Addressing Maternity Deserts: A Role for Operative Obstetrics in Family Medicine


Original Presentation Date: 2/28/2019

Facilitator Lesson Plan

This team-based, active-learning event features Robert Gobbo, MD, Program Director for the Providence Hood River Rural Family Medicine Residence Training Program in Hood River, Oregon. Many rural family physicians have been providing high quality cesarean and other operative surgical services for some time; however, many of these clinicians are retiring or moving, and smaller community hospitals are having difficulty continuing to provide maternity care services due to low volume. This session will provide an overview of appropriate training and planning for those interested in considering a path towards obtaining the skills, privileges and maintenance of competency.

NOTE: Having a family physician present for the in-session activity will enhance the learning experience for this Active Learning Package.

Learning Objectives

Participants will be able to:

  • Describe potential roles for family physicians to meet the maternity care needs of patients in rural areas
  • Take steps to obtain training and apply for privileges
  • Follow steps to ensure maintenance of competence and skills as well as privileges


Before your ALP Session
  1. Recruit your teams. Ideally, 4 teams of 3-5 participants.
  2. Schedule a room that can accommodate all your participants and AV to play the presentation.
  3. Distribute the Pre-Session link
  4. Download the Presentation Slide Deck.
  5. Review the Slide Deck. Be sure to look at the presenter notes.
During your ALP Session
  1. Arrange your participants into teams within the room.
  2. Facilitate your ALP session by following the prompts in the presenter notes of the Slide Deck.
  3. Facilitate general discussion with the full group. Go over any lingering thoughts.
  4. Evaluate the ALP materials on your experience.
Click to download the presentation slide deck

You will be asked to provide your name, email, and organization prior to accessing the download.

This product was supported by the Bureau of Health Workforce (BHW), Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services (HHS) under cooperative agreement #UH1HP29966. The information, conclusions and opinions expressed in this presentation are those of the authors and no endorsement by BHW, HRSA, or HHS is intended or should be inferred.