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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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