OBGYNs Stir Up Controversy

Dr. Elizabeth StierIt took a lot of outrage by scientists, physicians, and the public, but a gynecologist in Boston will not lose her board certification.

The American Board of Obstetrics and Gynecology had planned to remove Dr. Elizabeth Stier as board-certified.

Now, you may think that Dr. Stier has a string of malpractice suits after her name. Or that she didn’t pass critical examinations for her specialty. Or that, maybe, she just didn’t take required courses to keep her certification.

Actually, Dr. Stier is an extremely competent physician. She’s also an associate professor at the Boston University School of Medicine. Her problem is that in the course of some of her ground-breaking research about anal cancer, she treated men.

That’s right. The American Board of Obstetrics and Gynecology had said that to get its stamp of approval, its members must treat only women. It magnanimously allowed a few rare exceptions—emergency care, family planning, fertility testing for man and woman couples, and the treatment of a sexually-transmitted disease, but only if the male was a partner of a female patient already being treated by the gynecologist.

Every other medical specialty board in the U.S.— there are 24 of them—can treat men and women. That includes proctologists and urologists.

Anal cancer is primarily a sexually-transmitted disease, usually transmitted by the human papillomavirus (HPV). Although anal cancer is rare, it is present in persons—men and women, straight and gay—who are infected by HIV. The Board’s strong opposition also put at risk a $5.6 million grant from the National Cancer Institute. That grant would have been used by gynecologists to conduct clinical studies to determine the best way to detect and treat anal cancer—in woman and men.

Dr. Stier had begun treating men as part of her practice as a gynecologist after she modified techniques used to treat women for cervical cancer in order to detect and possibly treat those with anal cancer. She is one of the nation’s leading specialists in this area.

An officer of the American Board of Obstetrics and Gynecology told Dr. Stier more than two months ago she would lose her right to be a board-certified obstetrician and gynecologist if she continued to treat men. The Board’s decision was firm. In a separate letter, three other officers, including the executive director, explained the Board’s position. According to Medscape, the officers told Dr. Stiers: “There are currently too few doctors to provide care for pregnant women, too few to manage female cancer, and too few to provide necessary preventive women’s healthcare.”

After absolutely saying that Dr. Stier would lose board-certification, the Board this past week modified its woman-only rules to allow obstetricians and gynecologists to treat men with sexually-transmitted diseases.
Three decades ago, almost all obstetricians and gynecologists were men—treating women.

Today, about 80 percent of OBGYNs are women, according to the Board of Obstetrics and Gynecology.

walter braschAll five of the Board’s executive professional staff are men. Five of its six officers are men. Ten of the 15 members of the board of directors are men.

Perhaps, if the Board of Obstetrics and Gynecology is so determined that there be a gender-specific clause in its rules for certification, it might wish to examine its own officers and staff—and possibly require, with rare exceptions, that only women can be officers, members of the board of directors, and, especially, be employed as an executive staff professional.

Walter Brasch
Wanderings

About Walter M. Brasch

Walter M. Brasch, Ph.D., is an award-winning journalist and author. He is a former multimedia writer-producer, newspaper and magazine reporter and editor, and is professor emeritus of mass communications from the Pennsylvania State System of Higher Education. His latest book is Fracking Pennsylvania, which looks at the health, environmental, geological, and economic impact of natural gas horizontal fracturing. He also investigates political collusion between the natural gas industry and politicians. Among his 18 books--most of which integrate history, politics, and contemporary social issues--are The Press and the State, Before the First Snow: Stories from the Revolution, Sinking the Ship of State: The Presidency of George W. Bush, The Joy of Sax: A Look at the Bill Clinton Administration, and Social Foundations of the Mass Media.
He is also the author of dozens of magazine articles, several multimedia productions, and has worked in the film industry and as a copy writer and political consultant. He is the author 16 books, most of them focusing upon the fusion of historical and contemporary social issues, including America's Unpatriotic Acts: The Federal Government's Violation of Constitutional and Civil Rights (2005); Sinking the Ship of State: The Presidency of Geroge W. Bush (2008), Black English and the Mass Media (1981); Forerunners of Revolution: Muckrakers and the American Social Conscience (1991); With Just Cause: The Unionization of the American Journalist (1991); Brer Rabbit, Uncle Remus, and the 'Cornfield Journalist': The Tale of Joel Chandler Harris (2000); The Joy of Sax: America During the Bill Clinton Era (2001); and Sex and the Single Beer Can (3rd ed., 2009). He also is co-author of Social Foundations of the Mass Media (2001) and The Press and the State (1986), awarded Outstanding Academic Book distinction by Choice magazine, published by the American Library Association.

Comments

  1. TALK about tight — What is the matter with these narrow minded people that are so rigid they can’t even think for themselves?

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