3D Tissue Models
The 28th Annual Conference on Obstetrics, Gynecology, Perinatal Medicine, Neonatology and the Law
JW Marriott Guanacaste Resort & Spa
Guanacaste Costa Rica 2681 2000
Papagayo Peninsula, Costa Rica
No physician is willfully negligent. Why then is medical malpractice still so evident? Many contributing factors emerge on examination of case records including the following: inattention/too busy, misplaced reliance upon others, fatigue, lack of knowledge, carelessness, poor training, poor office organization, impaired physician (drugs, alcohol), depression, family problems, risk taker (? novelty genes), vanity (can’t say “I don’t know or can’t do�) and lack of rapport or engendered anger.

Regardless of the extant factors, common evidentiary facts include the following: communication failure, failure to diagnose, failure to refer, failure to document, systems failure (no/poor checklists), failure to supervise, reliance on untrained/inexperienced personnel, shared responsibility in group practice, lack of informed consent, failure to attend promptly when called, poor judgment, poor training and lack of knowledge.

Awareness of the evidentiary facts that fuel medical malpractice suits would yield readily to systematic and disciplined remediation. More complex and relatively less amenable to change is the endless list of contributing factors. Hence it would seem wise for medical schools and physician organizations to focus squarely on remedying the commonly occurring evidentiary facts. Meanwhile, we continue to wrestle with the causes and consequences of medical negligence, which is the focus for these conferences.

These two multispecialty conferences bring into sharp focus new and established guidelines and standards of care, issues of competence, new advances, and ethics. The first conference concentrates on pregnancy, its management and outcome, while the interdigitating and overlapping second conference takes up discussion along similar themes, but in multiple specialties.

The major objectives in these two conferences are to enhance the continuing education of a range of specialties in medicine including obstetrics, gynecology, midwifery, neonatology, medicine, surgery, family medicine, emergency medicine, cardiology, radiology, and human genetics. Among the ingredients that have characterized the success of these conferences for over a quarter of a century are the additional objectives and lessons concerning the role of law and lawyers and better insights into the complexities of the legal process. Only through a thorough understanding of the challenges physicians face and recognition of the critical role lawyers have in influencing medical practice and how hospitals function, can we hope to deal effectively with the continuing pressures of medical practice.

Schedule of Presentations:

Monday, January 2, 2012
16:00:00 Registration
Tuesday, January 3, 2012
07:15:00 Continental Breakfast
08:00:00 Welcome and Introduction Aubrey Milunsky
08:15:00 Hidden Hazards | The Diagnosis and Management of Feto-Maternal Hemorrhage
08:55:00 Induction of Labor | When, Whom, What, and How Errol R. Norwitz
09:15:00 Legal Commentary and Discussion James S. Bostwick
09:35:00 Predicting Chorioamnionitis Carl Weiner
10:15:00 Refreshment Break
10:30:00 VBAC – How Dangerous Is It? Gary D. V. Hankins
10:45:00 Legal Commentary and Discussion James S. Bostwick
11:10:00 Causation Defenses, Juries, Experts, Facts, and Demonstrative Evidence James S. Bostwick
11:50:00 Disclosure and Apology: Unexpected Outcomes, Adverse Events, and Errors Gerald B. Hickson
12:30:00 Challenging Issues and Standards of Care for the Criticall Ill Newbron Ronald B Goldberg
13:00:00 Adjourn
18:30:00 Welcome Reception
Wednesday, January 4, 2012
07:15:00 Continental Breakfast
08:00:00 Neonatal Hypoxic Encephalopathy and Cerebral Palsy | New Insights Gary D. V. Hankins
08:10:00 Legal Commentary and Discussion James S. Bostwick
08:45:00 Chronic Fetal Hypoxia, Cytokines, and Brain Injury Carl Weiner
09:25:00 Hypoxia or Syndromes with a Signature Aubrey Milunsky
10:00:00 Refreshment Break
10:15:00 Lessons in Breast Cancer Detection Based on the American College of Radiology Guidelines Robyn L. Birdwell
10:55:00 Risk Management in Multiple Pregnancy Mary D'Alton
11:35:00 Is Whole-Body Hypothermia for the Hypoxic-Ischemic Encephalopathic Newborn the Standard of Expected Care? Ronald N. Goldberg
12:10:00 Legal Commentary and Discussion James S. Bostwick
12:20:00 Morbid Obesity in Pregnancy | A Growing Problem Errol R. Norwitz
13:00:00 Adjourn
Thursday, January 5, 2012
07:15:00 Continental Breakfast
08:00:00 Competence in Obstetrical Emergencies Carl Weiner
08:10:00 Legal Commentary and Discussion James S. Bostwick
08:45:00 Identifying and Intervening on High Malpractice Risk Physicians Gerald B. Hickson
09:25:00 Effective Proof of the Standard of Care Thomas J. Hurney
10:05:00 Refreshment Break
10:20:00 Avoiding Catastrophe | Predicting Massive Postnatal Hemorrhage Mary D'Alton
11:00:00 The How and When of Disclosing Adverse Outcomes and Errors Gerald B. Hickson
11:40:00 Pitfalls in the Mammographic and MRI Diagnosis of Breast Cancer Robyn L. Birdwell
12:05:00 Legal Commentary and Discussion James S. Bostwick
12:20:00 First Recognition of Genetic Disorder in Adulthood | Implications of a Missed Diagnosis Aubrey Milunsky
13:00:00 Adjourn
Friday, January 6, 2012
07:15:00 Continental Breakfast
08:00:00 Welcome and Introduction Aubrey Milunsky
08:10:00 Electronic Fetal Monitoring | Category I, II, or III? Gary D. V. Hankins
08:20:00 Legal Commentary and Discussion James S. Bostwick
08:50:00 Post-Term Pregnancy | 40 and Out Errol R. Norwitz
09:30:00 Guidelines and Pitfalls in the Care of the Pre-Term Baby Ronald N. Goldberg
09:45:00 Legal Commentary and Discussion James S. Bostwick
10:10:00 Refreshment Break
10:25:00 Is Computer-Aided Detection of Breast Cancer and Double Reading the Standard of Expected Care Robyn L. Birdwell
11:05:00 Medico-Legal Forum James S. Bostwick
13:00:00 Adjourn
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