Re:Heart surgeons refuse difficult operations to avoid poor ...
by billfruit on Saturday April 21, 2018 @03:41PM
(#16893008)
I was thinking something more akin to routine inspection program carried out by independent personnnel applicable to all procedures, not just the reviews that are necessitated due to screw ups.
Re:Heart surgeons refuse difficult operations to avoid poor ...
by fricat1ve on Saturday April 21, 2018 @04:19PM
(#16893227)
As far as a performance evaluation that directly scores a surgeon's judgment and whether the procedures s/he is performing are actually beneficial...in the absence of a big screw-up or complaint, I don't believe there is any forum to do that after training is complete.
- Well-regarded hospitals will vet surgeons before granting privileges.
- Average hospitals give out privileges fairly easily if there are no actions against a person's license.
- There is a "collegial" review of big screw-ups that carry major reputational risk.
- As with any fee-for-service firm, "rainmakers" are highly sought after and get away with more.
- Privileges are difficult to take away once granted. (Have stronger legal protections than academic tenure in some states.)
If the surgery is in an ambulatory surgery center or doctor's office:
Basically anything goes. Ice-pick lobotomies, tonsillectomy mills, boob job factories in strip malls....all have happened in recent US history. About as well-regulated as traveling carnivals.