tag:blogger.com,1999:blog-4968787219619380438.post3419359419470365009..comments2023-09-21T04:02:29.457-04:00Comments on Skeptical Scalpel: Training Surgeons and Informed ConsentSkeptical Scalpelhttp://www.blogger.com/profile/13206922456661320751noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-4968787219619380438.post-50208290933774897482011-09-24T10:47:39.330-04:002011-09-24T10:47:39.330-04:00This has been a problem for years. I used to work ...This has been a problem for years. I used to work at a medical school and we frequently fielded complaints that "I got a bill for Dr C (often a chief resident, although they didn't know that) when all he did was stand in the room while some !@#$ did the work." This was ophthalmology so many procedures were done without GA. <br />Having talked at length to older doctors, people in the their 70s & older, many have said that in the "old days" the tradeoff was clear. You went to a teaching hospital, care was free or at minimal cost, and you knew that part of the reason was that you'd be cared for by people in various stages of training. Now fee for service effectively applies across the board.<br />One of our biggest problems in the med school was getting our associates to operate at the teaching hospital--they had to meet a minimum quota. They preferred the suburban hospitals for many reasons, but one was that the patients were vociferous about not wanting residents or students to assist. (Another biggie was the quality of the nurses...)plumtreenoreply@blogger.com