ABOUT THE AUTHORpracticed obstetrics and gynecology in Portland, Oregon for 30 years. He retired from clinical practice in 2007. He was the Chairman of the Department of Obstetrics and Gynecology at Providence St. Vincent Medical Center in Portland for 9 years. He served as Chair of the Professional Liability Committee of the American College of Obstetricians and Gynecologists and is a member of ACOG’s Committee on Patient Safety and Quality Improvement. He has been involved with risk management since 1985 and a member of ASHRM since 1988. In 2000, he was the Chairperson of the ASHRM Task Force that published, “Risk Management Pearls for Obstetrics.” He has published articles on teaching risk management to physicians, achieving patient safety in obstetrics, vaginal birth after cesarean section, and the patient safety aspects of disruptive physician behavior. He has given multiple presentations on a variety of subjects dealing with medical malpractice, risk management, disclosure and apology, improving communication amongst obstetrical team members, system failures leading to adverse obstetrical outcomes, and physician disruptive behavior as it affects adverse outcomes in healthcare.
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In 1996, Wachter and Goldman described a new model of care in which hospital-based physicians provided patients' inpatient care in lieu of the patient’s primary physician.(1) They termed these physicians hospitalists. The hospitalist movement had taken hold, and by 1999, 65% of internists had hospitalists in their community and 28% reported using them for inpatient care.(2) In 2003, Louis Weinstein, in an article entitled “The Laborist: A New Focus of Practice for the Obstetrician”(3) advocated for the adoption of the hospitalist model to obstetrical care. In a 2010 study, of 28,545 members of the American College of Obstetricians and Gynecologists (ACOG) contacted in a national survey, 7,044 clinicians responded, which yielded a response rate of 25%. Of the respondents, 1,020 clinicians (15% of respondents, 3.6% of the entire sample) described themselves as obstetrics/gynecology hospitalists or laborists.(4) According to the web sitewww.obgynhospitalist.com, there are at least 115 hospitals in the country that utilize a laborist or OB hospitalist model of care.(5).