Factors affecting decisions about whether to include obstetrics in current or future practice

Appropriate role model

Compatibility with lifestyle/family life

Risk of malpractice litigation

Interest in obstetrics

Concerns about disruption of other practice

Preference to focus on gynecology or family/general practice

Adequacy of training in obstetrics

Medical liability insurance premiums/difficulty in obtaining liability insurance

Adequacy of facilities in practice

Clinical caseload in the community served

Adequacy of remuneration/financial incentive

Difficulty in obtaining back-up coverage

Change in professional life (e.g., change of specialty, entry into hospital practice, retirement, etc.)

Credentialing barriers

Factors affecting choice of practice location

Financial remuneration

Risk of malpractice litigation

Personal reason (e.g., proximity to family, lifestyle, etc.)

Patient population (e.g., high-risk pregnancies, etc.)

Affordability/availability of medical liability insurance coverage

Professional opportunities