Planning a maternal-fetal medicine program: A resource mannual. 2. The hospital's perspective

An attempt has been made to provide an overview of the objectives, structure, advantages, and costs of a maternal-fetal medicine program. The hospital administration will need to analyze carefully its reasons for participating in such a program and should have a clear understanding of the level of funding that is required to maintain these services. In order to continue practicing at the level of sophistication compatible with their training, the maternal-fetal medicine specialists will expect a commitment from the hospital that will provide for sufficient personnel, space, and equipment. The subspecialist considering employment or affiliation with an institution should carefully review the current level of services that are available, compile a clear and concise listing of a proposed program, and then present it to the administration before committing to practice within that institution. Failure to do so may lead to conflicts, disappointments, and a dissolution of the relationship because of a lack of understanding of what is required to maintain a satisfactory practice environment. Careful prospective planning between the subspecialist, the other attending physicians within the department, and the hospital administration should assist in obviating major issues and facilitating the successful initiation of a maternal-fetal medicine program.