RE: Pt. Scenario

["Thomas M. Hansen" <thomasmhansen@hotmail.com>]

Do you really think that Level 1 centers don't make mistakes interpreting CT 
or MR or plain x-rays?  Do you think that the only institutions with trauma 
surgeons are Level 1 centers?  Do you think that it's the board certified 
attending physician holding the knife over your patient's belly-or could it 
be the third year resident with the chief resident assisting.  Maybe it's 
the 2nd year er resident that's receiving your patient.

Many Level 1 centers are associated with training programs.  That is how 
they are able to receive the financial support to provide the services, and 
it's the residents, not the board certified physicians, that are there 24/7. 
  The chief resident that the year before was still in training and was 
receiving your patient graduated from the program and is now in 
practice--maybe in practice in a community hospital.

I simply don't understand how one can make a blanket statement that it's 
better to go to the Level 1 center when one doesn't know the capabilities of 
the local hospital.  Drawing from the previous paragraph, maybe the local 
hospital's trauma surgeon was the chief resident at the Level 1 center last 
year.  (And the radiologist is board certified and not a resident.)

Hey, we're having fun now!

tom



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