Residency

News and briefs: Residents struggle with decision to admit

Residency Program Insider, November 8, 2011

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High turnover is good for hospitals but can be bad for residents at the front line, according to Ishani Ganguli, first-year resident at Massachusetts General Hospital. In a post on her blog, Short White Coat, Ganguli discusses the struggle that residents face when deciding whether to admit a patient.

“The patient had just developed a cough and she [the nurse] asked if I wanted him to be tested for the flu. If we did test him, then we’d be obliged per hospital policy to put him in a private room, even before the results were in, to avoid infecting his roommate. And because our floor only has 24 beds in single and double rooms that are divvied out based on gender and the risk or presence of certain infections, this would mean one fewer patient for me to admit that night - four instead of five in a span of 12 hours. It was a very tempting proposition.”

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