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Jay Schulkin - One of the best experts on this subject based on the ideXlab platform.
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Practices of obstetrician-Gynecologists regarding nonvaccine-related public health recommendations during the 2009 H1N1 influenza pandemic.
American journal of obstetrics and gynecology, 2012Co-Authors: Sonja A Rasmussen, Jay Schulkin, Jennifer Williams, Denise J. Jamieson, Michael L Power, Emily B Kahn, Yujia Zhang, Kitty Macfarlane, Dmitry M KissinAbstract:We examined practices of obstetrician-Gynecologists regarding nonvaccine-related public health recommendations during the 2009 H1N1 influenza pandemic. From February to May 2010, a survey was sent to a random sample of members of the American College of Obstetricians and Gynecologists involved in obstetric care. Obstetrician-Gynecologists varied in their adherence to 2009 H1N1 influenza public health recommendations. Nearly all reported prescribing antiviral medications to pregnant women with suspected influenza. Most obstetrician-Gynecologists reported using preventive practices in the outpatient setting to reduce exposure of well patients to ill ones. A wide range of responses was provided regarding postpartum infection control practices, suggesting lack of awareness of, disagreement with, or difficulty adhering to these recommendations. Obstetrician-Gynecologists reported that they adhered to some recommendations related to 2009 H1N1 influenza, but not to others. These data provide insight into strategies for development and dissemination of recommendations in a future pandemic. Published by Mosby, Inc.
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Practices of obstetrician-Gynecologists regarding nonvaccine-related public health recommendations during the 2009 H1N1 influenza pandemic.
American Journal of Obstetrics and Gynecology, 2012Co-Authors: Sonja A Rasmussen, Jay Schulkin, Jennifer Williams, Denise J. Jamieson, Michael L Power, Emily B Kahn, Yujia Zhang, Kitty Macfarlane, Dmitry M KissinAbstract:Objective We examined practices of obstetrician-Gynecologists regarding nonvaccine-related public health recommendations during the 2009 H1N1 influenza pandemic. Study Design From February to May 2010, a survey was sent to a random sample of members of the American College of Obstetricians and Gynecologists involved in obstetric care. Results Obstetrician-Gynecologists varied in their adherence to 2009 H1N1 influenza public health recommendations. Nearly all reported prescribing antiviral medications to pregnant women with suspected influenza. Most obstetrician-Gynecologists reported using preventive practices in the outpatient setting to reduce exposure of well patients to ill ones. A wide range of responses was provided regarding postpartum infection control practices, suggesting lack of awareness of, disagreement with, or difficulty adhering to these recommendations. Conclusion Obstetrician-Gynecologists reported that they adhered to some recommendations related to 2009 H1N1 influenza, but not to others. These data provide insight into strategies for development and dissemination of recommendations in a future pandemic.
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Obstetrician–Gynecologists' Practices and Perceived Knowledge Regarding Immunization
American journal of preventive medicine, 2009Co-Authors: Michael L Power, Meaghan A. Leddy, Britta L. Anderson, Stanley A. Gall, Bernard Gonik, Jay SchulkinAbstract:Background Obstetrician–Gynecologists can play a key role in providing appropriate vaccinations to women of childbearing age. Purpose This study investigated immunization knowledge and practices, and opinions concerning potential barriers to immunization, among obstetrician-Gynecologists. Methods In 2007, surveys were sent to Collaborative Ambulatory Research Network members, a representative sample of practicing Fellows of the American College of Obstetricians and Gynecologists; 394 responded (51.2%). Data analysis was completed in 2008. Results Most responding obstetrician–Gynecologists disagreed that “routine screening for vaccine-preventable diseases falls outside of the routine practice of an ob/gyn.” A majority (78.7%) stock and administer at least some vaccines. Among those who stock vaccines, 91.0% stock the human papillomavirus vaccine, and 66.8% stock the influenza vaccine. All other vaccines were stocked by Conclusions Immunization is an important part of women's health care and has been, at least partially, incorporated into obstetrician–Gynecologist practice. Financial burdens and knowledge regarding vaccine recommendations remain barriers to vaccine administration. Additional training and professional information may benefit obstetric–gynecologic practice.
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The care of adolescents by obstetrician-Gynecologists: a first look.
Journal of pediatric and adolescent gynecology, 2009Co-Authors: L.s. Goldstein, J.l. Chapin, E. Lara-torre, Jay SchulkinAbstract:Abstract Study Objective To determine whether obstetrician-Gynecologists who typically care for adolescent patients, what this care entails, and the adequacy of training opportunities in adolescent health care. Design A questionnaire designed to elicit information regarding practice patterns of obstetrician-Gynecologists mailed to the American College of Obstetricians and Gynecologists Collaborative Ambulatory Practice Network. Participants Obstetrician-Gynecologists whose patient populations included girls under the age of 18. Main Outcome Measures Items in the questionnaire were generated to determine what care obstetrician-Gynecologists are providing to adolescents, whether this care meets practice guidelines of major medical organizations, and whether obstetrician-Gynecologists are receiving adequate training to provide this care. Results Obstetrician-Gynecologists frequently care for adolescent patients, with 72.6% seeing adolescents either monthly or weekly. The most frequently cited service needs pertained to reproductive health. Obstetrician-Gynecologists also provide primary care, with 55.2% currently providing immunizations to adolescent patients. Nearly all (96.5%) plan to provide HPV immunizations. Most (80% or more) considered their residency training in obstetrics-gynecology on reproductive health to be adequate, but many reported inadequate or no training on primary care. Conclusions Obstetrician-Gynecologists are an important part of the health care team caring for female adolescent patients. There is a lack of training during residency in obstetrics-gynecology in adolescent primary care issues. Increased training of obstetrician-Gynecologists in all aspects of adolescent health care may increase the pool of health care providers who care for adolescents adequately. Collaborative efforts among all adolescent health care providers can improve access to quality health care for adolescents and the health of this population.
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Outlook for the future of the obstetrician-Gynecologist workforce.
American journal of obstetrics and gynecology, 2008Co-Authors: Britta L. Anderson, Ralph W. Hale, Edward Salsberg, Jay SchulkinAbstract:The objective of the study was to assess the future physician workforce with a sample of obstetrician-Gynecologists. Two separate surveys regarding career satisfaction and retirement plans were sent to random samples of obstetrician-Gynecologists under age 50 years (n = 2,000) and over the age of 50 (n = 2,100). Obstetrician-Gynecologists over the age of 50 years who were working part time or were female were more satisfied than those working full time or were male. Obstetrician-Gynecologists (under and over age 50 years) who were concerned about liability and unable to balance their work and personal lives were more dissatisfied. Obstetrician-Gynecologists retired earlier than planned because of rising malpractice costs and later than planned because of high career satisfaction. Low career satisfaction may be adding to the already shrinking physician workforce. Offering part-time work opportunities and alleviating liability concerns may increase career satisfaction and help to combat a future of the physician workforce shortage.
Janet Chapin - One of the best experts on this subject based on the ideXlab platform.
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Improving obstetrician-Gynecologist implementation of smoking cessation guidelines for pregnant women: An interim report of the American College of Obstetricians and Gynecologists
Nicotine & Tobacco Research, 2004Co-Authors: Janet Chapin, Wendy RootAbstract:The relationship between smoking during pregnancy and adverse outcome has been well reported in the literature for many years. The American College of Obstetricians and Gynecologists, with the support of the Robert Wood Johnson Foundation, has implemented a project designed to increase the number of obstetrician-Gynecologists who offer the evidence-based 5 A’s smoking cessation intervention for pregnant women. This effort, as a part of the National Partnership to Help Pregnant Smokers Quit, is derived from a model for improving integration of evidencebased guidelines into routine medical care (Orleans, Barker, Kaufman, & Marx, 2000). This interim report describes the results from a survey of Ohio obstetrician-Gynecologists on smoking cessation during pregnancy, the development and dissemination of clinician resources on smoking cessation, and plans to evaluate the impact of these activities among obstetrician-Gynecologists.
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Improving obstetrician-Gynecologist implementation of smoking cessation guidelines for pregnant women: an interim report of the American College of Obstetricians and Gynecologists.
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2004Co-Authors: Janet Chapin, Wendy RootAbstract:The relationship between smoking during pregnancy and adverse outcome has been well reported in the literature for many years. The American College of Obstetricians and Gynecologists, with the support of the Robert Wood Johnson Foundation, has implemented a project designed to increase the number of obstetrician-Gynecologists who offer the evidence-based 5 A's smoking cessation intervention for pregnant women. This effort, as a part of the National Partnership to Help Pregnant Smokers Quit, is derived from a model for improving integration of evidence-based guidelines into routine medical care (). This interim report describes the results from a survey of Ohio obstetrician-Gynecologists on smoking cessation during pregnancy, the development and dissemination of clinician resources on smoking cessation, and plans to evaluate the impact of these activities among obstetrician-Gynecologists.
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Domestic violence screening practices of obstetrician-Gynecologists.
Obstetrics and gynecology, 1998Co-Authors: Deborah L Horan, Janet Chapin, Luella Klein, Louis A. Schmidt, Jay SchulkinAbstract:Abstract Objective: To ascertain the current knowledge base and screening practices of obstetrician-Gynecologists in the area of domestic violence. Methods: We mailed a survey to 189 ACOG Fellows who are members of the Collaborative Ambulatory Research Network. Questionnaires were also mailed to a random sample of 1250 nonmember Fellows. Results: Obstetrician-Gynecologists are aware of the nature of domestic violence and are familiar with common symptomatology that may be associated with domestic violence. For pregnant patients, 39% of respondents routinely screen at the first prenatal visit; 27% of respondents routinely screen nonpregnant patients at the initial visit. Screening is most likely to occur when the obstetrician-Gynecologist suspects a patient is being abused, both during pregnancy (68%) and when the patient is not pregnant (72%). Only 30% of obstetrician-Gynecologists received training on domestic violence during medical school; 37% received such instruction during residency training. The majority (67%) have received continuing education on the subject. Years since training and personal experiences with intimate-partner violence were associated with increased screening practices. Conclusion: Routine screening of all women for domestic violence has been recommended by ACOG for more than a decade. The majority of obstetrician-Gynecologists screen both pregnant and nonpregnant patients when they suspect abuse. However, with universal screening, more female victims of violence can be identified and can receive needed services.
Wendy Root - One of the best experts on this subject based on the ideXlab platform.
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Improving obstetrician-Gynecologist implementation of smoking cessation guidelines for pregnant women: An interim report of the American College of Obstetricians and Gynecologists
Nicotine & Tobacco Research, 2004Co-Authors: Janet Chapin, Wendy RootAbstract:The relationship between smoking during pregnancy and adverse outcome has been well reported in the literature for many years. The American College of Obstetricians and Gynecologists, with the support of the Robert Wood Johnson Foundation, has implemented a project designed to increase the number of obstetrician-Gynecologists who offer the evidence-based 5 A’s smoking cessation intervention for pregnant women. This effort, as a part of the National Partnership to Help Pregnant Smokers Quit, is derived from a model for improving integration of evidencebased guidelines into routine medical care (Orleans, Barker, Kaufman, & Marx, 2000). This interim report describes the results from a survey of Ohio obstetrician-Gynecologists on smoking cessation during pregnancy, the development and dissemination of clinician resources on smoking cessation, and plans to evaluate the impact of these activities among obstetrician-Gynecologists.
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Improving obstetrician-Gynecologist implementation of smoking cessation guidelines for pregnant women: an interim report of the American College of Obstetricians and Gynecologists.
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2004Co-Authors: Janet Chapin, Wendy RootAbstract:The relationship between smoking during pregnancy and adverse outcome has been well reported in the literature for many years. The American College of Obstetricians and Gynecologists, with the support of the Robert Wood Johnson Foundation, has implemented a project designed to increase the number of obstetrician-Gynecologists who offer the evidence-based 5 A's smoking cessation intervention for pregnant women. This effort, as a part of the National Partnership to Help Pregnant Smokers Quit, is derived from a model for improving integration of evidence-based guidelines into routine medical care (). This interim report describes the results from a survey of Ohio obstetrician-Gynecologists on smoking cessation during pregnancy, the development and dissemination of clinician resources on smoking cessation, and plans to evaluate the impact of these activities among obstetrician-Gynecologists.
Dmitry M Kissin - One of the best experts on this subject based on the ideXlab platform.
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Practices of obstetrician-Gynecologists regarding nonvaccine-related public health recommendations during the 2009 H1N1 influenza pandemic.
American journal of obstetrics and gynecology, 2012Co-Authors: Sonja A Rasmussen, Jay Schulkin, Jennifer Williams, Denise J. Jamieson, Michael L Power, Emily B Kahn, Yujia Zhang, Kitty Macfarlane, Dmitry M KissinAbstract:We examined practices of obstetrician-Gynecologists regarding nonvaccine-related public health recommendations during the 2009 H1N1 influenza pandemic. From February to May 2010, a survey was sent to a random sample of members of the American College of Obstetricians and Gynecologists involved in obstetric care. Obstetrician-Gynecologists varied in their adherence to 2009 H1N1 influenza public health recommendations. Nearly all reported prescribing antiviral medications to pregnant women with suspected influenza. Most obstetrician-Gynecologists reported using preventive practices in the outpatient setting to reduce exposure of well patients to ill ones. A wide range of responses was provided regarding postpartum infection control practices, suggesting lack of awareness of, disagreement with, or difficulty adhering to these recommendations. Obstetrician-Gynecologists reported that they adhered to some recommendations related to 2009 H1N1 influenza, but not to others. These data provide insight into strategies for development and dissemination of recommendations in a future pandemic. Published by Mosby, Inc.
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Practices of obstetrician-Gynecologists regarding nonvaccine-related public health recommendations during the 2009 H1N1 influenza pandemic.
American Journal of Obstetrics and Gynecology, 2012Co-Authors: Sonja A Rasmussen, Jay Schulkin, Jennifer Williams, Denise J. Jamieson, Michael L Power, Emily B Kahn, Yujia Zhang, Kitty Macfarlane, Dmitry M KissinAbstract:Objective We examined practices of obstetrician-Gynecologists regarding nonvaccine-related public health recommendations during the 2009 H1N1 influenza pandemic. Study Design From February to May 2010, a survey was sent to a random sample of members of the American College of Obstetricians and Gynecologists involved in obstetric care. Results Obstetrician-Gynecologists varied in their adherence to 2009 H1N1 influenza public health recommendations. Nearly all reported prescribing antiviral medications to pregnant women with suspected influenza. Most obstetrician-Gynecologists reported using preventive practices in the outpatient setting to reduce exposure of well patients to ill ones. A wide range of responses was provided regarding postpartum infection control practices, suggesting lack of awareness of, disagreement with, or difficulty adhering to these recommendations. Conclusion Obstetrician-Gynecologists reported that they adhered to some recommendations related to 2009 H1N1 influenza, but not to others. These data provide insight into strategies for development and dissemination of recommendations in a future pandemic.
Louis A. Schmidt - One of the best experts on this subject based on the ideXlab platform.
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Domestic violence screening practices of obstetrician-Gynecologists.
Obstetrics and gynecology, 1998Co-Authors: Deborah L Horan, Janet Chapin, Luella Klein, Louis A. Schmidt, Jay SchulkinAbstract:Abstract Objective: To ascertain the current knowledge base and screening practices of obstetrician-Gynecologists in the area of domestic violence. Methods: We mailed a survey to 189 ACOG Fellows who are members of the Collaborative Ambulatory Research Network. Questionnaires were also mailed to a random sample of 1250 nonmember Fellows. Results: Obstetrician-Gynecologists are aware of the nature of domestic violence and are familiar with common symptomatology that may be associated with domestic violence. For pregnant patients, 39% of respondents routinely screen at the first prenatal visit; 27% of respondents routinely screen nonpregnant patients at the initial visit. Screening is most likely to occur when the obstetrician-Gynecologist suspects a patient is being abused, both during pregnancy (68%) and when the patient is not pregnant (72%). Only 30% of obstetrician-Gynecologists received training on domestic violence during medical school; 37% received such instruction during residency training. The majority (67%) have received continuing education on the subject. Years since training and personal experiences with intimate-partner violence were associated with increased screening practices. Conclusion: Routine screening of all women for domestic violence has been recommended by ACOG for more than a decade. The majority of obstetrician-Gynecologists screen both pregnant and nonpregnant patients when they suspect abuse. However, with universal screening, more female victims of violence can be identified and can receive needed services.
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Treatment of depression by obstetrician-Gynecologists: A survey study
Obstetrics and gynecology, 1997Co-Authors: Louis A. Schmidt, Benjamin D. Greenberg, Gerald B. Holzman, Jay SchulkinAbstract:Objective: We performed an exploratory survey of depression diagnosis, treatment, and patient referral patterns by Fellows of ACOG. We also examined obstetrician-Gynecologists' professional training in the management of clinical depression. Methods: We sent a questionnaire to a total of 1370 ACOG Fellows. Sixty percent of the surveys were returned. Results: As a group, obstetrician-Gynecologists reported diagnosing an average of four new cases of depression per month. Within the overall sample, the number of new diagnoses of depression made each month was significantly greater for those defining themselves as primary care physicians than for those defining themselves as specialists. When treating depression pharmacologically, obstetrician-Gynecologists reported that they overwhelmingly (74% of the time) chose selective serotonin reuptake inhibitor antidepressants. Ninety-five percent of obstetrician-Gynecologists reported that they referred severely depressed patients to a mental health professional. A majority of respondents neither received residency training (80%) nor completed a continuing medical education course (60%) on the treatment of clinical depression in women. Conclusion: Obstetrician-Gynecologists who describe themselves as primary care physicians make significantly more diagnoses of depression than those considering themselves specialists. Studies further to assess obstetrician-Gynecologists' management of depression and better to define needs for professional education are warranted.