External peer review work

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caligas

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Anyone found work doing anesthesia peer review for outside hospital systems? I’ve submitted CV on a bunch of sites that do “peer review” but never hear anything. Guessing everyone is just doing it internally, at least for anesthesia.
 
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caligas said:
Anyone found work doing anesthesia peer review for outside hospital systems? I’ve submitted CV on a bunch of sites but never hear anything. Guessing everyone is just doing it internally, at least for anesthesia.
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I’ve done internal peer review. It was pretty rare for our hospital to seek external assistance, as @Lab Lover alluded to.
 
In most states peer review activities are privileged when conducted within the medical staff. I don’t know if that protection extends to an external reviewer. Are frank statements or opinions by an external reviewer discoverable?
 
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cittykat said:
In most states peer review activities are privileged when conducted within the medical staff. I don’t know if that protection extends to an external reviewer. Are frank statements or opinions by an external reviewer discoverable?
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I’ve only seen this in extreme cases requiring external surgeon review of a case, so there is no conflict of interest if it’s a single group covering the hospital and it’s a specific issue at hand. It’s not a great process and the few I’ve seen were unsatisfactory.

Never seen or heard of it for anesthesiology. What OP is describing sounds more like med mal work.
 
Our PRC committee is mostly by hospital staff, but occasionally we send something out for a reviewer. I am on the hospital committee where I work even though I'm employed by our anesthesia group and not the hospital. I submit a timesheet, and the hospital pays the group, who pays me.
 
I used to do independent peer review for one of the companies. The pay was inadequate. It wasn’t worth the effort of putting together the reports.
I got faster the more that I did and had nice templates, but there was a problem when they sent you the epic charting materials. Epic is not meant to be printed out so if they wanted me to review a couple of epic cases that somebody did, I’d get 1000 pages to sort through. It took hours for the epic mess for the same $$. I have no interest in doing medmal cases, but that would be much more lucrative.
 
I actually kept doing it for a while just because it was interesting to read how terrible some anesthesiologists and surgeons are out there. I remember one Case was a straightforward laparoscopic pyloromyotomy. Our surgeons take 20 minutes to do this case. We give them Tylenol and local with sevo. I was going through the record trying to figure out what else they did because the case took like three hours. I couldn’t find it. I had to have them request additional materials to try to understand what they did, the surgeons note, etc. All they did was a three hour lap pyloromyotomy! If the surgeon is so terrible at pediatric cases and/or has no laparoscopic skills, They should just go open or transfer the kid to a real hospital. No wonder there were misadventures.
Then you have to try to find a way to tactfully say it looks like the standard of care was met, but it sounds like the surgeon is f’ing terrible.
 
IlDestriero said:
I used to do independent peer review for one of the companies. The pay was inadequate. It wasn’t worth the effort of putting together the reports.
I got faster the more that I did and had nice templates, but there was a problem when they sent you the epic charting materials. Epic is not meant to be printed out so if they wanted me to review a couple of epic cases that somebody did, I’d get 1000 pages to sort through. It took hours for the epic mess for the same $$. I have no interest in doing medmal cases, but that would be much more lucrative.
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Wonder if reviewing these charts could be completed much faster today by feeding them into an LLM with appropriate prompts
 
pgg said:
Depends.

Do you care if they're done correctly?

LLMs are still at the stage where they just confidently MAKE **** UP.
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Might actually catch this unicorn one day. But not yet.
 
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