Opposite of the ROAD specialties.

[Sheherezade]

The early start is across the board with surgery. I think that's one of the things that makes it seem so hard! Who wants to be in at 6 am forever?? LOL

Yeah - DH says that Gyn Onc was harder as a resident and fellow than it is an attending. It's got all the problems of surgery in general and sick patients, but not anything more than others. I think OB/Gyn is worse in attendinghood, but easier in training than Gyn Onc.

[mommax3]

Has the change to more rotating call helped the Obs at all? Just curious because I've now delivered twice at practices where they were very upfront that you get whatever doctor is on call the day you deliver, not "your" doctor. They encouraged you to at least meet all the docs in the practice for this reason. I would hope that makes it more convenient for the OBs and more like regular call. Is that unusual?

DH is in a group of 3, and his group shares weekend call with another group of 3. Patients are delivered by the physician on call. Recently the 6 docs in the weekend pool switched from doing F/Sa/Su call every 6th weekend to doing F/Su call one weekend and Sat call another weekend. (So they are busy parts of 2 weekends out of every 6.) It was just getting too hard to do three days of call in a row covering for two busy practices. DH's practice averages 30 deliveries a month and the other group averages 25...so the person on call is generally pretty busy. There are always "no doc" patients and gyn stuff coming through the ER too. DH is on call 2 or 3 times a week, works only mornings after call nights, and takes off Mondays (sometimes just Monday afternoons) after F/Su call weekends, and usually one Friday (sometimes two) a month. He usually leaves the house by 7 each morning (maybe 6:15 on surgery days). On non-call days, he is generally home by 6 or 6:30. The hardest thing about his schedule is the unpredictability. I never know when he will get home, and his days off aren't really predictable. However, the past two years has been the best schedule he has *ever* had (since he started residency in 1997) so I am not complaining!

His practice still sees VBAC patients (but honestly, I hate hearing that one of them is in active labor b/c I know it will keep him at the hospital for hours and he won't be reimbursed much differently than he would for a normal vaginal birth) and don't limit the number of VBAC patients they accept.

[TulipsAndSunscreen]

Opposite of the ROAD specialties.

Ah see I've delivered at a university practice with like 20 MDs so I bet that's a lot different although I bet more than one is on call at a time.

[mommax3]

Yeah, there are larger groups out there, but DH is more comfortable knowing well the practice styles of his partners (and he can't imagine dealing with more personalities than he already does...&#128540.

[Chrisada]

I delivered at a major university with about 50 in the group! and still ended up with my OBGYN for delivery. Probably helped he came on Christmas and she was Jewish!


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[Chrisada]

Opposite of the ROAD specialties.

DH's group has 6 at one hospital (a university) and 6 at another hospital (rural). He only shares call with those at his hospital.


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