The full content of Annals is available to subscribers

Subscribe/Learn More  >
On Being a Doctor |

The Outside Hospital

Jeremy D. Graham, MA, DO
[+] Article, Author, and Disclosure Information

From Providence Internal Medicine Residency Spokane, Spokane, Washington.

Requests for Single Reprints: Jeremy D. Graham, MA, DO, Providence Internal Medicine Residency Spokane, 101 West 8th Avenue, Main Floor, Spokane, WA 99204; e-mail, jeremy.graham@providence.org.

Ann Intern Med. 2013;159(7):500-501. doi:10.7326/0003-4819-159-7-201310010-00015
Text Size: A A A

For the individual, a joke may release and redirect repressed feelings of stress. Within a social group, gibes about outsiders communicate collective self-image of group superiority. Our utterances about “Outside Hospital” probably serve both functions in teaching centers.





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Well Done
Posted on October 12, 2013
Michael McDonnell
Providence Everett Medical Center/Seattle VAMC
Conflict of Interest: None Declared
Well done Dr. Graham.
This is a universal lesson.
Use our phones!
Posted on December 9, 2013
Paula Carmichael
Reliant Medical Group
Conflict of Interest: None Declared
Thank you for this piece. I have been on both sides of this "interchange". Much is improved by picking up the phone and actually talking with the people on the other side, most of the time I find many of the concerns I have were already considered/addressed by the referring doctors. Only once in twenty years was I actually yelled at by the referring doctor when we saved his patient in the ICU.

And when I am the referring person from the " outside hospital" those at the receiving end are both surprised and grateful to get answers to many questions they had when the patient arrived on their doorstep. Unfortunately, it is not always easy to figure out who the attending/consulting doctors and residents are, but it is not impossible, and usually quite worthwhile

I know the patients benefit from more open communication.

Paula Carmichael, MD
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $32.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Topic Collections
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.