On Call Services and Hospital Response to Failure to Present

[William Bromberg]

Yes, this is what should happen. What DOES happen depends on how much power the hospital has over the doctor in question vs. how much money the doctor brings into the hospital. For example, if there are 2 or more hospitals in town a busy surgical group who has privileges at both has a great deal of negotiating power with the hospital for if the hospital revokes their privileges, they will take their cases across town.

That's why our neurosurgeons and orthopods  get paid more for a night of call through which they sleep than I do for resuscitating their head injury and polyorthotrauma patients.

It often turns into a game of chicken between the hospitals and the docs.

Bill Bromberg

>>> "Offner, Patrick" <PatrickOffner at Centura.Org> 07/03/07 12:44 PM >>>
Refer to the medical executive committee for possible
suspension/revocation of privileges and reporting to the state medical
board. 

-----Original Message-----
From: trauma-list-bounces at trauma.org 
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Green, Brian J
Sent: Tuesday, July 03, 2007 10:28 AM
To: Trauma &amp
Subject: On Call Services and Hospital Response to Failure to Present


I am looking for opinions on what hospitals do in response to surgeons
who refuse to evaluate patients when they are consulted, when they are
on call.  I realize that this would be viewed as unacceptable by the
lion share of members here, but what i'm looking for is specifically
what your individual institutions do in response to this, should it
occur.

Thanks.

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