Ep. 63 RVUs in Gynecologic Surgery: Equity and Reform with Dr. Louise King and Christopher Robertson
BackTable OBGYN20 Elo 2024

Ep. 63 RVUs in Gynecologic Surgery: Equity and Reform with Dr. Louise King and Christopher Robertson

Women’s health has a history of being underfunded in the United States, leading many women to receive suboptimal care. In this episode of the BackTable OBGYN podcast, hosts Dr. Mark Hoffman and Dr. Amy Park engage in a detailed discussion with Dr. Louise P. King, a minimally invasive gynecologic surgeon, and Christopher Robertson, a law professor at Boston University, regarding the inequitable reimbursement structures that persist within the field of OBGYN. --- SYNPOSIS The guests emphasize the systemic discrepancies between gynecologic and other surgical disciplines. The conversation delves into the origins of these disparities, the complexities of revising current codes and creating new codes, and potential legislative and legal remedies to address gender-based inequities. The guests also stress the importance of patient care outcomes and the role of proper reimbursement in enhancing healthcare delivery. --- TIMESTAMPS 00:00 - Introduction 06:28 - Background on RVUs and Disparities in OBGYN 12:39 - Gender Disparities in Medical Billing 18:00 - Efforts to Address Inequities 31:22 - RUC Structure and Surgical Specialties 32:42 - Billing and Reimbursement Inequities 35:15 - Diagnosis Related Groups 36:42 - Turnover Times and Gender Disparities 40:21 - Advocacy and Legislative Solutions 48:23 - Legal Approaches for Change 52:44 - Conclusion --- RESOURCES Watson KL, King LP. Double Discrimination, the Pay Gap in Gynecologic Surgery, and Its Association With Quality of Care. Obstet Gynecol. 2021 Apr 1;137(4):657-661. doi: 10.1097/AOG.0000000000004309. PMID: 33706362. Robertson, Christopher T. and Kupke, Annabel and King, Louise P., Structural Sex Discrimination: Why Gynecology Patients Suffer Avoidable Injuries and What the Law Can Do About It (May 9, 2024). Emory Law Journal, Forthcoming, Boston Univ. School of Law Research Paper Forthcoming, Available at SSRN: https://ssrn.com/abstract=4800783 or http://dx.doi.org/10.2139/ssrn.4800783

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Ep. 68 Single Port Robotics in GYN: Advancing Minimally Invasive Surgery with Dr. Johnny Yi

Ep. 68 Single Port Robotics in GYN: Advancing Minimally Invasive Surgery with Dr. Johnny Yi

Stay up to date on the latest advancements in gynecologic surgery. In this episode of the BackTable OBGYN Podcast, hosts Dr. Amy Park and Dr. Mark Hoffman invite Dr. Johnny Yi, a pioneer in the field ...

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BackTable Brief: Genitourinary Syndrome of Menopause: Mitigating Risks and Enhancing Treatment with Dr. Rachel Rubin

BackTable Brief: Genitourinary Syndrome of Menopause: Mitigating Risks and Enhancing Treatment with Dr. Rachel Rubin

How can we address barriers to care for women with genitourinary syndrome of menopause? In this episode, host Dr. Suzette Sutherland and Dr. Rachel Rubin discuss the challenges and misconceptions arou...

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BackTable Brief: Debunking Estrogen Myths with Dr. Rachel Rubin

BackTable Brief: Debunking Estrogen Myths with Dr. Rachel Rubin

How can we educate women about vaginal estrogen for genitourinary syndrome of menopause, especially given the black box warning? In this Brief, Dr. Rachel Rubin and host Dr. Suzette Sutherland discuss...

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Ep. 67 Non-Opioid Pain Management in GYN Surgery with Dr. Paula Bilica and Dr. Steven McCarus

Ep. 67 Non-Opioid Pain Management in GYN Surgery with Dr. Paula Bilica and Dr. Steven McCarus

Everyone knows about the dangers of opioids, but how can physicians provide quality postoperative pain control without opioids? This episode of the BackTable OBGYN podcast, hosted by Dr. Amy Park, fea...

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BackTable Brief: Managing Genitourinary Syndrome of Menopause with Dr. Rachel Rubin

BackTable Brief: Managing Genitourinary Syndrome of Menopause with Dr. Rachel Rubin

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Ep. 66 Peripartum Pelvic Floor Disorders Explained with Dr. Lisa Hickman

Ep. 66 Peripartum Pelvic Floor Disorders Explained with Dr. Lisa Hickman

Pregnancy and childbirth have a significant impact on the pelvic floor, often more than patients realize and even more still than most of our current postpartum care models are designed to address. In...

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Ep. 65 Thoracic Endometriosis: Beyond the Pelvis in Diagnosis with Dr. Shanti Mohling

Ep. 65 Thoracic Endometriosis: Beyond the Pelvis in Diagnosis with Dr. Shanti Mohling

Thoracic endometriosis occurs in about 12% of patients with advanced endometriosis. Due in part to its lower incidence and inherent diagnostic challenges, many providers are not well-versed in the wor...

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BackTable Brief: Do Cranberry Supplements Work for UTI Prevention? and Other Recommendations with Dr. Anne Cameron

BackTable Brief: Do Cranberry Supplements Work for UTI Prevention? and Other Recommendations with Dr. Anne Cameron

Can cranberry juice prevent UTIs? In this BackTable OBGYN Brief, Dr. Suzette Sutherland and Dr. Anne Cameron discuss various strategies for preventing recurrent UTIs, including which supplements are e...

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