List Archives

Mon Sep 14 15:53:21 BST 2009

The day that I order a test because "some lawyer might ask why I didn't order the test" is the day that I go to law school and forget everything I ever knew about ethics....

Ron

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Bjorn, Pret
Sent: Monday, September 14, 2009 10:29 AM
To: Trauma-List [TRAUMA.ORG]
Subject: RE: Backup Call Pay

Bravo on both accounts.

Paying a stipend on top of privileges sets a crippling precedent.  You
can't un-push that domino, and your trauma center will suffer for it.

And as for shotgun diagnostics (although I missed the origin of this
tangent), there should be dedicated instruction in all critical care
curricula with regard to timing and yield of various labs and imaging.  

We are inclined to blame "defensive medicine," but I suspect that at
least part of the problem is intellectual laziness: ("Don't think!  Run
tests!")

Pret Bjorn, RN
Bangor, ME USA

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Gross, Ronald
Sent: Monday, September 14, 2009 8:40 AM
To: 'Trauma-List [TRAUMA.ORG]'
Subject: RE: Backup Call Pay

I DO NOT agree with call pay for any physician.  We all have hospital
PRIVILEGES, and with those privileges come OBLIGATIONS. IMHO, taking
call is just one of the obligations that should be pay-back for the
privileges.  Teaching our up-coming colleagues that every test ordered
by them should (1) be reviewed/examined by them personally, and (2)
should be ordered knowing that the results WILL affect subsequent
management is just another obligation that we seem to have forgotten
about.

OK, I will shut up now and yield my soap box to Dr. Mattox!

Ron

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