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Surgical Innovation
December 4, 2019

Developing an Onboarding Framework for Surgeons in Expanding Health Systems

Author Affiliations
  • 1Ariadne Labs, Brigham and Women’s Hospital, Harvard T. H. Chan School of Public Health, Boston, Massachusetts
  • 2Department of Surgery, Brigham and Women’s Hospital, Boston, Massachusetts
  • 3Department of Family Medicine and Community Health, Duke University Health System, Durham, North Carolina
JAMA Surg. Published online December 4, 2019. doi:10.1001/jamasurg.2019.4420

As US health systems continue to expand via mergers and acquisitions, surgeons are often required to provide patient care at new practice sites under unique practice arrangements with different teams, resources, processes, and cultures compared with their primary institutions.1,2 We developed a surgeon onboarding framework to address major patient safety risks faced by so-called traveling surgeons when they are deployed to unfamiliar institutions, such as scheduling appropriate patients for surgery or running a code effectively. The framework includes an onboarding tool and its implementation guide.

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