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Surgical residents had typically worked 120 hours a week, guided by the philosophy that the more often one does a procedure, the better one performs it, and that continuity in patient care leads to better outcomes.
At the other extreme, comparative advantage can be highly strategic, providing the means for patients and health system leaders to evaluate who does a procedure best at the lowest cost.
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The residents recounted that, in their day to day procedural skill learning, they had to actively seek out opportunities to do a procedure, locate someone to supervise them, and felt that they received feedback sporadically.
By the end of the study, the two-nurse teams could do a procedure in three minutes.
She left without saying what kind of cancer it was or how, on the Saturday of that weekend, she had found a doctor willing to do a procedure.
But sometimes, when we do a procedure which opens up the scar tissue from the Type 3 circumcision the end result can look very good.
Many in their 80s and 90s — and their boomer children — want to pull out all the stops to stay alive, and doctors get paid for doing a procedure, not discussing whether it should be done.
"Even if you go to a doctor or a dentist, there are going to be people who think they're only doing a procedure because they have their kid's college education or a trip to finance".
"If you don't do a procedure, you don't get any money".
In the flawed fee-for-service model that has driven healthcare's hyperinflation, financial rewards incentivized activity (order a test, prescribe a drug, do a procedure, etc).
- The Know-It-All: Without any prompting, this person will launch into a lecture on the right way to do a procedure or protocol or look over your shoulder and announce that what you're doing is "all wrong".
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CEO of Professional Science Editing for Scientists @ prosciediting.com