Oh OK so they are braking the rules. It’s unethical and if you know for a fact you have an obligation to protect the patients and report it. Furthermore it’s fraud if they are billing for it
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To be clear, is this against residency regulations? Is there insurance invalid if they operate without a senior scrubbed?
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Absolutely against regulations of every training hospital. And major insurance fraud if attending surgeon bills for surgery he did not participate in.
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second part understood. In UK responsibility falls on the senior if junior operating within competence. The consultant gives the go ahead.
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In US no surgical resident is allowed to operate without attending surgeon scrubbed in supervision. More advanced trainees may perform non-essential parts of surgery (opening, closing) without the attending present.
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I'd disagree with "non-essential" :) but sure I got what you mean. That's standard for junior trainees in the UK. Lapartomy, thoractomy, for median sternotomy (virgin thorax only!) the con is always scrubbed for obvious reasons.
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That applies to every surgery here. Not just open. There is a lot of laparoscopic or thoracoscopic procedures of various degrees of difficulty. Attending surgeon must be scrubbed in
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Not for lap appendix, for lap chole sure unless senior trainee but "simple" lap... eg no exploration of duct
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“Simple” can turn into disaster in untrained hands quickly. In US no resident is supposed to perform any surgery by himself or herself. That’s the rule. That’s what patients expect. Everything else is violation that can get your program suspended or worse
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Of course, there is never per se a simple lap chole but the senior would be in theatre, (often assisting).
Het laden lijkt wat langer te duren.
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