colourless green ideas sleep furiously

Tuesday, Wednesday tread through muck

Thursday maybe eat a duck

It’s Friday, Flat as Fuck

The Banner (15th century) historical notes in the read more

VERMIS III - Old Curses & Buried Horrors

𝘞𝘩𝘢𝘵 𝘸𝘪𝘭𝘭 𝘣𝘦 𝘭𝘦𝘧𝘵 𝘰𝘧 𝘺𝘰𝘶 𝘢𝘵 𝘵𝘩𝘦 𝘦𝘯𝘥 𝘰𝘧 𝘺𝘰𝘶𝘳 𝘫𝘰𝘶𝘳𝘯𝘦𝘺𝘴 ?

Chief of Medical Officer - Gloria

held by a physician

Head of medical services

operational head of the hospital as well as spokesperson

everyone reports to them

Chair - Robby (S2)

MDs

academic department

managing clinical operations

oversees staff performance, develop policies

Maintaining clinical protocols, patient safety, professional performance

branch between faculty and admin

oversee training programs for residents and promote research

Chief - Robby (S1/S2) *Al-Hashimi filling in for 3 months once robby leaves

MDs

manage a specific divison

clinical operations

strategic leadership

oversee staff

clinical governance

operational management

day to day operations

Attending (Jack, Shen, Al-Hashimi, Robby technically fits here too)

MDs

diagnosing, treating, managing patients

supervise residents

Fellow

MD

program after Residency

optional

gaining specialized, expert knowledge on a subspecialty (1-3 years)

operate as attending physician/consultant for field

once completed permitted to practice in sub-specialty as well

Resident (Ellis, Mohan, Langdon, Mckay, King, Santos, Whitaker)

MD

2-7 year programs (depending on specialty)

hands on patient care

learning how to do patient care/diagnostics/case formulation

Med Student (Javadi, Ogilvie, Kwon)

enrolled in med school,

4 year training program

1-2 years clinical rotation

rotations 6-12 weeks in core (surgery, internal, medicine, psych, OB/GYN) - 3rd year

Someone can be chair and chief from what I’ve found in researching, but it’s a HEAVY workload. And from what I can tell chairs would be less involved on the attending end.

from what i've found usually it's 1 attending: 3 residents. For perspective Robby maintains 8/9 residents and students alone. During Adamson's time we know there is an implied three of them on days, at least (Adamson, Robby and Jack).

Robby and Al-Hashimi have a rough relationship by nature of the job and what she represents (upper management essentially not only trying to push him out, but also implying he hasn't been good at three jobs they add to him). And this is just reinforced by the "fellow attending", not consulting him on anything.

Al-Hashimi is correct, they need a second body at all times, not just as Shen and Jack are doing (trading off days).

It's a system and horrible privatized issue. The hospital essentially saves money by not hiring another body, Robby is likely severely underpaid for holding all 3 positions. And as long as the ED performs they won't consider hiring anyone else.

Robby mentions they're still top rated as well. Which IS a testament to himself. He's done it for himself at the expense of extreme burnout.

How Al-Hashimi is approaching the job, is understandable if you consider her only knowledge of what she's walking into was entirely by Upper management's perspective. She was NOT properly prepared for what she was walking into (because upper would not say it's them, they will say it's Robby).

Does it excuse his worst moments? no. do they make those moments understandable? yes! And i think people need to realize both those things can co-exist. Because the dynamics he has with specific people if you view it from actual work perspective makes a lot more sense. Fair or not, right or wrong.

But I will say, the system is the core of his conflicts that infiltrate most of the issues he has with others. The other is his inability to communicate them properly for multiple reasons.