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Ann Thorac Surg 2001;71:1399-1400
© 2001 The Society of Thoracic Surgeons

Correspondence

Excellence and low case volume: Reply

Gerald L. Early, MDa, Shauna R. Roberts, MDa

a Department of Surgery, Kansas University Medical Center, Suite 1232, 3901 Rainbow Blvd, Kansas City, KS 66160, USA

e-mail: roberts52{at}aol.com

To the Editor

We appreciate Dr Chandra’s kind comments and are in agreement with his points. An appropriately functional system, an attitude expectant of quality, team relationships, and surgeon involvement are all vitally important in achieving good surgical results. This is a difficult time in health care, and surgeon involvement is perhaps more important than ever. As patients become cases and surgery becomes a business, we are enticed to turn toward a business ethic and abandon our traditional values. In addition, many historical patient advocates have fallen by the wayside. We need to reemphasize our role as caregivers and remain strong in our position of patient advocate, for we will define what is the lower limit of cost-sensitive quality care.


Related Article

Excellence and low case volume
Amit Chandra
Ann. Thorac. Surg. 2001 71: 1399. [Extract] [Full Text] [PDF]




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