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Residents completing colon and rectal surgery training should take seriously the terms of contracts offered to them. Contracts should specify how and how much salary will be paid, what benefits the surgeon will receive, and what services are to be provided. However, contracts frequently fail to disclose what costs the surgeon will have to cover that will… (More)
The complex reporting requirements under the National Practitioner Data Bank are further complicated by numerous exceptions and conflicting interpretations. Even after two years of operation, many physicians and reporting entities are unfamiliar with the system and its problems. In an apparent attempt to clarify the requirements, the Department of Health… (More)
The relationship between hospitals and medical staffs has become increasingly delicate over the last several years. The interests of the hospital and the medical staff are diverging and may conflict. It is important to acknowledge these differing interests before solutions can be reached and a stronger relationship built.
Medical staff attorney Snelson answers the Colloquium's charge, "What exactly has to change in the hospital-medical staff relationship for health care quality to be improved?" Her response emphasizes the logic of having clinicians vested with authority to establish policies concerning the clinical decision-making. The article discusses the cases defining… (More)
Quirks in the National Practitioner Data Bank regulations and operations may catch medical staffs and hospitals unawares, creating potential traps and pitfalls that could result in exposure to lawsuits and federal sanctions. In this article, the author outlines several areas of possible difficulty and offers tips to help medical staffs avoid problems in… (More)
The California Medical Association's Division of Physician Contracting and Medical Staff Affairs serves as a clearinghouse of data on the numerous and varied entities offering contracts to physicians in California and in other states. In addition to disseminating this information, it offers specific analysis on a contract-by-contract basis to members of the… (More)