Practical Solutions to Your
Toughest
On-Call Problems
Audio Conference
Recorded June 7,
2006
Faculty: Susan
Lapenta and Alan Steinberg

One of the general surgeons on
staff has just announced that she intends to resign all general
surgery privileges so she can do breast surgery only...
The six orthopedic surgeons in town are proposing
to cover twelve days a month, excluding weekends....
The department of obstetrics has just voted
to demand payment for call...
Sound familiar? These and other on-call problems
continue to plague hospitals and medical staff leaders all across
the country. In a May 2006 report released by the American College
of Emergency Physicians, three-fourths of the ED Directors reported
inadequate specialist coverage, including hospitals with Level
I trauma designation. This number is up from a similar survey conducted
just one year prior.
Join Susan Lapenta and Alan Steinberg,
partners of Horty, Springer & Mattern,
as they address these and other on-call issues, including:
- Should
senior active members be required to take call? Can courtesy
staff members share in call obligation?
- Can a physician
schedule elective surgeries while he or she is on call? Whose
responsibility is it to provide for back-up?
- How should an on-call policy
define reasonable response time?
- How should medical
staff leaders deal with the on-call physician who doesn't
respond at all?
- Can a physician opt out of call for
unassigned patients but continue to take call for his or
her own patients?
- What role can the physician assistant
or advanced practice registered nurse have in the on-call
process?
- Can a specialist on call refuse a proposed
transfer from another hospital? When the sending hospital
says it does not have the needed specialist on staff? Or
on call that night?
- Who has "ownership" responsibility
for the patient: the on-call physician, the primary care
physician, the specialist who previously provided the care?
- When
is the on-call physician's responsibility to provide services
to the patient over?

Audio CD: $225
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