In 1992 Dr. Richard Depp reviewed the changes in the Jefferson Department of Obstetrics and Gynecology since the time he came to Jefferson. The department had experienced continuous growth in academic and clinical activities. These were accompanied by increases in department financial performance. Space, especially for research, and the recruitment of research oriented faculty still were problems.
Education
Both student and housestaff education programs had been improved substantially. Resident recruitment yielded a higher number of class leaders, and the size of the residency program was increased by two additional residents at each level. Clinical experience was expanded to two other major regional hospitals, and the residency program now enjoys a very competitive position with major teaching hospitals on the east coast.
Clinical
Clinical activities continued to increase, with the number of deliveries up nearly 20% since 1985. Delivery numbers peaked in 1990 at 3,170 births and had declined somewhat since then, largely as a function of regional HMO strategies. Inpatient and SurgiCenter surgical cases, although up since 1987, also peaked in 1991 and declined 5% since. The recent 5% downturn reflects regional HMO strategies and TJUH charge practices. Although surgical cases have peaked, the number of inpatient surgical hours continues to increase slightly, reflecting a change in the mix of major (gynecologic oncology volume up significantly) and minor cases. The contribution of full-time faculty to volunteer faculty obstetrics admission activity has changed significantly from a ratio of 21:12 in 1985-86 to 10:9 in 1991-92. All gynecologic oncology activity (previously 50%) and approximately 90% of the reproductive endocrine surgical activity resides within the full-time department.
Faculty
Faculty and clinical activities continued to expand in all divisions. After initially dropping to 4, the full-time faculty has grown from 8 to 23 over the past five years. Dr. Jack Carlson was recruited as chief of Gynecologic Oncology and joined the faculty in January 1990. He had been at the University of Pennsylvania. He focused his initial efforts on building a stronger clinical foundation for training residents. The MFM section was serving the region as a major regional consultative service. Dr. Wagner completed his fellowship in genetics and was preparing for board certification. A new section of genetics, to be headed by Dr. Wagner together with Dr. Laird Jackson, was proposed. The profits from genetic were being divided between the departments of Medicine and Ob/Gyn. The IVF program was formally instituted in January 1992, when Dr. Gregory Fossum was recruited as director of the program. Most recently, Dr, Tom Klein, former chief at Walter Reed, was recruited as chief of the division of General Obstetrics and Gynecology to build the academic and research activities of that division. . . .
Assignment
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