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Topic: Attending physician

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	ACOEM - Evidence Based Statements (Site not responding. Last check: 2007-10-11)
		The attending physician's role is to diagnose and treat the illness or injury, to advise and support the patient, to provide and communicate appropriate information to the patient and the employer, and to work closely with other involved health care professionals to facilitate the patient's safe and timely return to the most productive employment possible.
		Physicians should encourage a patient's return to function and work as soon as possible after an illness or injury, provided that return to work does not endanger the patient, his or her coworkers or society, and does not conflict with existing federal, state, or local regulations.
		The physician, with the input of the employee and employer as appropriate, may often be in the best position to envision the risks to the patient, his or her coworkers, or the public that could arise from the patient's medical condition or therapy.
	www.acoem.org /guidelines/article.asp?ID=55 (2342 words)

	ATTENDING PHYSICIAN RESPONSIBILITIES (Site not responding. Last check: 2007-10-11)
		Attending physicians at our four teaching hospitals must ensure that our patients receive excellent medical care and that our residents and students learn how to provide such care.
		The role of the attending physician as educator implies a careful study of the residents’ and interns’ strengths and weaknesses and communication of these (i.e., provide feedback) on a daily basis in an effort to bring the learner’s performance in line with the attending physician’s expectations.
		Attending physicians may also be responsible for third and fourth year student teaching; every effort should be made to draw the students into discussion.
	medicine.iupui.edu /chiefs/HSManual/sec8.htm (797 words)

	ACC/SCA&I Catheterization Laboratory Standard - Part VI
		He or she is a credentialed physician, experienced in all aspects of the performance of the procedure, including preprocedural and postprocedural care of the patient.
		These physicians may fulfill the requirements for an attending physician but are not in charge of the procedure at hand and are not considered the primary operator.
		The physician must also be trained in emergency care and radiation physics and be certified as competent by the program director of his or her training institution.
	www.acc.org /clinical/consensus/angiography/angiography_VI.htm (2075 words)

	[No title]
		The position of Housestaff physician entails participation in patient care at levels commensurate with the Housestaff physician’s degree of advancement and competence, under the general supervision of appropriately privileged attending teaching staff.
		Purpose: It shall be the policy of UNC Hospitals that an attending physician be assigned to and be personally responsible for the evaluation and treatment of each patient seen for evaluation and treatment at UNC Hospitals.
		An attending physician, as defined in the Bylaws, Rules and Regulations of the Medical Staff of UNC Hospitals, is a faculty member of the School of Medicine or School of Dentistry of UNC at Chapel Hill who meets all qualifications for Medical Staff membership as set forth in the Bylaws.
	www.med.unc.edu /residency/Forms/patient_care_supervision_responsibilities_policy03.doc (1160 words)

	Lines of supervision
		Each patient cared for by the resident physicians in the MGHfC and its associated clinics will be assigned an attending physician of record who is responsible for his/her care and for determining and implementing the appropriate level of supervision of the trainee.
		Attendings will document they have taken a history and performed an exam for the important and relevant components needed for care and decision making in the case.
		Attending physician note documenting understanding of and agreement with the patient’s exam and the care plan articulated by the resident physician.
	www.mgh.harvard.edu /children/prof/Forms/lines_of_supervision.htm (1434 words)

	A Comparison of Resource Utilization in Nurse Practitioners and Physicians
		First-year residents and newly graduated nurse practitioners are required to present every patient to the attending physicians during the first 6 months of their appointment, whereas the remainder of the residents and nurse practitioners present cases only when they believe it to be necessary.
		The physician group was further divided into two subgroups, resident and attending physician, to determine whether use of physicians in training would influence the overall results.
		The difference between the number of primary care visits between the nurse practitioners and attending physicians was significantly higher than that in the resident group (3.52 and 4.03 for nurse practitioners and attending physicians, respectively, vs. 2.95 for residents).
	www.acponline.org /journals/ecp/novdec99/hemani.htm (3301 words)

	[No title]
		In Lee, an attending physician in a state university hospital was sued for medical malpractice in the treatment rendered to a patient by residents in the hospital.
		Rather, the attending physician's primary function was directly related to assuring the proper care of the patient, regardless of whether the care was delivered by the attending physician or through the residents.
		Jane, 221 Va. 43, 282 S.E.2d 864 (1980), the attending physician was not entitled to sovereign immunity.
	www.courts.state.va.us /txtops/1001074.txt (1755 words)

	Attending Duties (Site not responding. Last check: 2007-10-11)
		Attendings must be present at the beginning of each clinic session and must stay until the last patient has been seen with the resident.
		Attendings must make a note in the chart of each patient that documents supervision, supports the level of service delivered and fulfills the requirements for billing.
		Attendings should ensure that the residents are prompt and on time for their clinic sessions and that they present in an appropriate dress and demeanor.
	www.southalabama.edu /usahealthsystem/hsf/policyandprocedure/attenduty.html (246 words)

	INTERNAL MEDICINE
		The teaching attending physician assigned to a given service for the month will be responsible for ensuring that he/she, or a suitable previously arranged alternative person, is in attendance each Monday, Tuesday, Thursday, and Friday morning between the hours of 11:00 a.m.
		In addition, the teaching attending is expected to schedule two hours of work rounds (one hour with red and one hour with yellow) with the team each week when the attending actually rounds with the team.
		The teaching attending is evaluated by house staff, and by students who are on the medical care team during the period of service.
	bms.brown.edu /familymedicine/Residency_Manual/teaching_attendence.htm (440 words)

	Request for Consultation
		Requests for consultation usually come from attending physicians for their hospitalized patients, but the requests may also originate with patients, families, nurses, house officers, students, other health professionals, hospital attorneys, or administrators.
		For the consultation to be effective, the attending physician must at least agree with the request, regardless of who raises the idea of consultation, who initially contacts the consultant, who signs the consultation request sheet, or who telephones the consultant's office or answering service.
		Third, the attending physician is ethically, legally, and medically responsible for the overall management of the patient.
	www.mcw.edu /bioethics/ce/02.html (661 words)

	DRAFT
		The attending physicians or preceptors are ultimately responsible for the care of patients.
		Attending and/or preceptors in all cases are ultimately responsible for the care of patients.
		Attending and/or preceptors will be privileged according to the MHRI credentialing policies and procedures.
	bms.brown.edu /familymedicine/Residency_Manual/supervision_residents.htm (423 words)

	[No title]
		All new physician orders shall be reviewed by the facility's director of nursing or charge nurse designee within 24 hours after such orders have been issued to assure facility compliance with such orders.
		R9's attending physician, Z1, states that he did not know why R9 was on hospice as none of R9's diagnoses would lead him to believe she should be hospice.
		On 4/15/98, the surveyor contacted the resident's attending physician and asked if he was aware that the resident was NPO on 4/19/98 and did he give the order for the NPO.
	www.idph.state.il.us /about/nursing_home_violations/elmwood.txt (1619 words)

	AAMC Health Care: PATH: Responses to Questions Commonly Asked When Discussing the PATH Audits
		In summary, IL-372 stated that the teaching physician had to be recognized as the patient's personal physician and had to establish an "attending physician relationship" as a private physician would do.
		Lastly, IL-372 guidelines required that teaching physicians demonstrate their personal service and medical direction by notes and orders in the patient's record that either were written personally or, if written by the resident, were countersigned by the teaching physician.
		Currently, a physician selects an EM code based initially on two criteria: 1) where the service is performed, e.g., hospital, outpatient clinic, private office, emergency department, nursing home; and 2) whether or not the patient is a new patient or an established patient of the treating physician.
	www.aamc.org /advocacy/library/teachphys/qanda.htm (1549 words)

	Radiation Oncology Residency: Graduate Medical Education Office: University of Iowa Health Care
		In the event the attending is absent or immediately unavailable, the physician designated by the primary attending for coverage or the attending physician on-call should supervise the resident.
		All residents must be in the hospital at 7:30 AM until the time when the attending physician dismisses them or after all patients, ports and treatments plans have been seen.
		In the event that a patient who is on treatment needs radiotherapy during the weekend, the attending physician on-call need not be contacted as long as the primary radiation oncologist is aware of the case.
	www.uihealthcare.com /depts/graduatemedicaleducation/dutyhours/radiationoncology.html (1161 words)

	Ethics Policies & Procedures - Medically Inappropriate Interventions
		The primary attending physician should explain that not providing the intervention in question does not mean abandoning appropriate medical care and humane care designed to promote comfort, dignity, emotional and spiritual support.
		The primary attending physician should address with the patient (or surrogate decision-maker) the options of patient transfer to another physician or to another institution and of obtaining an independent medical opinion concerning the medical inappropriateness or medical futility of the intervention in question.
		During the institutional review process, the primary attending physician and the patient (or surrogate decision-maker) are encouraged to be present together to express their views for consideration including alternative plans of care.
	www3.mdanderson.org /DEPARTMENTS/clinicalethics/policies/interventions.htm (953 words)

	EXPECTATIONS OF PULMONARY FELLOWS ASSIGNED TO ECMC
		An attending physician must be present for these procedures including bronchoscopy and needle biopsy of the lung.
		For transthoracic needle biopsies, consultation with the attending physician and the appropriate consultation of a specific radiology physician is requested.
		It is expected that the fellow and the attending physician develop a close working relationship to ensure maximum efficient use of time as well as quality of care to the patients being seen and evaluated by our Service.
	wings.buffalo.edu /smbs/pccm/expectecmc.html (1373 words)

	AMA (Virtual Mentor) Vignette 6: Resident to Patient's Family and Attending Physician
		The disclosure that physicians used insensitive language regarding those in their care gained worldwide exposure in the novel The House of God, which has sold over 2 million copies in the past 25 years [1].
		It is well established that poor communication on the part of physicians leads to diminished health outcomes [2], decreased patient satisfaction [3], decreased compliance with treatment recommendations [4], and increased malpractice risk [5].One can only imagine the harm done by intentionally derogatory language.
		In the scenario of an attending physician who uses inappropriate and disrespectful nicknames for patients, there are at least 2 difficult conversations that the resident must decide how to approach.
	www.ama-assn.org /ama/pub/category/15356.html (1708 words)

	Healthcare Cost and Utilization Project (HCUP) NIS Notes
		If the attending physician numbers supplied by the data source are not restricted to license numbers, the state-specific note includes available information about reporting practices, including whether MDID_S refers to individual physicians or to groups.
		Some hospitals assign their own internal attending physician identification numbers rather than using the license numbers issued by the licensing agency of the physician or other health care practitioner.
		Some hospitals use one attending physician identification number for several physicians that are part of the same physician practice group.
	www.hcup-us.ahrq.gov /db/vars/mdid_s/nisnote.jsp (1249 words)

	Duties of the last attending or covering physician Sec. 382.008(3) Florida Statutes
		The physician or medical examiner shall certify over his or signature the cause of death to the best of his or her knowledge and belief." (s.
		However, the Attorney General of Florida has held that where a physician was not present at time of death, the death certificate could be executed by a treating physician.
		An attending or covering physician, even though he/she hasn't seen the deceased for several weeks, is still in a better position to certify the death, barring any unusual circumstances.
	volusia.org /medicalexaminer/physicianduties.htm (366 words)

	Patient Care in the Burn Center (Site not responding. Last check: 2007-10-11)
		Attending physician A primary physician responsible for the patient’s care, overseeing the fellows, chief residents, residents, interns and medical students on the service
		Resident physician A physician who is in training to specialize in a medical discipline; responsible for daily management of the patients; residents rotate through other surgical specialties every six weeks
		Critical care medicine A group of attending physicians, fellows, residents, interns and medical students who consult with the primary service on the management of the critically ill patients in the unit
	www.shands.org /jobs/nursing/burn/glossary1.htm (684 words)

	Neurosurgery - Medical Education
		Each patient will be assigned an attending physician of record who is responsible for his/her care and for determining and implementing the appropriate level of supervision of the trainee.
		The supervising physician’s involvement in a patient’s case shall be documented in the medical record.
		the physician of record or the attending physician covering for him or her) may be requested by the trainee to provide on site consultation at any time. Residents and fellows are encouraged to communicate directly with patients regarding the supervision they receive by the attending staff.
	www.brighamandwomens.org /neurosurgery/Medical/residentguidelines.asp (372 words)

	Required Diagnosis (Site not responding. Last check: 2007-10-11)
		If the diagnosis does not appear to meet the requirement of medical necessity, the order will be presented to the attending physician for review.
		If the attending physician determines that the diagnosis is appropriate the ordered procedure will be performed.
		If the attending physician determines that the diagnosis does not indicate medical necessity, the attending physician will contact the ordering physician for clarification.
	www.southalabama.edu /usahealthsystem/hsf/policyandprocedure/requirediag.html (148 words)

	Sec. 31-279-9 (Administrative Regulation)
		(b) No fee will be charged by the attending physician for the completion of any of the forms approved by the board of compensation commissioners or for routine progress reports submitted to the employer or carrier.
		Where detailed reports are requested or indicated, requiring a significant expenditure of time by the attending physician, a reasonable additional charge for such time will be appropriate.
		(d) Upon reasonable notice, an attending physician will make himself available as a witness in hearings before a compensation commissioner, for which appearance he will be entitled to be paid a reasonable fee by the party requesting his attendance, subject to the pertinent provisions of law.
	wcc.state.ct.us /law/wc-regs/31-279-9.htm (287 words)

	Official Code 31-39-2 (Site not responding. Last check: 2007-10-11)
		(2) "Attending physician" means the physician selected by or assigned to a patient to have primary responsibility for the treatment and care of the patient.
		Where more than one physician share such responsibility, any such physician may act as the attending physician pursuant to this chapter.
		(12) "Reasonably available" means that a person to be contacted can be contacted with diligent efforts by an attending physician, another person acting on behalf of the attending physician, or the health care facility within a reasonable period of time as determined by the attending physician.
	www.state.ga.us /cgi-bin/pub/ocode/ocgsearch?docname=OCode/G/31/39/2&highlight=Title\|11 (371 words)

	Emergency and Trauma Center Rotation -- Orthopaedic Residency Program at WSU School of Medicine
		The resident will be responsible for having the attending with the same shift assignment fill out his or her evaluation at the end of each shift.
		Each physician on the Active, Courtesy, Academic Attending and Consulting Medical Staff of MVH is sent a biannual letter requesting his/her preferences in being notified and specialist referral when his/her patients present to the ETC. This referral is available on the attending physician's computer in all stations.
		Emergency Department physicians (attending or residents) are responsible for patient care while the patient is admitted to the ETC; a consulting resident on the in-patient service is responsible for patient care when the in-patient admission is concluded.
	www.med.wright.edu /ortho/res/emergency.html (3184 words)

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