1. Robert McNerney

    I just retired, it was not “early” but it was partially triggered by tiring picking up patients with insufficient initial evaluation and the cognitive errors cited resulting in “wrong road” diagnosis and treatment. More frustrating was checking up on a patient handed off and finding that the secondary diagnosis found during the admission and noted in sign out was not addressed upon discharge, including at times the treatment initiated prior to the hand off not being ordered at the time of discharge. In my 16 years as a hospitalist I have noted many (but thankfully not all) hospitalists showing a lack of commitment to clinical excellence and a greater concern for being able to come late and leave early than optimal patient management.


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