Ethics Grand Rounds: Surgical Volume in Gynecology - A Call for Ethical Reform
Speaker: Louise P. King, M.D., J.D., Assistant Professor of Obstetrics, Gynecology and Reproductive Biology; Director of Reproductive Bioethics in the Center for Bioethics, Harvard Medical School; and Surgeon within the Division of Minimally Invasive Gynecologic Surgery
Brigham and Women’s Hospital
Abstract: In this lecture, I describe historical and other influences that drive “double discrimination” in gynecologic surgery - lower pay in the area of surgery, which boasts the largest proportion of female surgeons, and potentially lower quality care for the field’s exclusively female patients. Insurers reimburse procedures for women at a lower rate than similar procedures for men, although there is no medically justifiable reason for this disparity. The wage gap created by lower reimbursement rates disproportionately affects women surgeons who are disproportionately represented among gynecologic surgeons. This contributes to a large wage gap in surgery for women. Finally, poor reimbursement for gynecologic surgery pushes many Ob/Gyn surgeons to preferentially perform obstetric services resulting in a high prevalence of low-volume gynecologic surgeons, a metric that is closely tied to higher complications. Creating equity in reimbursement for gynecologic surgery is one important and ethical step forward to gender equity in medicine for patients and surgeons.
CME: This activity has been approved for AMA PRA Category 1 Credit(s)™ in Medical Ethics and/or Professional Responsibility.
CNE: UT Southwestern is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. This activity will award one (1) contact hour.
Ruth Vinciguerra | Email
How to Join
Zoom access information (Requires UTSW login).
Tuesday, May 11 at 12:00pm to 1:00pmVirtual Event
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