
Malignant Medicine
There is a culture to medicine that I alluded to in my previous post about how everyone in the hospital is your boss. In essence, medicine is a profession like no other where "scutwork," "malignancy" and "bad-mouthing" colleagues is standard practice. In the academic world this continues on in full force even after becoming an attending. In the private medical world it still exists. There is always a "Chief" or "Chair" of the department or division in which you practice. Most professions have hierarchy or levels of the ladder on which people sit. In medicine, I submit that the personalities are very strong due to the history of malignant medicine.
Conflicts of Interest Among Physicians II
I previously posted a few times about conflicts of interest within the medical profession. A friend of a friend who reads my posts posed the simple question to me:Isn't the entire medical profession in conflict because it is profit driven?This is an interesting question. After all, doctors make their living either seeing patients or doing procedures. No office visits, consultations, or surgeries then no income is generated. Thus wouldn't doctors all benefit from making sure that patients keep coming back and that more procedures are done? Unfortunately this is true.
Medical Students Can Make A Difference
It is that time of the year again when medical students start appearing on the wards. If you are a third year student you are now likely starting your clinical rotations. If you are a fourth year student you are probably embarking on away rotations to the specialty of your choice. Every physician has fond memories of being a medical student -- the torture from residents and attendings, the constant pimping, the feeling of being a useless fly on the wall, the awkwardness of trying to fit in.
Medicine and the Law – Part 5: Abandonment
Continuing on in our series we will now talk about abandonment and terminating the physician-patient relationship. We've previously talked about the contract and consent. Then we moved on to medical malpractice and causation. Finally we discussed informed consent. Now we move on to abandonment.Abandonment is the concept whereby a physician terminates the physician-patient relationship without reasonable notice at a time when the patient still has need of medical attention. This typically is prevented by giving the patient adequate time to find a replacement physician, planning for adequate post-procedure follow up, and giving the patient adequate instruction for care when the patient is not in the presence of the physician.
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