Something similar happened to a friend, so it got me thinking of what I would do in this situation, and I really don't have a really good answer.
Say, an attending has his own way of managing a patient that differs from the standard of care, and won't listen to you (because well, you're just a resident, and he's the one putting his name and reputation on the line). The preference for the current standard of care is published in a prominent journal, but the difference between his way and the recommended method, though could impact patient care, isn't that great. It's not worth pursuing the issue, and higher ups won't do anything about it. But what if a lawsuit does result from this difference? Is there anything I could do to protect myself with direct evidence, that I offered the information to the attending, but was overruled–without pissing the attending off?
My friend's approach was to just send the paper to the attending, but that has seriously angered the attending (as you can probably imagine, the attending doesn't take well to criticisms). What would be a better method of leaving behind a trail of evidence, without provoking the attending? Will I get sued, if something does happen to the patient?
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