Do people really, regularly consult medical department heads?
Like on House. Because they work together, House's team can consult Wilson pretty much at will, as if there are no other oncologists in the world. Do the heads of medical departments really take on as many (or more) patients than him? Do they usually do routine checkups like that for other people?
Comments
In the real world of hospitals, head of departments aren't even seeing patients, they do what Cuddy does on the show: administrative desk work. They assign vacations for everyone, organize work schedules and classes for their residents, and oversee patient charts to see if any recurrent problems arise to try to find ways to prevent or reduce them (like an increase in patients dying because the ER is sending them to their service ward when the attending doctor of that shift isn't scheduled to work yet). In mexican public hospitals, they earn the exact same amount of cash as everyone else, rarely if ever see patients and if no doctor shows up on a given shift because one of them is on vacations and the other called in sick or something, the department head is forced to show up for work with no overtime. This could happen in the weekend with no notice which really sucks for them.
I still can see House having a close relationship with Wilson in real life since both are Internal Medical doctors. They both did an IM residency even if it was in different places so they have similar interests in medicine and can relate to eachother because they see similar types of patients and do similar procedures. It's much more unusual to see a surgeon and internist hanging around together asking eachother advice on their patients.
Since House works at a tertiary hospital it's likely there's more than 1 Oncologist but he's such an abrasive person, most people that work at that hospital hates him. Most of the internists working there can't stand House. In smaller community hospitals there's usually only 1 specialist in the smaller specialties so even if you may not like this given person, you still need to ask him for medical advice whether you like it or not.
In reality I'm much more frustrated that House doesn't have a group of 20 residents or interns doing all of the scut work and that they only focus all day on 1 oddball case. In the real world, a given attending is assigned to see patients on a specific number of beds whether the patient has a common or exotic disease. If they have a patient with something weird, they ask other coworkers for advice or order their resident to fetch a specialist for an interconsult. An attending doesn't do the jobs of X-ray techs, nurses, cops, etc... You focus on your 8 patients, do their notes, order tests for the resident to do and see the progress tomorrow. Once your shift is over, the patient becomes the responsibility of the afternoon, evening or weekend doctor.
Oh, and in House, 50% of the cases aren't even oddball, the show is written in such a way that the doctor do crappy clinical charts, don't interview the patient and waste time and resources ordering expensive tests left and right and eventually come to a usually obvious disease. If they did a good chart, half of their diagnoses would be done in 10 minutes.
1
No. She failed as Arizona's governor ($two billion price range gap that myself and different Arizonans get to pay for), she moved directly to being a failure on a countrywide degree. She's been sucking as much as unlawful extraterrestrial beings for years, so no surprises there. In the individual sector you get one risk to end up the Peter Principle, I wager in executive the possibilities are never-ending so long as you kiss the correct butts. By the best way, Sheriff Joe is a shameless media hack. So any spats among Comrade Napolitano and Sheriff Joe is a combat among 2 losers.
It's a TV show. What more can I say without getting thumbed down.