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Mon Oct 15 17:40:33 BST 2007

I am with you 150% on that one!  Personally, I think that accepting a "call stipend" is just plain immoral.  If I am not mistaken, most of us have hospital privileges that give us the ability to admit and care for patients in that institution.

I just checked in Webster's and found this:
priv-i-lege   a right  or immunity granted as a particular benefit, advantage or favor.

IMHO, privileges always come with obligations.  If you are granted hospital privileges, then you sure as hell need to repay the favor and take ED call.  Simple, really.

Ron

>>> "Moore, Rick" <Rick.Moore at TriadHospitals.com> 10/15/2007 12:14 PM >>>
Wouldn't acting "in the patient's best interest" include having surgeons
that take trauma call without insisting on exorbitant amounts of call
pay or shipping the uninsured or under insured?
REM 

-----Original Message-----
From: trauma-list-bounces at trauma.org 
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Ronald Gross
Sent: Monday, October 15, 2007 11:04 AM
To: 'Trauma &amp; Critical Care mailing list'
Subject: RE: Ideal length of stay in the ED

Another novel concept - acting "in the patient's best interest".

Rob, I think that you and I just might be on to something wonderful!  

LOL

Ron

>>> "Robert F. Smith" <rfsmithmd at comcast.net> 10/15/2007 12:01 PM >>>
IMHO it is essential that ED physicians have admitting privileges.
Otherwise their job is impossible and the ED is a total dumping ground
and they ED docs become slaves to all the other in house services.

Of course people will object strenuously to this but if people can't act
like adults in the patient's best interest this becomes a viable
solution.

Rob

-----Original Message-----
From: trauma-list-bounces at trauma.org 
[mailto:trauma-list-bounces at trauma.org] 
On Behalf Of Krin135 at aol.com 
Sent: Monday, October 15, 2007 11:52 AM
To: trauma-list at trauma.org 
Cc: KMATTOX at aol.com 
Subject: Re: Ideal length of stay in the ED

In a message dated 14-Oct-07 10:35:16 Central Daylight Time,
KMATTOX at aol.com 
writes:

In a  message dated 10/14/2007 9:57:26 A.M. Central Daylight Time,   
andrewj.bowman at gmail.com writes:

What  then do we do about the  attendings (fill in specialty here) who
are reluctant to admit a  patient without the complete  workup????

Create a hospital  policy that allows, encourages, mandates that the EC
staff have the  authority, and supported by the Medical Executive
Committee to admit  a patient to any hospital in-service where the
service is slow to evaluate the patient or require that an entire work
up occur there  prior to going to

an 
in house bed.   

k

I'd love it...now just need to convince the med exec committee (and the
hospitalists) that the hospitalists and attendings don't need every jot
and

tittle done in the ED prior to admission....

and convince some of the residents at major teaching hospitals that they
can finish the work up faster after they have the patient in their hands
than the smaller hospitals can do prior to transfer...

ck
Charles S. Krin, DO FAAFP

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Ideal length of stay in the ED