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UT Southwestern and Parkland Hospital Stories: UT Southwestern and Parkland: Is Ron Anderson Clear About Faculty Supervision Requirements?
8 Q. Dr. XXXX on February the 28th 2008, wrote to
9 his superior, Dr. Rege, and he included Dr. Minei. Dr.
10 XXXXX advised that as follows: I would like to bring to
11 your attention as chairman of the Department of Surgery
12 at UT Southwestern and as surgeon in chief of Parkland
13 respectively, that the issue of patient consent and the
14 attending's participation in operative procedures at
15 Parkland Hospital remains unresolved.
16 Attached is a PDF of my operative note from
17 2/23/08 when I was on call. This patient underwent an
18 open below knee amputation prior to my arrival in the
19 plating room and I never had any opportunity to meet the
20 patient preoperatively.
21 Per your previous advice at the beginning of my
22 shift I let the residents know that I wanted to meet
23 every patient preoperatively and examine them. I also
24 asked the residents to call me before starting any
25 operative procedure. In this particular case neither of
21
1 my instructions were followed with the result that I
2 never had the opportunity to examine the patient
3 preoperatively and the amputation was completed before I
4 arrived in the operating room. In addition, the consent
5 form did not list me as the operating surgeon.
6 As both of you are aware from previous
7 discussions in several departmental and divisional
8 meetings, this is a recurrent systematic problem that
9 needs to be fixed. I would also like to mention that
10 this practice is not consistent with my standard of care
11 and places me in a very difficult situation ethically,
12 morally and legally. Please advise.
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