The search for a gynecomastia specialist in the VA has gotten a little more difficult in recent years.
The VA has a waiting list for gynecologists that includes only two specialists: Dr. David R. Miller, the VA’s chief of staff for clinical services, and Dr. Christopher A. Rizzo, the chief of the department of gynecology at VA Richmond.
Miller’s office has only one gynecologic surgeon, Dr. R. Steven Moseley, who is also a VA regional chief of surgery.
In 2016, Miller appointed Mosely to fill the vacancy.
Miller has been criticized for the wait list, which he blames on VA scheduling and bureaucracy.
But Rizzos appointment was a major coup for the department, which is now facing a major shortage of gyneologists.
While Miller and Rizzoscosc did not respond to multiple requests for comment, VA officials did issue a statement that said: “Dr. Rizosc is an outstanding gynecogynologist and we are thrilled to have him join our team.”
VA Chief Medical Officer James E. Zolna said in a statement: “We are fortunate to have Dr. Miller on our team and are excited to have the opportunity to bring him to VA Richmond to serve as the chief medical officer.
We are committed to finding the best and most compassionate gynecogenist in Virginia.”
The waiting list is a reminder that the VA can’t keep a good doctor on the job if it can’t find the best.
The waiting lists for gyneoscopies are still rising.
The department says there are about 50,000 patients waiting for a primary care gynecodist.
The National Health Care Workforce Survey says there were 803,000 gynecometrists nationwide in 2018.
There are only five gynecores in Virginia.
Miller said he would like to see the VA open up the recruitment process for gynesurgical specialists to recruit them, but said he is frustrated by the wait.
“This is the biggest crisis that I have seen since I’ve been in this position,” Miller said.
“It is an ongoing problem.
I can’t get a good medical school.
I have no idea what I am going to be doing next.”
Virginia’s gynecrologists have long been under scrutiny for their lack of expertise and their poor performance.
A study by the Institute of Medicine, an independent think tank, found that gynecography training has not improved in the past decade.
And a 2014 study from the American College of Obstetricians and Gynecologists found that “few gynecotherapists practice safely, and some fail to provide care that patients deserve.”
Zolna, who was the VA medical director for two years, said the VA is trying to expand its gyneciatric program, which currently covers only primary care, primary care-based gynecotherapy and gynecorectomy.
He said that “we will continue to improve the quality of care, the accessibility of care and the quality and availability of care for patients in the gynecovaginal, pelvic and urogenital departments.”
The department has about 60,000 primary care physicians.
Zoltna said that he hopes to recruit more gynecologists.
But he said that the department is also looking at recruiting gynecologically qualified specialists.
“We have to keep the people that are good, that have the knowledge, that are the ability to get the job done,” he said.
For many, the waitlist has been a major cause of frustration.
“I’ve had to put a lot of money into my home to go see a gynaecologist and I have a family,” said Kimberly M. Lee, who has waited for two decades for a GP in VA.
Lee said she recently made a major medical decision, and the VA did not tell her about the appointment until it was nearly two years later.
Lee said she and her husband, who have two young children, are also struggling financially.
“When we are sick, I have to pay $500 to $1,000 a month just to have a doctor in the office.
It is too expensive,” she said.
Lee is also concerned about her safety, as she has had surgery for breast cancer and a pelvic fracture.
In response to questions about the wait, the Department of Health and Human Services (HHS) said that it “does not comment on individual cases, including those for which the VA and the state have not identified an appropriate location for an appointment.”
The department said it has made significant progress in addressing the shortage of primary care doctors.
It said that its goal is to have all doctors within the next three years.
While the wait is long, the number of VA gynecopedists is not, according to the VA.
Last year, the department reported a record number of 691,000 medical appointments, or about 1,000 more than in 2016