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Dr. Respected is 77 years old and has been practicing medicine for 50 years. He is revered in his community and has been a major face of the largest hospital in the area for quite some time. He is in solo practice as a primary care physician. He is scaling down his practice some but makes rounds in the hospital every day and sees patients in his office.
In the hospital he now often consults others to help manage his patients. The care given and the outcomes are good. The nursing staff has been noticing that he is gradually declining and this has been passed on to administration. His comments to them are at times odd, and he forgets to sign his notes. A few orders have been for the wrong dose of a medication and the consultants have been correcting this. His patients love when he comes to visit them in the hospital.
Does the hospital have a responsibility to take away Dr. Respected's privileges? There have been no reports of bad outcomes. Does the hospital share a burden of responsibility for the care given at the physician's office where there are no consultants?
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