blame laundering is a hell of a drug. When your job is to do what's right for your patient, but "what's right" is determined be a superior organization beyond question, doing exactly what they say becomes the moral thing to do in your mind.
Couple that with the fact that deviating from the superior organization almost guarantees an expensive and crippling lawsuit, and you have a complete lack of actual medical practice.
blame laundering is a hell of a drug. When your job is to do what's right for your patient, but "what's right" is determined be a superior organization beyond question, doing exactly what they say becomes the moral thing to do in your mind.
Couple that with the fact that deviating from the superior organization almost guarantees an expensive and crippling lawsuit, and you have a complete lack of actual medical practice.