Every day, in every hospital in America, the practice of medicine is carried out faithfully by dedicated providers intent on caring for their patients and educating tomorrow's workforce. But that practice takes place amidst the business of health care – and sometimes the two collide. Policies change, contracts end, administrations turn over. It can create uncertainty, especially for residency programs.
Such was the case for Summa Health System of Ohio, which underwent an unforeseen shift in emergency department contract providers during December. The abruptness of the change – a turnover on just 4 days' notice – prompted the EMRA Board of Directors to send an open letter to the EM community.