Working in OB/GYN as a PA or NP: delivering babies? and Controversial topics!
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- Опубліковано 28 чер 2024
- What is it really like working in Obstetrics and Gynecology as a PA or NP? Who can deliver babies? How has the current state of reproductive rights affected the specialty since Roe v. Wade has been overturned? In the video, I interview PA Melissa Rodriguez, president of the Association of Physician Associates in Obstetrics and Gynecology (APAOG). We discuss hours, pay, and duties in OB/GYN, what she loves and doesn't love about OB/GYN, what procedures PAs/NPs can do, and which APPs can work in Labor & Deliver. If you want a behind the scenes look at this specialty, then this video is for you!
Visit the AAPAOG at: www.paobgyn.org/
Timestamps:
00:00 Intro
01:52 Women's Health Emergency Department
02:42 OB/GYN Patient Population
03:16 Specializing in OB or Gynecology
03:55 Inpatient OB/GYN
04:25 Can PAs deliver babies?
05:40 Can NPs deliver babies?
07:30 Certified Nurse Midwife
09:30 Maternity Care Deserts
10:23 Hours and pt count in OB/GYN
11:05 Procedures PAs/NPs can perform in OB/GYN
12:03 First Assisting in OB/GYN
13:06 Call in OB/GYN
13:36 Surprises in OB/GYN
14:03 What do you love about OB/GYN?
14:41 What is hard about OB/GYN?
15:58 PA/NP Compensation in OB/GYN
16:50 Malpractice in OB/GYN
18:22 Best personalities to work in OB/GYN
19:16 Can new grads work in OB/GYN?
19:45 Best rotations for OB/GYN
21:17 Best resources for OB/GYN
23:00 Abortion and Reproductive Services
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What do you think? Should PAs be used more in L&D? Does legislation have any place interfering in medical decisions?
This was an incredibly informative and educational interview. Thank you so much for doing this important work!
Thank you! I’m so glad you found it helpful!
This was the exact information i was looking for!
Terrific! I'm so glad it was helpful to you! I will be releasing a video about PAs working in Neonatology, so keep an eye out for it if that is a field that you have any interest in as well.
This makes me feel so much better!
How exactly? Feel better about OBGYN or about working labor & delivery?
I’m a new subscriber, this was another great interview! Thanks!
I'm so glad you enjoyed it and thanks for subscribing! If there is a particular subject you'd like to see me do a video on, please let me know!
Very interesting post! I had no idea PAs could deliver I honestly thought it was more NP dominated in OB-GYN. This post was very informative, and think I could consider myself working in this specialty in the future.
Well, like we mentioned in the video, NPs (well actually CNM's) do dominate the specialty. However, there are PAs working in L&D and it's important people know this and push to make this more common place! Best wishes to you in your career. Thanks for watching and commenting!
Michelle, again a super great video! I work in ObGyn and I had no idea PAs could deliver babies! How shocking! I love all of your videos! They are very informative and always cover interesting topics. I would also like to respond to your comments about the recent Roe v Wade decision. Most people don't realize that our Supreme Court Justices' decision was actually not based on their "personal religious beliefs" at all, but rather their task was specifically to interpret if the wording of our Constitution states that abortion is a "right" protected under Federal law. I have a copy of the Constitution hanging in my home-office b/c one of my distant relatives actually signed it (Oliver Wolcott). I assure you, anyone who reads it would agree that it makes no mention of abortion being a protected right for US citizens. I don't blame people for not knowing this b/c the news tells them exactly what you stated, and most of us just go with what we hear, rather than take the initiative to read documents/bills/laws ourselves. Our nation has always been divided on abortion, and quite honestly, I expect this division will remain forever. The majority of persons on both sides of the argument probably really care about women and are coming from a place of honesty. Where the "personal opinion" is actually at play here is within each individuals heart. It will be interesting to see how the American people vote in the upcoming elections for or against abortion services in their respective states. Are most Americans pro-life or pro-choice? I wonder.....
Thanks Sharon! Isn't that amazing that as a profession we have just kind of "given up" that part of our practices! So thankful to Melissa for helping spread the word that we can, and do, deliver babies.
I agree that abortion was not mentioned in the constitution and I also understand that the overturning of Roe v Wade isn't actually doing anything, other than allowing the States to set their own laws. However, to my knowledge, in TX and every other state that quickly passed abortion restriction laws, there was no voting by the people. No one had a say other than lawmakers and lobbyist. It is a very tricky subject and I don't even know where I fully stand on the subject, as far as when life actually begins and should be protected. I do, however, think there are going to be some pretty awful ramifications from these very strict laws, the least of which would be prosecution of medical providers just trying to help patients and doctors training in these states not receiving proper training on a procedure that can be emergent and life saving.
@@TheMedicineCouch I believe the people of each state (like Tx) actually did "vote" on this issue, b/c they elected their Senators and House Representative who are currently in place in each of their states and local districts. Responsible voters would inform themselves regarding the views of their respective candidates who are up for elections (including their views on abortion) prior to casting their votes. Thus, our current legislators should be truly representing their constituents on this issue. I know they at least think they are doing that, namely b/c if they don't, they will not be re-elected. Personally, I am very pro-life. Therefore, I research the views of the lawmakers on the ballot each time before I vote. His/her view on the abortion issue is my top priority and this is actually the primary reason for whom I choose in each election. I would hope most Americans also inform themselves before voting. However, it would not surprise me if the large majority did not.
I understand your point, but I don't think that applies to people across the board. For people like myself, it's not the most important issue that I base my vote on. Besides, abortion has been legal for soooo long now, I think many people felt like that topic was settled. I was genuinely surprised and a bit in disbelief when I first heard that it was likely Roe V Wade was going to be overturned. It is a very complicated issue. I respect life and don't that abortion often becomes an after-the-fact form of birth control, but a blanket ban feels draconian and certainly problematic in so many cases. I suspect if I was brutally raped, traumatized, and became pregnant, I would certainly want the option to abort. And of course, there are many other instances I feel a woman should be able to consider abortion. To me, if it was just a matter of people terminating life out of convenience that would be one thing, but there are too many other circumstances that complicate the matter and make a total ban unreasonable. Again, in my opinion. Personally my biggest concern with all this and with the prosecution of nurses who make honest mistakes, is the threat of criminal liability that now has to be considered if you want to practice medicine. As if it isn't hard enough already!
I’m still debating between PA and CNM 😫 I want to deliver but Ik that’s still new for PAs.
If you know, for a fact that all you want to do is deliver babies for the rest of your career, then I do think that is a tough decision. However, if you think you might want to branch out into other areas of women’s health, or into any other specialty in medicine, I would advise Becoming a PA or an NP, then you could always add CNM certification on top of that. Of course, you can always do it the other way around you can be a CNM for a while and then if you decide you want more, go to PA or NP school. That’s the great thing about life, you can always change your course. The only thing is that it gets harder to do that once you have a family. But, no one ever knows what the right decision is so lay it all out and then just make a decision and work towards it! I wish you all the best and thanks for watching.
I would recommend going the CNM route if you REALLY want to deliver. You can always go to PA/NP school after. The CNM route would allow you to really go in depth in obstetrics and you will have better odds finding a hospital that will allow you to deliver. As a PA you really have to get lucky if you want to deliver in some states.
can you be a little more specific about the salary? What's the typical range for obgyn inpatient? outpatient?
Sorry for the delay in response. I was hoping someone working in OB/Gyn would give you an answer. All I can offer you is what the AAPA 2023 Salary Report shows for OB/Gyn. It's not broken out by inpatient or outpatient. This is just the range they provided. For new grads the low end is $90k, middle range is $105k, and high end is $125k. For 2-4 years experience they have $93k, $105k, and $125k. Looks like the very highest salaries with bonus after years of experience tops out around $200k. I hope that gives you some idea and is helpful to you.
can a male PA work in OB gyn?
Of course! The profession used to be dominated b male OB/GYN's. However, as more women have become medical professionals they have taken over OB/GYN. A quick search shows that roughly only 15% of OB/GYN's are male (these are stats on physicians). So, it's certainly not impossible, but can be more challenging.
It’s O.B.G.Y.N.
Yes, a lot of people say out each letter, but some use shorthand like OB-guyn or OB-gin.
It’s Insane that a PA with only 2 years of Education gets away with delivering babies when they Really didn’t train for it at all to even a fraction of an CNM or OBGYN. Sounds like a HUGE liability issue. I think PAs should pump the breaks in some cases I think they do too much with literally ONLY 1 year of clinical experience in school~ But At least NPs have Independent Practice Authority in most of the country which is something PAs will never have………
Wow! I understand your point, but can you dial your tone back a little? You have some valid points that should be raised, but overall your post screams of disrespect for PAs. So, let me unpack some things. First of all, like an NP, we don't have "2 years of Education". We have 6 years minimum of schooling. We also have mandatory women's rotations where we deliver babies and first assist in cesareans. So we do have training in OB. However, you are correct that we don't have the depth of training in OB that CNMs or OB/GYNs have. I personally would like to see OB residencies develop for PAs so they can fill in their training in that area, but like with any specialty, sills and knowledge can be learned and honed on the job with a good mentorship and close supervision until they are ready for more independence. Speaking of independence, you are incorrect. PAs are no longer tied to Supervising Physicians in several states and many PAs own their own clinics. Legislation is actively pending in many other states. Our small lobby has hindered our efforts. BTW, NPs don't have independent practice because they are superior to PAs. They have it because the nursing profession has great lobbying power and have made it a priority to pursue independent practice. Don't get me wrong, there are many excellent NPs, just like there are many excellent PAs. Some in both professions are highly skilled and knowledgeable and deserve this, while some, in both professions don't. Finally, with so many NPs going from BSN to MSN and coming out of 100% online schools having minimal floor experience, I find it odd how you can knock PA's education. We attend very intense, full time programs learning in the medical model as physicians do, with significant clinical experience. We also have high standards in the amount of continuing education we must keep up with every year and have recertification exams every 10 years to prove we are keeping our knowledge base up. So, in contrast to you making it sound like we are all untrained, dangerous providers, perhaps it would have just been more helpful to say that you feel that PAs need more SPECIFIC training in OB before they should be allowed to work in L&D? That at least is a legitimate argument.
Your tone is incredibly disrespectful.
A loud and misinformed take. Thank you @themedicinecouch for taking the time to educate here.
It was desperately needed. 😎😜
@@TheMedicineCouchthank you for this