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On Being a Doctor |

The Outside Hospital

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

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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
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