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In a recent article published by Becker's Hospital Review, Ob Hospitalist Group Chief Executive Officer Leonard Castiglione and Medical Director of Operations Nicholas Kulbida, MD provide their observations on where the OB hospitalist industry stands today and how they believe it will evolve. In addition, they share tips for hospital leaders on how to help their physicians avoid burnout.
It was different when you were in medical school. You became a doctor to serve patients, and an obstetrician to give babies the healthiest possible start in life. Your chosen profession required numerous personal sacrifices, but you did whatever it took, and you made it. Now you’re a skilled, successful and well-respected healer - a pillar of the community. And you’re exhausted.
Plus, your bucket list is getting dusty.
Are today’s medical students looking for an easier path? They do tend to embrace a different set of values - unapologetically eschewing 24/7 availability and intense pressure in favor of work/life balance and, well, sleep. Maybe they’re onto something.
Here’s a shocking fact: more women in the U.S. die during childbirth than in any other developed country, and experts think the problem will likely get worse. Since 1990, countries like South Korea and Germany have seen a sharp decline in the number of women who die in childbirth, while U.S. rates have been steadily increasing. But why? Experts attribute this trend to the rise in chronic health conditions such as high blood pressure, diabetes, obesity, women giving birth at older ages, rural access issues, and untreated maternal mental health problems. These health issues put women at greater risk for pregnancy and childbirth complications.
Medically unnecessary C-sections are a thing of the past. Hospitals across the U.S. are clamping down on the number of C-sections they perform to reach the national target of 23.9 percent by year 2020. At a current national average of 25.8 percent, there's still work to be done. Many studies explore the C-section rate and trends, but a recent article published by Huffington Post uncovers an unexpected factor that can determine if an expectant mother will have a C-section.
Ob Hospitalist Group's Dr. Nahille Natour recently shared her personal story of battling physician burnout with national healthcare industry news site Fierce Healthcare.
The emotion in the delivery room was a mixture of fear and excitement—the feeling that something you’ve wanted is about to become a reality. The couple in the room was young and the woman was fully dilated. Labor was smooth so far and she had just begun pushing.
I was the physician in the room, and the only excitement I could muster was for the end of the delivery. I loved labor and delivery, but in that moment I wanted to be anywhere but there.
Sorry, if you’re here for relationship advice, you’re in the wrong place. We’re talking business relationships here. But there are several things that all relationships – business or personal – must have to be successful.
Recently, Becker’s Healthcare and Bank of America Merrill Lynch spoke with three hospital and health system chief financial officers (CFOs) and a healthcare strategy expert about clinical and nonclinical partnerships. From this, they developed the Partnership Playbook for Hospital CFOs: A Guide to Collaborative Relationships that Enhance Operational and Clinical Effectiveness. Inevitably, organizations will face the fact that they are not equipped to provide all ancillary services in-house and will look to form partnerships with external experts. According to the participants in this study, healthcare organizations form partnerships, versus mergers, for many reasons including: to achieve economies of scale; to expand service lines; to diversify revenues; and to expand market presence.
This week, OBHG's very own Dr. Brenda Watson was featured on Halifax Health's Medical Minute. She talks about how having an OB physician in the hospital 24/7 can save the lives of mothers and babies during medical emergencies.
"Having a physician present on labor and delivery where an emergency can be dealt with in a matter of minutes makes a difference for both the health of the baby and the mother."
Being an Ob Hospitalist Group (OBHG) clinician at Houston Methodist Willowbrook Hospital allowed Dr. Nahille Natour to follow dual passions — practicing OB medicine and coaching physicians struggling with burnout.
“One of the great things about being a physician with OBHG is taking care of patients. Period,” she said. “Every day in private practice there was some financial issue that needed to be dealt with. I don’t have to do any of that. So I get to do what I do without those types of distractions.”
With the extra personal time afforded by her position with OBHG, Dr. Natour studied to become a Certified Physician Development Coach and develop a part-time business — Inspiring Balance — through which she speaks about burnout at conferences and counsels others who may have found themselves in a burnout-induced career rut.
Even with her side business, Dr. Natour still finds ample time to make bead jewelry (a hobby) and explore outdoor greenspaces.
Group B Streptococcus infection does not discriminate. It can devastate the lives of celebrities, high-level government officials, and ordinary citizens of any educational or socioeconomic status.
About 22 years ago, it brought tragedy to ex-FBI Director James Comey and his wife, Patrice Failor. Their precious newborn, Collin, died just 9 days after being born with Group B Streptococcus (GBS) infection.
Patrice Failor later publicly campaigned for more widespread testing of pregnant women for GBS so those infected might be treated so they do not pass along the infection to their newborns during delivery.