Preview

Teaching Case

Powerful Essays
Open Document
Open Document
2133 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Teaching Case
Case study
I. Executive Summary

The teaching hospital and the medical school had only one top official in common-the provost.

The unusual nature of the financial arrangements was a big problem. Patients paid for professional services, but the revenues went into department funds, which were controlled by the department chairs. The hospital, on the other hand, turned in all patient- revenue incomes to the state. The working conditions and compensation were much better in the medical school than those in the hospital. There was a serious lack of coordination in the integration of medical school faculty into hospital functions. Dr. Robert Uric, head of the renal unit was one exception. The hospital employees with whom he worked all liked him very much.

One of the reasons was he often shared his grant monies with the hospital employees in his unit whenever it was possible. Dr. Uric took the renal unit as his home and his favorite child financially and emotionally. The renal unit was a cheerful place under the leadership of Uric. The National Institutes of Health (NIH) supported Dr. Uric with several federal grants to do research on kidney transplantation. In the research Dr. Uric discovered a fluid that could keep the cut stem end from closing. According to the grant agreement, Uric reported his discovery to NIH. NIH officials did not want it. Uric sold the fluid to a big nursery-supply manufacturer; the firm named it Flower Life, and began mass-producing. NIH regretted and filed suit at a sudden, the story was widely spread across the nation on newspapers. The faculty concerned the story would make a bad influence on the reputation of the school, and Uric was moved to another new unit.The executive committee promoted Dr. George Conrad (the chief resident of renal medicine) to replace Uric’s position after the removal of Uric. Serious personnel problems arose in the dialysis unit not long after Conrad took the position. B y the end of the first month

You May Also Find These Documents Helpful

  • Good Essays

    Case Brief The Day After

    • 994 Words
    • 3 Pages

    Over the last 18 months the average occupancy at Riley Memorial Hospital had fallen. This was certainly a cause for concern for Charlie and the hospital board. As a result, 134 employees were laid off to keep the hospital out of the red. This led to the closing of two specialized nursing units, which had a few trustees and several physicians extremely upset with the board’s decision. Charlie’s relationship with the board and medical staff had changed over time because of his inability to control the number of matters of importance due to a changing external environment. Consequently, Charlie lost his ability to make necessary decisions in a timely manner. With four physicians on the board, Charlie met with resistance when he tried to prepare the board for the economic downturn and the publics decline in the use of physicians and hospitals. Furthermore, Charlie met with resistance once again when he tried to review a proposed contract submitted by a health maintenance organization with the board. Instead of listening to what Charlie had to say, the four physicians persuaded the board to support private practitioners and engage in fee-for-service medicine. The board assured Charlie that the physicians would keep the hospitals needs and interests above those of the medical staff. Charlie appointed Bill Handy as the COO of Riley Memorial Hospital and turned over all internal operations to him. Although this new appointment was fully endorsed by the board, it was never understood or accepted by many of the physicians. The physicians at Riley Memorial Hospital considered Charlie’s role to primarily serve the interests of the medical staff. Many physicians believed Charlie did…

    • 994 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Many of these physicians had lied to their patients about livers not being available when the facility was not accepting perfectly good ones, which other medical facilities were using. There were events that doctors were clashing against each other as well, which calls for an extremely poor working environment; there is no teamwork at all. There is so much drama between the doctors that not enough transplants are being done to save lives, which makes the doctors severely incompetent to perform their duties. Similarly as stated above, collaborative climate does not exist at UCI Medical Center. The doctors are constantly clashing with one another and they do not want to work as a team.…

    • 440 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Hospital desired to assist in the recruitment of Physician and the establishment of his medical practice in the Community.…

    • 270 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    Its facility is lead by a CEO which breaks down to a Medical Director and a Nursing Director. They report that this system works very well for them. The physicians, therapy and pharmacy departments are managed by the Medical Director and all have department managers. The Director of Nursing guides the nursing and aide staff and observes all duties carried out by this staffing unit. A small marketing, billing and clerical staff stands alone and reports to the CEO. This 80 bed facility operates efficiently with this organization…

    • 3297 Words
    • 14 Pages
    Better Essays
  • Good Essays

    Union Medical Center Case

    • 1178 Words
    • 4 Pages

    Management currently has an extremely lack luster regulation over the expenditure of resources. The main reason that has caused the leakage of resources is because the hospital also serves as a teaching institution. The issue here is that the hospital must accommodate for these residency students. However, residency students have been recklessly using the hospital’s resources such as equipment and electrolytes for their lab tests. Students have adopted the tendency to over order on these goods which take up funds that could be used elsewhere. This issue also links to the fact that doctors have too much control over the hospital. They have no ceiling cap for their expenditure of resources on their daily operations as well. It can be argued that placing a threshold on their resources could potentially be dangerous for the patients. However, if their costs are not regulated the hospital would be giving doctors too much control and may run into further funding problems in the future. Although it is only for one patient for one certain type of illness, the DRG number 198 summary shows that the hospital exceeded its Medicare reimbursement rate of $4300 by $813. Without putting regulation on the expenditure of residents and…

    • 1178 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    lesson 4 case study

    • 289 Words
    • 1 Page

    1) Travis eats steak and cheese subs every day of the week. Explain the types of fats, as well as the properties of each type, that are found in these subs.…

    • 289 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    In my opinion, the characters in the Classroom Predicament Case Study should be ranked in the following order regarding their responsibility in Adrian’s failing grade.…

    • 653 Words
    • 2 Pages
    Good Essays
  • Good Essays

    The Flexner Report

    • 522 Words
    • 3 Pages

    Throughout the years following, medical schools have evolved due to these initial changes. Many of today’s schools have evolved into Academic Health Centers which offers the student the opportunity to work in a thriving multifaceted hospital environment such as the University of Miami Medical Center which is integrated with Jackson Memorial Hospital. This vast system of specialist’s, general medicine, a trauma ER as well as other practices is essential to the growth of the students that study at the university. Without the Flexner Report, AHC campuses may not have come into existence.…

    • 522 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    1.) Identify the root problem. Explain what’s happening here and who is responsible for the conflict arising due to Jason not completing his labs on time.…

    • 289 Words
    • 1 Page
    Satisfactory Essays
  • Better Essays

    Becoming a hospital administrator is part of the health science of maintaining and improving human health and while administration is not…

    • 2400 Words
    • 10 Pages
    Better Essays
  • Better Essays

    Initial Teaching Assignment

    • 2954 Words
    • 12 Pages

    In my present teaching role I deliver job search skills and pre-train unemployed learners in preparation to enter the care sector, by providing them with an awareness of some of the basic, mandatory subjects required within the care environment. My responsibilities include the health & safety of my learners; delivering the programme in a way to include all members of the group; ensure where possible that the environment is conducive to the learning journey and making the learning experience enjoyable and safe for the learner.…

    • 2954 Words
    • 12 Pages
    Better Essays
  • Good Essays

    1.1 Describe how a learning support practitioner may contribute to the planning, delivery and review of learning activities.…

    • 1008 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Impossible Education Case

    • 697 Words
    • 3 Pages

    As parent’s you want the very best for your child so you pick the top neighborhoods, best doctors, and best schools to help ensure your child has all the advantages you can afford them. Investments such as these are not only for the child’s immediate gain but, to ensure that have a productive future. One such parent made this costly investment into his child’s future by paying a year’s tuition in exchange for a reserved spot at a private school. Unfortunately, his ex-wife refused to send the child to school that the father paid for (Bevans,2006 p.247). This action caused the father to seek a return on his payment and the school refused due to the contracts policy of no refunds due to loss of other revenue…

    • 697 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Case Study of a Learner

    • 1164 Words
    • 5 Pages

    The learner’s feelings towards group work, need for cognition, self efficacy, metacognitive awareness and the study process questionnaires show a strong link to the learner’s childhood and how they learn today. The learner had medium to high scores in their feelings towards group work and the need for cognition questionnaire which relates directly to the learner’s family situation. This is also evident in the self efficacy and metacognitive awareness questionnaires, where the learner reported high scores, indicating that the learner is confident in their own abilities and that anxiety or self doubt is not a problem for them. This is also reflected in the results the learner achieved in the study process questionnaire, with the learner feeling competitive towards their results thus interpreting good grades as winning and bad as losing.…

    • 1164 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    Teaching Hospital Case

    • 3492 Words
    • 14 Pages

    Although it was frequently stated in the case that the executive committee were the one implementing mostly the changes (Conrad replacing Uric in particular), the group would still take the point of view of the provost. We believe that renal unit’s dilemma is not the main problem in this case. It may just be a representation of what is happening within the whole organization. Other units may also be going through the same situation as what the renal unit is experiencing.…

    • 3492 Words
    • 14 Pages
    Powerful Essays