WASHINGTON, DC—In one of the first sessions at the American Academy of Otolaryngology–Head and Neck Surgery annual meeting, otolaryngologists made it overwhelmingly clear that they believe they should be paid for being on call for emergencies and consultations.
Explore this issue:December 2007
Steven F. Isenberg, MD, a physician in private practice in Indianapolis, was one of the two moderators. He summarized the critical points by saying that payment would improve the quality of health care, ensure fairness for physicians, and increase access to care. Some specialties—for instance, the American Academy of Neurology—have policies that link call reimbursement with high-quality health care. The AAO–HNS has determined that call compensation is “ethical.”
Health Care Quality
“Caring for patients around the clock without regard to adequate time off creates risks for patients and health care concerns for physicians,” said Dr. Isenberg, referring specifically to the mental and motor incapacity that arises from sleepiness and fatigue, which is physiologically the same as alcohol intoxication, and which can result in impaired performance, an increased chance of medical errors, and a generally negative effect on medical practice. He noted that airlines do not hesitate to cancel flights, regardless of how annoying and inconvenient for passengers, if crews would have to work into their mandated rest time. Sufficient rest is equally important for physicians, he said.