Integrity - EM physician integrity is under attack
-Hospital is venue to admit and provide tools and tech for doctors to work.
-Need hospital based specialists (such as ER physician)
-Older system - sign exclusive contract to allow doc to see patients in hospital; hospital provides space and support staff.
-Contract holders: Small group, single person, corporation
Potential for trouble: Contract holder wants to pay physicians as little as possible, hire the most unqualified physician, and control doctors with ability to fire troublemakers and incur penalties for leaving.
Corporate Practice of Medicine
How to protect EM Physicians