Project Number: R60 MC 05674-03 Project Date: 7/1/1990 Grantee: American College of Obstetricians & Gynecologist Department/Center: Department of Research
Final Report
Pending
Principal Investigator
Jay Schulkin Ph.D., Director of Research, American College of Obstetricians & Gynecologist Department of Research, 409 12th Street, S.W. Washington, DC 20024-2188 jschulkin@acog.org
Abstract
Obstetrician-gynecologists are the principal healthcare providers for women during pregnancy and the perinatal period. In addition, an increasing number of obstetrician-gynecologists are changing their practices to take on a more primary care role. Approximately one-in-five office visits to obstetrician-gynecologists can be classed as primary care. This change requires an increasing awareness about diagnosis and management of a broad array of women’s health issues which traditionally were the purview of primary care physicians and other specialists. The American College of Obstetricians and Gynecologists (ACOG) produces a wide range of educational materials for its Fellows to address this additional required knowledge. The Collaborative Ambulatory Research Network (CARN) comprises the only existing national collective of practicing obstetrician-gynecologists who have been recruited to participate in survey studies. CARN membership is made up of over 1,100 Fellows of ACOG who practice in a variety of ambulatory care settings throughout the United States. One function of the CARN is to inform and evaluate the College’s efforts to provide guidance on clinical practice to its Fellows by tracking obstetrician-gynecologists’ knowledge and clinical practices on a wide range of clinical issues and comparing existing practices with that supported by evidence-based guidelines. The CARN provides a mechanism for collecting normative data that can be used to develop standards and guidelines to improve patient health, and allows researchers, educators and policy-makers to track longitudinal changes in medical practice patterns. CARN studies, using mailed questionnaire surveys, will continue as the foundation of the project. These surveys will specifically address such issues as: knowledge and use of diagnostic criteria, screening tools and treatments, practice patterns regarding patient education and referrals to other health professionals, and knowledge and attitudes concerning the importance of the disease/topic to their practice. Evidence-based documents from ACOG often will be used as the basis for the surveys.
Anderson, B., Schulkin, J., Ross, D.S., Rasmussen, S.A., Jones, J.L., Cannon M.J. (2008). Knowledge and Practices of Obstetricians and Gynecologists Regarding Cytomegalovirus Infection During Pregnancy --- United States, 2007, MMWR 57:65-68.
Morgan, M.A., Goldenberg, R.L, Schulkin, J. (2008). Obstetrician-gynecologists' practices regarding preterm birth at the limit of viability , The Journal of Maternal-Fetal and Neonatl Medicine, 21, 115-121.
Coleman, V.H.m, carter, M.M., Morgan, M.A., Schulkin, J. (2008). Obstetrician-gynecologists' screening patterns for anxiety during pregnancy, Depression and Anxiety, 25(2), 411-418.
Coleman, V.H., Morgan, M.A., Carlson, R., Hawks, D., Schulkin, J. (2008). Patient Perceptions of Obstetrician-gynecologists' Practices Related to HIV Testing. Maternal Child Health Journal, Jun 10. [Epub ahead of print]
Anderson, B., Hale, R., Salsberg E., Schulkin, J. (2008) Outlook for the future of the obstetrician-gynecologist workforce. AJOG, 99, 81-88.
Morgan, M.A., Goldenberg, R.L., Schulkin, J. (2008). Obstetrician-gynecologists' screening and management of preterm birth. Obstetrics and Gynecology, 112(1), 35-41.
Goldman, Morgan, Malone, Robinson, Alton, and Schulkin (Jan. 2006), Screening for Down Syndrome, Obstetrics and Gynecology Vol. 107: No. 1.
Morgan and Schulkin, (2005), Obstetrician-Gynecologists and Self-Identified Depression: Personal and Clinical, Journal: Depression and Anxiety, Article 20155, Page 7, Nov. 2005.
Coleman, Morgan, Zinberg, Schulkin, (2005), Clinical Approach to Mental Health Issues Among Obstetrician-Gynecologists: A Review, Obstetrical and Gynecological Survey, Vol, 61, No. 1.
Golman, Bettes, Robinson, Norwitz, Alton, and Schulkin, Postterm Pregnancy: Practice Patterns of Contemporary Obstetricians and Gynecologists, American Journal of Perinatology, Vol. 22, 2005.
Morgan, Hankins, Zinberg, Schulkin, J (2005). Neonatal Encephalopathy and Cerebral Palsy Revisited: The Current State of Knowledge and the Impact of American College of Obstetricians and Gynecologists Task Force Report. Journal of Perinatology; 25: 519-525
