Tuesday, January 27, 2009

Are New Tubal Reversal Surgeons Being Trained Like Dr. Monteith?

By Sandra Wilson

Will tubal reversal surgery be available to women in the future? Dr. Monteith may be the exception that proves the rule. So few doctors receive the training today, we need someone like him who has sought out this very specialized training.

But, before we go into that further, let's find out if I am hyping the concern about the loss of tubal reversal for women seeking to reverse tubal ligation. To do this, we will use the information provided by Dr. Monteith from his own experiences.

Using the posts Dr. Monteith makes on the Chapel Hill Tubal Reversal Center blog as our source of information, we learn that his choice for further training within the medical community lay in a reproductive endocrinology fellowship program of three years. This is beyond his training and practice as an ob/gyn. However, friends within the program showed him that this just wouldn't get him the training he needed. While one of them did only three tubal reversal surgeries his whole time in the program, the other did none. The fellowship didn't look like the place to get the training and experience he needed to pursue his dream.

Furthermore, in another blog post, Dr. Monteith relates his own obstetrics and gynecology experience as a resident from 1997 to 2001. While he learned much during that time, he never saw even one tubal reversal procedure. Fact is, he would not have even known it was a good alternative for many women but for one incident. During a patient appointment which he observed as a resident, the doctor suggested the patient seek out a tubal reversal from Dr. Berger rather than the usual IVF.

Since he never saw the operation at the hospital, Dr. Monteith thought it wasn't a good option. Furthermore, somewhere in his training and education he had picked up the information that the success rate for tubal reversal was less than 50% which is so wrong. The doctor set him straight in a conversation after the patient's appointment. Check out the CHTRC website for the results of a 2007 study on women who had tubal reversal and learn the success rates yourself.

This one appointment plus a later meeting with a member of the CHTC staff led Dr. Monteith to pursue mentoring from Dr. Berger. He wished to learn the skills of the dying science of tubal reversal surgery where he could find some personal fulfillment in providing help to women and their families in order to have children.

Hopefully, more young doctors will seek such training and education from mentors before tubal reversals are a dying science. We need more young men and women like Dr. Monteith who will take this matter into their own hands and help keep tubal reversal surgery an alternative for all women. - 15343

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