Recent content by dilated

Exactly. This is just one front in this (mindbogglingly asinine) war - they are also making a strong effort to ban surgeons from bringing their bags into the OR at multiple hospitals I work at as well as several other ridiculous initiatives. The goal has nothing to do with patient safety, it's...

There are exciting things going on in robotics and surgery but this sure isn't one of them. Getting a robot to place sutures when you've ALREADY TAGGED THE LUMENS FOR IT is not particularly ground breaking, especially when it can't even do it itself half the time. Just goes to show that what the...

ACS is always saying that members don't appreciate that the organization adds value. I don't understand why they can't get a committee together to come up with surgeon-friendly recommendations that aren't ******ed so we can argue that ACS guidelines overrule AORN. That would truly get them some...

Yeah, but let's be honest. Anybody who's been in a surgical residency since the institution of the intern work hour rules knows they don't make patients any safer. Contrary to the people who seem firmly committed to the "you're against the 16 hour intern shift so you must support rolling back...

But that's why I found this study so non-representative of most surgery. I think we would all agree that lap surgery is a "difference magnifier", where the spectrum between "below average" and "above average" is a lot bigger than in open surgery. There's nobody who struggles to tie a knot or...

While I think you're right about their prospective pilots failing until now, the bundled payments are different. They are not trying to save money through changing care (rehospitalizations, etc), they are just changing the payment format in a revenue neutral way (existing...

It's a little easier in your environment. You presumably don't have interns. The major issue where midlevels become a problem on an academic surgical service is that "midlevel appropriate procedures" are also by definition "intern appropriate procedures". I highly doubt there are any chiefs out...

Probably because part of the money orthopods are paid for the procedure includes the postoperative care. If they want to be the only surgical service that doesn't have to be responsible for minimally complicated postops that's fine, but their reimbursements should be changed accordingly. And...

This.. can't be real. All the rest of the story aside, someone tried to decompress a tension pneumo with a 25ga short? And stuck it into the breast? :bow:

You missed one minor point. Residents work literally twice as many hours. That's what makes the suggestion that they actually cost the hospital money (when working twice as many hours and making close to half the pay) laughable. And insulting. It's not really difficult to grasp that the real...

I don't get it, what does any of that have to do with anything? Isn't the claim that Jobs waited to get a surgical resection until he had spent months doing "alternative medicine" and that may have been when the tumor metastasized? It's unknowable but no less plausible than the guy writing this...

This works as long as outside people in both specialties would agree that the consults are appropriate. We had a run of tough guy ED residents who mysteriously started consulting for every tiny nick on the face when the ED got busy and "wouldn't back down", requiring surgical residents on q2...

I'm Wilford Brimley and I'm here at Liberty Medical School to talk to you about something. future #1 USNews in diabeetus

No, I think most of us would prefer they get independent practitioner rights (given that NPs have it anyway, who cares). The primary value of a US allo MD is how standardized it is. Backdoor methods of getting one would cheapen our degree. And the idea that any specialty would shorten their...

Well, whether or not it's a good thing, you can rest assured within a few years after they start bundling the payments for "care episodes" and each consult comes out of your bottom line the consult shotgunning will stop overnight.