecology, structure it and put it in electronic form, integrate it into a national ob-gyn information network, prepare ACOG members to use it, and disseminate this core of knowledge to members in appropriate forms. This mission will be accomplished through four project objectives: educational programs on computers and information use; definition of a prototype ob-gyn knowledge base; automated access to ACOG and NAACOG membership services; and integration of ACOG IAIMS activities with other organizations. The ACOG IAIMS model phase project is a model for the role of a national specialty society in meeting the information needs of its members and for the integration of national specialty IAIMS programs with locally-developed programs.

Computer Communication Networks↗

Obstetric-gynecologic academic manpower--1986.

Full-time faculty numbers in academic departments of obstetrics-gynecology have resumed growth in the last three years, and now average 18.3 per department. Women are represented in a larger proportion than among practicing specialists. Faculty subspecialists are increasing in numbers, but their trend is toward practice rather than academic positions. Research involves 61% of the MD faculty. Chairmen predict major growth in faculty positions and in research over the next five years.

Canada↗

Trends in obstetric-gynecologic academic manpower--1983.

Since 1980 medical school faculty growth has essentially ceased, in comparison to earlier substantial increases. Women are represented in full-time faculty positions in a larger proportion than among practicing obstetrician-gynecologists. Subspecialist numbers on faculties have increased, with a small decline in generalist obstetrician-gynecologists. Despite the current plateau, medical school departments project a 36% increase in faculty members during the next five years, and an even larger increase in faculty involved in research.

Canada↗

Is there a surplus of obstetrician-gynecologists?

An excess of physicians ranging from 21,000 to 70,000 has been predicted for 1990, including a "surplus" of 10,450 obstetrician-gynecologists. Published supply figures have been overestimated. In 1990, the supply of and the demand for obstetrician-gynecologists should be essentially in balance. The classic law of supply and demand is beginning to operate in medical care.

Gynecology↗

Manpower for obstetrics-gynecology. III. Contributions to total female medical care.

This final report from the cooperative manpower study of the University of Southern California and The American College of Obstetricians and Gynecologists describes the development of a female data file that outlines the care of women patients by all specialties. Obstetrician-gynecologists are compared to other specialists; they see 300,000 women per day in the United States and provide a wide range of care. Preventive care plays a larger role than in other major specialties, patient counseling and education are emphasized, and obstetric care is a major commitment. Nonetheless, acute and serious surgical and medical diagnoses are an important component of the practices of obstetrician-gynecologists.

Adolescent↗

Regional planning--effects on the obstetrician-gynecologist.

Both the precepts and the impact of regional planning for maternity care are often misunderstood. Here, a summary of 8 separate studies in 5 geographic regions describes the reactions of obstetrician-gynecologists to systems of regional planning, as well as their use of the system and the impact of regional planning on their practices. Overall, few physicians acquired new obstetric privileges, and closure of maternity services had limited impact on their practices. Approximately 50% of the physicians referred some patients to level 2 or 3 units, but only 25% actually transferred patients in a given year. The perceptions of a majority of physicians were of improvement in patient services and physician education as a result of regional planning activities. Recommendations are offered for additional needed studies of regional planning efforts.

Arizona↗

Manpower for obstetrics and gynecology. II. Characteristics of patients; their diagnoses and care.

A further report from the cooperative manpower study of the University of Southern California American College of Obstetricians and Gynecologists has identified characteristics of patients and their diagnoses and classified types of patient-physician encounters. Obstetrician-gynecologists care for women mainly between the ages of 20 and 44, deal two thirds of the time with only five diagnostic categories in the office and 10 in the hospital, and provide primary care in 78.2% of all patient encounters.

Adolescent↗

Home birth.

Explore the source record for details and available documents.

Delivery, Obstetric↗

Professional liability insurance in obstetrics-gynecology.

A geographically stratified sample of Fellows and Junior Fellows of The American College of Obstetricians and Gynecologists (ACOG) responded to a questionnaire, describing the source, coverage, and cost of their professional liability insurance, and the effects this had on patterns of practice. Most physicians carry primary professional liability coverage, although 6% do not. The majority pay less than $8000/year for a wide variety of dollar coverages. Less than half of the surveyed obstetrician-gynecologists carry excess/umbrella liability insurance, and a majority pay less than $2000/year for this coverage. The liability problem has not had a substantial effect on restricting the number of obstetrician-gynecologists, but it has had a major effect on patterns of practice.

California↗