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By Ted Mitchell (registered) | Posted February 15, 2008 at 12:43:07
Today's spec carries an opinion piece by Dr. Krizmanich, chief of HHS emergency medicine. http://www.thespec.com/Opinions/article/...
I'll leave it to readers to assess the content of his article, and my own, on the basis of cheerleading versus argument.
I think the point most blatantly missing from the Krizmanich article is the heavy reliance that emergency docs place on consulting what I call frontline physicians, ignored by the HHS plan, like general internal medicine. Ask anyone who works in an emerg, that is the leading specialty in terms of number of consults, and willingness to do work.
For an ER doc, getting subspecialists to even see a patient, nevermind take responsibility as the MRP, is often like pulling teeth. Unless the clustering plan has an unspoken agenda for micromanaging what specialsts do (which is a possibility, who knows?), that problem is unaddressed.
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