References
ALSO UK 20 years on: Reflections, challenges and lessons learnt
What better way to reflect on our achievements than to seek out and explore the initial ideas, concepts, conditions and developments that have led to where we are now—an approach used by those seeking insight and answers through reflection. Our story begins in the rural farms and forests of Wisconsin, the 30th state of the USA, with borders on the Great Lakes of Michigan and Superior in the midwest of America. Like many other parts of the world, large urban communities compete with their rural neighbours for resources and health care, and it is often the latter that struggles to meet the necessities of wealth, health and wellbeing. Necessity is, nonetheless, ‘the mother of invention’; the need that drove the initial idea of developing an advanced course in obstetrics was the falling number of family physicians providing maternity care in rural and underserved parts of Wisconsin (Damos and Beasley, 1996). This was a situation not dissimilar to the increasing loss of GP involvement in maternity care in the UK during the 1990s.
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