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ACOG Weighs In on Patient Education Challenges

Effective patient education is a challenge for health care providers across the country, so much so that two American College of Obstetricians and Gynecologists (ACOG) Committee opinions on the subject appear in the May issue of Obstetrics & Gynecology.


"The competing demands of clinical productivity, mounting paperwork, and the delivery of care to multiple patients, often with complex diagnoses, can inhibit effective communication," the Committee writes. "Developing effective patient-physician communication skills requires a substantial commitment in an increasingly challenging environment with lower clinical reimbursements and higher expenses. In the long run, effective communication skills will save time by increasing patient adherence, thereby reducing the need for follow-up calls and visits."


Enhancing patient education has been among recent quality initiatives at RSC New England. Efforts are focused in two areas: maximizing education strategies for existing RSC New England patients; and, increasing accessibility to infertility education for all through the Center’s website.


In March 2011, RSC New England launched a new division of website content targeting the two predominant groups of women and men who are challenged by infertility and considering treatment options. “Fertility for Beginners” and “Fertility over 35” provide easy to understand information that serves both patients and their primary providers.


“When an infertility issue is suspected, the provider can direct his or her patient to the appropriate content area on our website,” explains Communications Manager Linda Monko. “Patients can review the material and become better informed about someSample Image of the basics related to their condition and options. Most importantly, they can use the website content to develop questions that can then be reviewed with their primary provider at a follow-up appointment.”


Sample ImageSmall, easy to distribute website referral cards (pictured) are available for providers. To request a supply for your practice, email linda.monko@integramed.com.

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Infertility Treatment Referrals

Best practice for patients; a timely referral

Image  Many factors influence a positive outcome from fertility treatment. This includes referring physicians who play an important role in increasing their patients’ potential for success. The American Society for Reproductive Medicine (ASRM) recommends that OB-GYNs and PCPs discuss fertility issues and treatment facility options with patients. ASRM also asserts that a timely referral to a reproductive specialist can contribute to outcome. In its “Guidelines for the Provision of Infertility Services” the Practice Committee of ASRM emphasizes that, “It is imperative that OB-GYN physicians discuss infertility concerns with their patients in a timely manner in order to optimize their patients’ ability to conceive….It is clear that any significant delay in referral to specialist care could result in a couple never becoming pregnant.”

It is recommended that patients under the age of 35 should consult a reproductive endocrinologist after a year of trying unsuccessfully to become pregnant.  Women who are 35 years and older should seek fertility advice after six months, and women who are 40 years and older should consider consulting a specialist for evaluation if unable to conceive on their own after three months.

How to Refer

Your patients have already waited a long time to become pregnant.  The Reproductive Science Center of New England (RSC) wants to make their intake for fertility treatment efficient so they can get started as quickly as possible.

  • Patients can request an appointment online or by call ing Centralized Scheduling at RSC at (781) 674-1587.
  • When the patient has an appointment date scheduled with RSC, they need to receive a referral from their Primary Care Physician.  
  • Physician offices should send medical records to RSC after being notified by the patient that an appointment has been scheduled.
  • When treatment is completed at RSC, a copy of relevant medical records are sent directly to the patient, who can then convey them to her obstetrician.

The Reproductive Science Center has ten offices in Massachusetts, Maine, New Hampshire and Rhode Island, conveniently located for your patients.

Clinical Preceptorship for Physicians and Their Staffs

If you, your Nurse Practitioner, Physician Assistant or Registered Nurse are interested in learning about the specifics of fertility treatment, you may attend one of RSC's clinical preceptorships.