Academic consequences of a trauma system failure

R. P. Fischer, P. E. Pepe, R. L. Reed, D. H. Parks, F. D. Prentice, K. L. Mattox

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Houston is served by only two trauma centers: Hermann Hospital (University of Texas Medical School at Houston [UTMSH]), and Ben Taub General Hospital (Baylor College of Medicine). In mid-1988, Hermann Hospital, prompted by a shortage of ICU nurses and $8.0 million/yr of uncollectible trauma charges, began to divert critically ill and injured patients to the already overburdened Ben Taub General Hospital. The academic consequences to UTMSH included a severe loss of clinical experience by the surgical residents and medical students and a severe reduction in faculty-generated billing. The lost billing from the trauma service and the other clinical services approximated $8.0 million/yr. This equated to an $13.5 million decrease in the anticipated billings for the year. Alternative revenue sources were not apparent. Other centers with a heavy trauma system commitment are at risk to suffer similar unsettling academic sequelae as our trauma systems fail.

Original languageEnglish (US)
Pages (from-to)784-791
Number of pages8
JournalJournal of Trauma
Volume30
Issue number7
StatePublished - 1990

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Wounds and Injuries
Medical Schools
General Hospitals
Trauma Centers
Medical Students
Critical Illness
Nurses
Medicine

ASJC Scopus subject areas

  • Surgery

Cite this

Fischer, R. P., Pepe, P. E., Reed, R. L., Parks, D. H., Prentice, F. D., & Mattox, K. L. (1990). Academic consequences of a trauma system failure. Journal of Trauma, 30(7), 784-791.

Academic consequences of a trauma system failure. / Fischer, R. P.; Pepe, P. E.; Reed, R. L.; Parks, D. H.; Prentice, F. D.; Mattox, K. L.

In: Journal of Trauma, Vol. 30, No. 7, 1990, p. 784-791.

Research output: Contribution to journalArticle

Fischer, RP, Pepe, PE, Reed, RL, Parks, DH, Prentice, FD & Mattox, KL 1990, 'Academic consequences of a trauma system failure', Journal of Trauma, vol. 30, no. 7, pp. 784-791.
Fischer RP, Pepe PE, Reed RL, Parks DH, Prentice FD, Mattox KL. Academic consequences of a trauma system failure. Journal of Trauma. 1990;30(7):784-791.
Fischer, R. P. ; Pepe, P. E. ; Reed, R. L. ; Parks, D. H. ; Prentice, F. D. ; Mattox, K. L. / Academic consequences of a trauma system failure. In: Journal of Trauma. 1990 ; Vol. 30, No. 7. pp. 784-791.
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