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- Title
What Should Students and Trainees Be Taught About Turfing and Where Patients Belong?
- Authors
Schmitz, Gillian R.; Strauss, Robert W.
- Abstract
Turfing is a colloquialism that refers to what clinicians do to patients whose needs do not fit neatly and tidily into typical clinical placement protocols, especially during inpatient admissions from a hospital's emergency department. This term and this practice are both clinically and ethically problematic because a patient is rarely, if ever, "turfed" to their advantage. Ethically speaking, turfing constitutes deferral of responsibility for a patient's admission or care to colleagues. This article suggests when and under which circumstances it is clinically and ethically appropriate to defer a patient's care and suggests why turfing happens despite its negative influence on both physicians and patients.
- Subjects
UNITED States; HOSPITAL emergency services -- Law &; legislation; HOSPITAL medical staff; MEDICAL students; HEALTH facility administration; PATIENTS; CONTINUING education units; LEGAL status of emergency physicians; INTERNSHIP programs; HOSPITAL admission &; discharge; HEALTH insurance reimbursement; CRITICAL care medicine; HOSPITAL care; INTERPROFESSIONAL relations; JOB satisfaction; CLINICAL education
- Publication
AMA Journal of Ethics, 2023, Vol 25, Issue 12, p885
- ISSN
2376-6980
- Publication type
Article
- DOI
10.1001/amajethics.2023.885