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Sun Sep 13 05:06:02 BST 2009

The key is making the hospital administrators understand that trauma/ 
acute care surgeons are the engine that drives the whole program, as  
said below.

If run correctly, a trauma program can make a good deal of money for a  
community hospital. I'm told by a former hospital CEO (suburban,  
decent demographics, Level 3) that his trauma program ran as high as a  
30% profit margin--but take that number with a grain of salt, since  
who knows how it was calculated.

Al

On Sep 12, 2009, at 4:20 PM, nappio at aol.com wrote:

> PS-Hospitals play surgeons and trauma surgeons for chumps.  Without  
> general surgery there is no ED, no ortho, no neuro no spine surgery  
> to bring in money and no triage/ED doctors making double what  
> surgeons make for 12 twelve hour shifts a month.  We  should not be  
> throwing ourselves on  landmines to make these beauracracies  
> flourish.  Just like the financial mess the weak systems need to die  
> and the survivors will need to step up to the plate.  I applaud the  
> neurosurgery community limiting training, centralizing care and  
> maintaining an obvious high demand.  I find it troubling that a  
> union house auto worker can have a more secure and lucrative salary  
> and pension plan then those of us that dedicate endless , selfless  
> hours to such a needed/demanded art. DN

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