Providing medical care to a woman
Imagine that in all cases where you need medical care, whatever your headaches and toe aches, whatever your problems from the cradle to the grave, you go to the same doctor. This vision begins to take on tangible forms; There is a new specialty of doctors specializing in medical care for women. Many women doctors dreamed of this, who were convinced that doctors treating women should have the knowledge and experience in providing primary health care in obstetrics, gynecology and psychiatry. Women's health, after all, depends not only on a healthy reproductive system.
“Obstetricians and gynecologists were mistakenly considered as specialists in women's diseases in the broadest sense, because at present only their clientele is exclusively female,” said Karen Johnson, a professor at the University of California.
“We should not forget that obstetrics and gynecology are mainly a surgical specialty,” she adds. Only a small number of future doctors undergo sufficiently good training in medical care for women not related to their reproductive system. Therefore, the usual obstetrician-gynecologist knows little about hypertension, heart disease, pancreas, problems associated with diseases of the bladder, depression and sexuality. Hence it is clear that they are not competent enough to be considered specialists in women's health in general.
For this reason, the American Women's Medical Association is developing a framework for future education and training programs for general practitioners. ”
Dr. Johnson, in collaboration with Laurel Dawson, MD, a San Francisco therapist, in the Journal of the American Women's Medical Association for November-December 1990, gave a detailed elaboration of the concept of the specialty of a female doctor.
“At present, they note, a woman suffering from premenstrual syndrome has to visit three different specialists in connection with its various manifestations.” Therapist for headaches, anxiety, weight gain and other symptoms. A psychiatrist about depression, irritability, outbursts of anger, and other psychological problems. At the same time, she can be treated by a gynecologist who prescribed pills to prevent pregnancy or progesterone. “Each doctor treats a part of the symptoms that together make up the whole complex, they note. However, they prescribe treatment independently of each other, whereas coordinated actions would be more effective. ” Many women have to go around several specialists before a diagnosis is made and treatment is prescribed.
“It’s not surprising that the very idea of training generalists met with considerable resistance among the medical community,” admits Dr. Johnson. “Every time you propose to change the status quo, people resist,” she says. Moreover, a number of doctors who have already provided comprehensive medical care for women felt wounded and offended, as if we blamed them for the poor quality of their care, which is not at all necessary. Resistance is also for financial reasons. If there are doctors specializing in treating women, who do you think women patients will begin to contact? ”