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Biomedical subjects

W H Pearse

Publications and source records attributed to W H Pearse.

At least 19 recordsLinked to original sources
PubMed1992

ACOGQUEST: the model phase of the IAIMS project of the American College of Obstetricians and Gynecologists.

In 1990, the American College of Obstetricians and Gynecologists (ACOG) became the first national organization to receive a model phase Integrated Academic Information Management System (IAIMS) grant from the National Library of Medicine. The goal of the ACOG model phase project is to develop and test a prototype for an integrated system that will meet the needs of ACOG and NAACOG members in patient care, research, education, and administrative information. The model phase goal will be accomplished primarily through ACOGQUEST, an integrated approach to providing accurate, current, quality-filtered information to ACOG and NAACOG members in a variety of formats. Another method of information dissemination now being tested is a heuristic-based patient management database, which will include a concise, interactive display of ACOG-reviewed information that can be incorporated into patient records.

Computer Communication Networks↗
PubMed1992

Trends in obstetric and gynecologic residency education.

Residencies in obstetrics and gynecology are popular with graduating medical students, especially women, and positions are filled in excess of 100%. New Accreditation Council for Graduate Medical Education special requirements have focused on several clinical areas and require demonstration of scholarly activity by faculty and 24-hour in-house faculty coverage. Other issues of current concern are resident work hours, pregnancy among residents, and training of residents in induced abortion.

Gynecology↗
PubMed1991

Utilization of screening mammography--1990.

Although much has been accomplished in the last few years toward the early detection of breast cancer, we are far from a goal of universal acceptance of the recommended preventive health program of screening mammography. To take an analogy from the Papanicolaou smear, we are somewhere in the 1960s. Both women and physicians have more to learn, and they need to transfer that knowledge into practice.

Adult↗
PubMed1991

Retirement patterns of obstetricians and gynecologists.

A sample survey of 769 ACOG Fellows who were age 60 or older in 1990 was undertaken to determine current patterns of retirement. Among 415 respondents, only 23% reported remaining in full-time practice of both obstetrics and gynecology, with an additional 16% in full-time practice of gynecology only. Full-time practice was reduced to part-time for 24% at the mean age of 63. Thirty-eight percent were fully retired at the mean age of 67.

Age Factors↗
PubMed1991

Trends in obstetric-gynecologic academic manpower and research.

Medical school full-time faculties continue to grow, despite unchanged numbers of medical students and residents. The 136 United States schools have 2091 male and 861 female full-time faculty, an increase of 22% over the past 4 years. The mean faculty size is 21.6. While numbers of certified subspecialist faculty also continue to increase, a decreasing percentage of all subspecialists are associated with medical schools. More than 1000 additional faculty are anticipated over the next 5 years. Among all faculty, only 34% of physicians devoted 20% or greater time to research. Although total research funding averages over $1 million per department, there are wide disparities, with 59 departments receiving less than $100,000 in federal funding. Obstetric-gynecologic departments as a group receive 1.5% of all National Institutes of Health research funds.

Faculty, Medical↗
PubMed1979

Home birth.

Explore the source record for details and available documents.

Delivery, Obstetric↗
PubMed1979

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↗
PubMed1979

Academic manpower for obstetrics and gynecology in the United States.

All 119 medical schools in the United States provided information for a study of academic manpower conducted by the Association of Professors of Gynecology and Obstetrics (APGO). The average number of full-time faculty members per medical school is 13.2, with 2 positions vacant per school. Subspecialists are concentrated in university medical school departments, which also have large residency programs. A perceived need for 46% more faculty over the next 5 years will probably aggravate the shortage.

Canada↗
PubMed1979

Consolidation of hospital obstetric services--is it a reality?

Despite efforts toward regional planning of maternity services and consolidation of small hospital units, the number of US hospitals with maternity services has increased every year since 1973. Only 2 states have significantly reduced the number of hospitals performing less than 500 deliveries annually. The average number of annual deliveries per hospital is 728. No state has achieved an average number of deliveries as high as the 1500 deliveries called for in national guidelines for health planning.

Delivery, Obstetric↗
PubMed1978

Manpower for obstetrics-gynecology. I. Demographic considerations and practice work load.

A cooperative study between the University of Southern California Division of Research in Medical Education and the American College of Obstetricians and Gynecologists represents one subset of a large-scale study of manpower supply in obstetrics-gynecology. A stratified random sample of all obstetrician-gynecologists was obtained from the AMerican Medical Association's "Master File of Physicians." A total of 879 respondents (56 per cent of the sample) completed a detailed, one-week log of practice activities and self-descriptive questionnaire. This initial report describes these physicians by practice arrangement as related to age and geography. Practice work load is identified by encounter time per patient, work hours per day and week, and variations related to geographic location and population served. The descriptive findings may have important implications for manpower planning.

Adult↗
PubMed1978

Subspecialization manpower in obstetrics and gynecology.

Growing interest in the emergence of subspecialties within obstetrics and gynecology prompted a survey of all Junior Fellows of the ACOG. That survey, representing the attitudes and expectations of 1702 housestaff and practitioners, disclosed that nearly 31% of obstetric-gynecologic residents planned to subspecialize as contrasted to 19.5% of postresidency obstetrician-gynecologists who either engaged in or plan to engage in subspecialty training/practice. The highest demand areas seemed to be in endocrinology and perinatology, and most subspecialists either limit or plan to limit their practice to the area specified. There was, in addition, a general feeling that subspecialists should confine their activities to major medical centers, and an unfavorable attitude was expressed toward subspecialty-board-imposed practice restrictions. Details regarding the factors influencing Junior Fellows' response to subspecialization are discussed.

Attitude of Health Personnel↗
PubMed1977

Subspecialization in obstetrics and gynecology.

The formal development of subspecialities with obstetrics and gynecology has focused attention on problems of physician supply and demand. The need for subspecalized practitioners appears to be 750 in maternal-fetal medicine and 350 each in reproductive endocrinology and gynecologic oncology. Taken together, this number represents about 10 per cent of presently certified specialists. As supply is now developing, the demand in gynecologic oncology should soon be saturated, but there will be a longer term demand in maternal-fetal medicine and in reproductive endocrinology. However, the expectation of 30 per cent of present residents that they will enter subspecialities is far in excess of available fellowships or ultimate need. Fellowships leading to subspecialty certification should be approved by the Residency Review Committee, and numbers should be limited to best estimate of need.

Certification↗
PubMed1976

Doctors and patients in obstetrics and gynecology: the next 15 years.

The major impact on the development of obstetrics-gynecology during the next 15 years will come from the substantially increased number of of practicing physicians in the specialty and less rapidly increasing patient population they will serve. Even at present record low fertility rates, the annual number of births in the United States will increase slowly to a level near 4 million by the early 1980's; children already born will contribute to a 16 per cent increase in the female population 15 to 44 years of age between now and 1990. Over the same time interval, the number of practicing specialists will increase dramatically, based on rising numbers of medical school graduates and more Ob-Gyn residents; there will be a 52 per cent increase in certified specialists per unit population over the next 15 years.

Adolescent↗