Office-based gynecologic procedures (OBGPs) are reimbursed at lower rates than similar office urology and dermatology procedures. But there is a broader “hidden curriculum” in health professions training that perpetuates clinicians’ and organizations’ acceptance of these patterns of poor reimbursement, disincentivizes…
Despite high incidence of endometriosis internationally and domestically, many patients wait a decade after symptom onset for an accurate diagnosis. This article suggests why diagnostic criteria should be clarified and why endometriosis screening should be incentivized among members of the…
Non-labor and delivery obstetrics and gynecology (OB/GYN) procedures are an important and necessary part of reproductive health care. However, performing a pelvic exam or procedure, which requires entry through the pelvis, is often an uncomfortable, painful, embarrassing, and anxiety-provoking experience….
Doing painful procedures is a part of obstetrics and gynecology practice. Patients’ pain experiences are subjective, diverse, and based on life experiences that can include trauma, adverse childhood events, and previous labor. Learners should have opportunities to gain knowledge about…
Pain is a recognized adverse effect of medication abortion, but its management has been understudied. This commentary on a case draws on principles of nonmaleficence, beneficence, and autonomy to consider equity in remote and in-person medication abortion pain management.
Ann Lohman, a midwife in the 1800s also known as Madame Restell, deserves our attention following the US Supreme Court decision in Dobbs v Jackson Women’s Health Organization in June 2022. As abortion regulations change, it is important that health…
This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast about the history of the pelvic exam. The featured guests is Wendy Kline, PhD, a medical historian and the Dema G….
Regret in surgical practice is typically construed as resulting from the commission or the omission of a specific action at a specific decision point, which leads to a deleterious outcome. This article suggests a need to expand this conception of…
Regret is ubiquitous in surgical practice and emphasizes the nature and breadth of surgeons’ responsibilities to patients and colleagues. Expressing regret to patients requires transparent and honest communication but can leave surgeons vulnerable. This article recommends strategies for communicating regret…
This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast about the history of the pelvic exam. The featured guest is Kinnon MacKinnon, PhD, MSW, an assistant professor in the School…
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