What Should Students and Trainees Be Taught About Turfing and Where Patients Belong?

Link to article at PubMed

AMA J Ethics. 2023 Dec 1;25(12):E885-891. doi: 10.1001/amajethics.2023.885.


Turfing is a colloquialism that refers to what clinicians do to patients whose needs do not fit neatly and tidily into typical clinical placement protocols, especially during inpatient admissions from a hospital's emergency department. This term and this practice are both clinically and ethically problematic because a patient is rarely, if ever, "turfed" to their advantage. Ethically speaking, turfing constitutes deferral of responsibility for a patient's admission or care to colleagues. This article suggests when and under which circumstances it is clinically and ethically appropriate to defer a patient's care and suggests why turfing happens despite its negative influence on both physicians and patients.

PMID:38085991 | DOI:10.1001/amajethics.2023.885

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