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Obstetrician Gynecologists are frequently responsible for
management of the primary care needs of their patients. A survey
performed in 2005 found an estimated 37% of, non-pregnant patients,
relies on gynecologists for routine primary care. The same study
found that almost a quarter of gynecologists reported they needed
additional primary care training across a broad set of medical
topics (Acad Med. 2007; 82:602-607). The impetus for training in
primary care skills is increasing. In response to language in the
Affordable Care Act, the Institute of Medicine developed a report
on clinical preventative services necessary for women (Clinical
Preventative Services for Women: Closing the Gaps IOM. 2011; also
Current Opinion in Obstetrics and Gynecology 2011, 23:471-480). The
US Department of Health and Human services has adopted these IOM
recommendations and, as a result, health plans are required to
include these services. While initiatives such as the American
Congress of Obstetricians and Gynecologists' Well-Woman Task Force
and recent cross-specialty ACOG educational collaborations have
begun to address supplemental educational needs, additional
resources covering key primary care topics are necessary. This
issue of Obstetrics and Gynecology Clinics is an ideal means for
accomplishing this important goal.
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