Many O&Gs work long and irregular hours, with significant on-call requirements, often with weekend disruption. However, there is a trend towards increasing availability of part-time and job share arrangements for maternity/paternity leave and family obligations. Public hospital hours are largely determined by on-call rosters. Private practice has traditionally been very demanding, particularly in obstetrics. The advent of group practice, where after-hours care is shared amongst several practitioners, allows for greater flexibility. Recent estimates suggest that approximately 20% of consultants choose to practice gynaecology only, which also leads to more predictable work schedules. In a 2003 survey, solo private practice, or a combination of solo private practice and public hospital work were the most common practice types. Being a highly procedural specialty, O&Gs are well remunerated.
There is a trend for O&Gs to subspecialise in areas such as gynaecological oncology, maternal-fetal medicine, obstetrical and gynaecological ultrasound, reproductive endocrinology and infertility, and urogynaecology. These have been formally incorporated into the training program as certificate qualifications.
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Nelson Textbook of Pediatrics e-dition: Text with Continually Updated Online Reference, 18e
by By Robert M. Kliegman, MD, Professor and Chair, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI; Richard E. Behrman, MD, Executive Chair, Pediatric Education Steering Committee, Federation of Pediatric Organizations, Menlo Park, CA; Clinical Professor of Pediatrics, Stanford University and the University of California, San Francisco, CA; George Washington University, Washington, DC; Hal B. Jenson, MD, Chair, Department of Pediatrics, Director, Center for Pediatric Research, and Senior Vice-President for Academic Affairs, Eastern Virginia Medical School and Children's Hospital of the King's Daughters, Norfolk, VA; and Bonita F. Stanton, MD, Schotanus Professor and Chair, Department of Pediatrics, Wayne State University, Detroit, MI, USA
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