The editorial "Frayed ties that bind" (Sept. 11, p. 36) captures the attitude many hospital executives have toward physicians in terms of the healthcare hierarchy.
Some physicians may find the editorial condescending or insulting. I believe it is educational.
The editorial's view is refreshing in its candor: "In many ways, the relationship between hospital management and medical staffs is similar to that of parents and teen-agers." And, "Hospital managers, like parents, need to encourage and give incentive to their charges (physicians) to accept new responsibilities."
Too often hospitals' behavior and views toward physicians are cloaked in euphemistic images of collegiality. The editorial provides a rare and insightful glimpse at the view of physicians as subordinates that is held by many hospital and health system executives.
This should be yet another wake-up call for physicians to organize and integrate independently and not trust their futures to the kindness of strangers--or would-be parents.