Scope of Practice
The policy of the California Academy of Family Physicians is that physicians should be awarded privileges based on their training, experience, and demonstrated competence; no hospital privilege should be the provenance of any one medical specialty. CAFP members who are experiencing problems getting or maintaining privileges may seek the assistance of the Academy, preferably in conjunction with your hospital's Department of Family Medicine.
CAFP policy memo for use by Academy members, recommends that prospective and new parents should be given equal access to selecting a family physician at the level of registration or nursing in a hospital, as a member of a health system, or at any other point in the continuum of care.
Obstetrics and Privileging Resources
These two articles, both by Thomas Nesbitt, MD, provide useful data and statistics on family medicine and the provision of obstetrical care. The articles appeared in the Journal of the American Board of Family Medicine and can be downloaded for free.
- Risk Management in Obstetric Care for Family Physicians: Results of a 10-Year Project
- Obstetrics in Family Medicine: Can It Survive?
NICU Privileges Approved Thanks to Hard Fought Privileging Battle in Salinas
Sumana Reddy, MD
Eleven family physicians found ourselves unexpectedly caught in a privileging battle we had not seen coming. It happened like this…
The Importance of Medical Staff Leadership
Eric Ramos, MD
Being involved in hospital governance has never been more important. Over the last several years, we have witnessed a decreasing role of the family physician in the hospital due to the use of hospitalists.
Why I Chose a FP to Deliver My Baby
Laura Johnson Morasch, MPH
I have been a patient of Dr. Audrey D'Andrea's since 1997, shortly after receiving employee benefits from CAFP. Wanting to be a good booster, I cross referenced family physicians in our HMO book against the Academy's member records to find an FP who was a member and who recently had finished training.
Why I Still Do Obstetrics
Audrey D'Andrea, MD
I think of myself as an old fashioned doctor, someone who takes care of the whole family, from birth to death. Not very many urban Family Practice physicians still do obstetrics, but I find the rewards worth it even after 11 years in private practice.
Family Physicians and Inpatient Care in the Era of the Hospitalist
As market based health care reform progresses in the United States, family physicians
are affected in new ways. One significant evolution is the use of inpatient admitting
teams, commonly referred to as “hospitalists,” to care for hospitalized patients. The use of
hospitalists is by no means a new phenomenon. One Florida multispecialty group has
been using hospitalists since 1987. The use of hospitalists is increasingly common, especially in California, where managed care market penetration is typically higher than in
other parts of the country.
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