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From: g woodall
Password: orange
Date: 24 Mar 2008
Time: 14:11:39 -0800
Remote Name: 199.227.125.3
Non-regulated is whatever one is willing to defend. That said, I am passionate about such issues. I surmise you are in an "employee" position. Most such MD positions still claim that you have independent decision-making and liability. If it were me, I would ask whose name goes on the report. I would suggest the name of the person authoring that memo. If it had my name (and my liability) on the report, that would have me registering complaint for discussion and, if unresolved, seeking work elsewhere, because I would find that unacceptable. But then again, I also find it unacceptable when I make an orthopedics referral and his nurse practitioner sees the patient - so others may see it differently (efficiency? or greed?). I suppose it comes down to where you draw the lines of professionalism and the price of your integrity.
Reminds me, too, of (1) of the old OSHA 200 log days where the in-house MD was asked to sign the veracity of the log (falsification had possible criminal sanction) - life was much less pressured when the plant manager became the signer, and (2) of the MD who worries that if he doesn't prescribe inappropriately, the patient's family won't come back.