Managing the OB Department Features All staff have job descriptions Consultants must take test of the specialty society in order to be accredited in hospitals as diplomate; POGS by invitation only Department of OB gynecology functions almost like a maternity hospital because it has its own admitting functions UP, being the national university hospital does not have any influence in national policy –making body (DOH) Medico-legal cases are handled by the Peer Review committee of the hospital Good services with meager budget Training of OB in PGH is excellent No hard fast rule on CS vs NSD ethics delivery PF dependent on the room that the patient is getting; dependent also on the profile of the hospital Only 8 patients in the labor room at a time Generally, the OB Gyn performance can compete with international standards Challenges: Commitment of teaching consultants: not salaried----to solve that: unit values are given to each lecture Challenges in the OB dept: Short in equipment How to look for patients (charity) for training of OB resident Limited number of subjects Antenatal dept: target is 100% facility –delivery but 60% are delivered at home Regular OB/Gyns have to contend with others having subspecialties like OB Neonatologist, OB Ultrasonologist, OB Endocrinologist et al; since these require further education, training and equipment, they are considered highly specialized thus emanating a more “competent” presence in the field than the regular OB-Gynecologists OB-Gyns have to contend with midwives, nurses, Traditional Birth Attendants (TBAs) in practice especially during delivery; at times, complex cases result form non-specialized handling and patients get bled out of their finances from seeking services in lying-in clinics leaving only an insufficient amount to afford specialized care Recommendations

Managing the OB Department

Download DOCX Report

Upload
christina-soriano
View
218
Download
0

Embed Size (px)

DESCRIPTION

CENTRAL ADULT AND PEDIATRIC IN TENSIVE CARE UNIT

Citation preview

Managing the OB Department

Features

All staff have job descriptions Consultants must take test of the specialty society in order to be accredited in hospitals as diplomate; POGS by

invitation only Department of OB gynecology functions almost like a maternity hospital because it has its own admitting

functions UP, being the national university hospital does not have any influence in national policy –making body (DOH) Medico-legal cases are handled by the Peer Review committee of the hospital Good services with meager budget Training of OB in PGH is excellent No hard fast rule on CS vs NSD ethics delivery PF dependent on the room that the patient is getting; dependent also on the profile of the hospital Only 8 patients in the labor room at a time Generally, the OB Gyn performance can compete with international standards

Challenges:

Commitment of teaching consultants: not salaried----to solve that: unit values are given to each lecture Challenges in the OB dept: Short in equipment How to look for patients (charity) for training of OB resident Limited number of subjects Antenatal dept: target is 100% facility –delivery but 60% are delivered at home Regular OB/Gyns have to contend with others having subspecialties like OB Neonatologist, OB Ultrasonologist,

OB Endocrinologist et al; since these require further education, training and equipment, they are considered highly specialized thus emanating a more “competent” presence in the field than the regular OB-Gynecologists

OB-Gyns have to contend with midwives, nurses, Traditional Birth Attendants (TBAs) in practice especially during delivery; at times, complex cases result form non-specialized handling and patients get bled out of their finances from seeking services in lying-in clinics leaving only an insufficient amount to afford specialized care

Recommendations

All consultants in PGH should be academicians since PGH is a teaching hospital Leaders have vision, wise, passion, compassion, charismatic, great communicator, persistent, integrity, daring,

disciplined For chief of surgery: suggestion to have administrative skills training to be considered BEMOC program trains midwives in giving delivery There should be standardized fees for the services that the OBs provide Suggestion: mgt and doctors to put a ceiling price on the (cap) on services provided