Trauma Attending Physician Continuity: Does it Make a Difference?

Continuity of care is important in achieving optimal outcomes in trauma patients, but the optimal length of the trauma attending (TA) rotation is unknown. We hypothesize that longer TA rotations provide greater continuity, and therefore improve outcomes. We did a retrospective comparison of trauma p...

Celý popis

Uloženo v:

Podrobná bibliografie
Vydáno v:	The American surgeon Ročník 76; číslo 1; s. 48 - 54
Hlavní autoři:	Jacobs, David G., Sarafin, Jennifer L., Head, Karen E., Christmas, A Britt, Huynh, Toan, Miles, William S., Sing, Ronald F.
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States SAGE PUBLICATIONS, INC 01.01.2010
Témata:	Adult Continuity of Patient Care Emergency medical care Female Hospitals Humans Length of Stay Male Medical Staff, Hospital - organization & administration Morbidity North Carolina Personnel Staffing and Scheduling Physicians Retrospective Studies Studies Treatment Outcome Wounds and Injuries - complications Wounds and Injuries - therapy North Carolina
ISSN:	0003-1348, 1555-9823
On-line přístup:	Získat plný text
Tagy:	Přidat tag Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!

Abstract	Continuity of care is important in achieving optimal outcomes in trauma patients, but the optimal length of the trauma attending (TA) rotation is unknown. We hypothesize that longer TA rotations provide greater continuity, and therefore improve outcomes. We did a retrospective comparison of trauma patient outcomes from two consecutive 6-month periods during which we transitioned from a 1-month TA rotation to a 1-week TA rotation. The Wilcoxon rank sum test, and the χ 2 were used for statistical analysis. Over the 12-month study period 1924 patients were admitted to the Trauma Service. The two groups were similar with regard to age, gender, injury mechanism, Injury Severity Score and Glasgow Coma Scale scores, and Abbreviated Injury Scores for the chest, abdomen, and extremities. Although mortality, patient charges, and violations of the standard of care were similar between the two groups, overall morbidity was lower (18.6% vs 23.2%), and hospital length of stay higher (9.07 days vs 8.41 days) in the 1-week TA group compared with the 1-month TA group. A one-week TA rotation was associated with a longer hospital length of stay, but improved morbidity. Longer TA rotations do not necessarily provide improved continuity or improved outcomes.
AbstractList	Continuity of care is important in achieving optimal outcomes in trauma patients, but the optimal length of the trauma attending (TA) rotation is unknown. We hypothesize that longer TA rotations provide greater continuity, and therefore improve outcomes. We did a retrospective comparison of trauma patient outcomes from two consecutive 6-month periods during which we transitioned from a 1-month TA rotation to a 1-week TA rotation. The Wilcoxon rank sum test, and the χ^sup 2^ were used for statistical analysis. Over the 12-month study period 1924 patients were admitted to the Trauma Service. The two groups were similar with regard to age, gender, injury mechanism, Injury Severity Score and Glasgow Coma Scale scores, and Abbreviated Injury Scores for the chest, abdomen, and extremities. Although mortality, patient charges, and violations of the standard of care were similar between the two groups, overall morbidity was lower (18.6% vs 23.2%), and hospital length of stay higher (9.07 days vs 8.41 days) in the 1-week TA group compared with the 1-month TA group. A one-week TA rotation was associated with a longer hospital length of stay, but improved morbidity. Longer TA rotations do not necessarily provide improved continuity or improved outcomes. [PUBLICATION ABSTRACT] Continuity of care is important in achieving optimal outcomes in trauma patients, but the optimal length of the trauma attending (TA) rotation is unknown. We hypothesize that longer TA rotations provide greater continuity, and therefore improve outcomes. We did a retrospective comparison of trauma patient outcomes from two consecutive 6-month periods during which we transitioned from a 1-month TA rotation to a 1-week TA rotation. The Wilcoxon rank sum test, and the chi2 were used for statistical analysis. Over the 12-month study period 1924 patients were admitted to the Trauma Service. The two groups were similar with regard to age, gender, injury mechanism, Injury Severity Score and Glasgow Coma Scale scores, and Abbreviated Injury Scores for the chest, abdomen, and extremities. Although mortality, patient charges, and violations of the standard of care were similar between the two groups, overall morbidity was lower (18.6% vs. 23.2%), and hospital length of stay higher (9.07 days vs. 8.41 days) in the 1-week TA group compared with the 1-month TA group. A one-week TA rotation was associated with a longer hospital length of stay, but improved morbidity. Longer TA rotations do not necessarily provide improved continuity or improved outcomes. Continuity of care is important in achieving optimal outcomes in trauma patients, but the optimal length of the trauma attending (TA) rotation is unknown. We hypothesize that longer TA rotations provide greater continuity, and therefore improve outcomes. We did a retrospective comparison of trauma patient outcomes from two consecutive 6-month periods during which we transitioned from a 1-month TA rotation to a 1-week TA rotation. The Wilcoxon rank sum test, and the chi2 were used for statistical analysis. Over the 12-month study period 1924 patients were admitted to the Trauma Service. The two groups were similar with regard to age, gender, injury mechanism, Injury Severity Score and Glasgow Coma Scale scores, and Abbreviated Injury Scores for the chest, abdomen, and extremities. Although mortality, patient charges, and violations of the standard of care were similar between the two groups, overall morbidity was lower (18.6% vs. 23.2%), and hospital length of stay higher (9.07 days vs. 8.41 days) in the 1-week TA group compared with the 1-month TA group. A one-week TA rotation was associated with a longer hospital length of stay, but improved morbidity. Longer TA rotations do not necessarily provide improved continuity or improved outcomes.Continuity of care is important in achieving optimal outcomes in trauma patients, but the optimal length of the trauma attending (TA) rotation is unknown. We hypothesize that longer TA rotations provide greater continuity, and therefore improve outcomes. We did a retrospective comparison of trauma patient outcomes from two consecutive 6-month periods during which we transitioned from a 1-month TA rotation to a 1-week TA rotation. The Wilcoxon rank sum test, and the chi2 were used for statistical analysis. Over the 12-month study period 1924 patients were admitted to the Trauma Service. The two groups were similar with regard to age, gender, injury mechanism, Injury Severity Score and Glasgow Coma Scale scores, and Abbreviated Injury Scores for the chest, abdomen, and extremities. Although mortality, patient charges, and violations of the standard of care were similar between the two groups, overall morbidity was lower (18.6% vs. 23.2%), and hospital length of stay higher (9.07 days vs. 8.41 days) in the 1-week TA group compared with the 1-month TA group. A one-week TA rotation was associated with a longer hospital length of stay, but improved morbidity. Longer TA rotations do not necessarily provide improved continuity or improved outcomes. Continuity of care is important in achieving optimal outcomes in trauma patients, but the optimal length of the trauma attending (TA) rotation is unknown. We hypothesize that longer TA rotations provide greater continuity, and therefore improve outcomes. We did a retrospective comparison of trauma patient outcomes from two consecutive 6-month periods during which we transitioned from a 1-month TA rotation to a 1-week TA rotation. The Wilcoxon rank sum test, and the χ 2 were used for statistical analysis. Over the 12-month study period 1924 patients were admitted to the Trauma Service. The two groups were similar with regard to age, gender, injury mechanism, Injury Severity Score and Glasgow Coma Scale scores, and Abbreviated Injury Scores for the chest, abdomen, and extremities. Although mortality, patient charges, and violations of the standard of care were similar between the two groups, overall morbidity was lower (18.6% vs 23.2%), and hospital length of stay higher (9.07 days vs 8.41 days) in the 1-week TA group compared with the 1-month TA group. A one-week TA rotation was associated with a longer hospital length of stay, but improved morbidity. Longer TA rotations do not necessarily provide improved continuity or improved outcomes.
Author	Jacobs, David G. Sing, Ronald F. Sarafin, Jennifer L. Huynh, Toan Christmas, A Britt Head, Karen E. Miles, William S.
Author_xml	– sequence: 1 givenname: David G. surname: Jacobs fullname: Jacobs, David G. organization: F.H. “Sammy” Ross Trauma Institute, Carolinas Medical Center, Charlotte, North Carolina – sequence: 2 givenname: Jennifer L. surname: Sarafin fullname: Sarafin, Jennifer L. organization: F.H. “Sammy” Ross Trauma Institute, Carolinas Medical Center, Charlotte, North Carolina – sequence: 3 givenname: Karen E. surname: Head fullname: Head, Karen E. organization: F.H. “Sammy” Ross Trauma Institute, Carolinas Medical Center, Charlotte, North Carolina – sequence: 4 givenname: A Britt surname: Christmas fullname: Christmas, A Britt organization: F.H. “Sammy” Ross Trauma Institute, Carolinas Medical Center, Charlotte, North Carolina – sequence: 5 givenname: Toan surname: Huynh fullname: Huynh, Toan organization: F.H. “Sammy” Ross Trauma Institute, Carolinas Medical Center, Charlotte, North Carolina – sequence: 6 givenname: William S. surname: Miles fullname: Miles, William S. organization: F.H. “Sammy” Ross Trauma Institute, Carolinas Medical Center, Charlotte, North Carolina – sequence: 7 givenname: Ronald F. surname: Sing fullname: Sing, Ronald F. organization: F.H. “Sammy” Ross Trauma Institute, Carolinas Medical Center, Charlotte, North Carolina
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/20135939$$D View this record in MEDLINE/PubMed
BookMark	eNp9kTtPxDAQhC0EguPxByhQREMVWMeJY9Og0_GUQFBAbW2cDRjuHLCd4v49OQENSFSrlb4ZjWa22brvPTG2z-GY87o-AQDBRak4QC0BOIc1NuFVVeVaFWKdTVZAviK22HaMr-Nbyopvsq0CuKi00BM2fQw4LDCbpkS-df45e3hZRmcd-mzW--T84NLyNDvvKWYuZXf4Rhlm567rKJC3dLbLNjqcR9r7vjvs6fLicXad395f3cymt7kVhU45tmhLbIS1nGogDVI1HRFy7LRuUepCjcm1gko2NZFUAlHJotNNq6tSothhR1--76H_GCgms3DR0nyOnvohmloIqSul-Ege_iJf-yH4MZzhugQOAlbQwTc0NAtqzXtwCwxL81PNCKgvwIY-xkCdsS5hcmMpAd3ccDCrFczfFUZp8Uv64_6P6BOzKoX1
CitedBy_id	crossref_primary_10_1136_bmjopen_2017_021161
Cites_doi	10.1097/00005373-199703000-00017 10.1097/00005650-198302000-00010 10.1097/00005373-200209000-00017 10.1001/archsurg.140.3.230 10.1097/00005373-199904000-00001 10.1370/afm.63 10.1001/archinte.161.21.2631-a 10.1186/1471-2296-6-40 10.1177/000313480106700701 10.1067/msy.2001.116670 10.1097/00005373-199909000-00028 10.1046/j.1525-1497.2003.20605.x 10.1097/00005373-199310000-00010 10.1177/000313480607200109 10.1097/01.ta.0000222384.18838.02 10.1097/01.sla.0000220042.48310.66 10.1111/j.1525-1497.2004.30408.x 10.1016/j.jpedsurg.2004.09.029 10.1177/0885713X9501000104 10.1097/01.TA.0000071621.39088.7B 10.1016/j.jamcollsurg.2004.11.009
ContentType	Journal Article
Copyright	Copyright Southeastern Surgical Congress Jan 2010
Copyright_xml	– notice: Copyright Southeastern Surgical Congress Jan 2010
DBID	AAYXX CITATION CGR CUY CVF ECM EIF NPM 3V. 4T- 4U- 7QL 7RV 7T7 7U9 7X7 7XB 88E 88I 8AF 8AO 8FD 8FI 8FJ 8FK 8G5 ABUWG AFKRA AZQEC BENPR C1K CCPQU DWQXO FR3 FYUFA GHDGH GNUQQ GUQSH H94 HCIFZ K9- K9. KB0 M0R M0S M1P M2O M2P M7N MBDVC NAPCQ P64 PHGZM PHGZT PJZUB PKEHL PPXIY PQEST PQQKQ PQUKI PRINS Q9U S0X 7X8
DOI	10.1177/000313481007600110
DatabaseName	CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed ProQuest Central (Corporate) Docstoc University Readers Bacteriology Abstracts (Microbiology B) Nursing & Allied Health Database Industrial and Applied Microbiology Abstracts (Microbiology A) Virology and AIDS Abstracts ProQuest Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) Science Database (Alumni Edition) STEM Database ProQuest Pharma Collection Technology Research Database Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) Research Library ProQuest Central (Alumni) ProQuest Central UK/Ireland ProQuest Central Essentials Proquest Central Journals Environmental Sciences and Pollution Management ProQuest One Community College ProQuest Central Engineering Research Database Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student Research Library Prep AIDS and Cancer Research Abstracts SciTech Premium Collection Consumer Health Database ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) Consumer Health Database ProQuest Health & Medical Collection PML(ProQuest Medical Library) ProQuest Research Library Science Database Algology Mycology and Protozoology Abstracts (Microbiology C) Research Library (Corporate) Nursing & Allied Health Premium Biotechnology and BioEngineering Abstracts ProQuest Central Premium ProQuest One Academic ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic (retired) ProQuest One Academic UKI Edition ProQuest Central China ProQuest Central Basic SIRS Editorial MEDLINE - Academic
DatabaseTitle	CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) Research Library Prep ProQuest Central Student ProQuest Central Essentials ProQuest AP Science SciTech Premium Collection ProQuest Central China Environmental Sciences and Pollution Management Health Research Premium Collection Health & Medical Research Collection Industrial and Applied Microbiology Abstracts (Microbiology A) ProQuest Central (New) ProQuest Medical Library (Alumni) Virology and AIDS Abstracts ProQuest Science Journals (Alumni Edition) ProQuest Family Health ProQuest One Academic Eastern Edition ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Hospital Collection (Alumni) Biotechnology and BioEngineering Abstracts Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest One Academic UKI Edition Docstoc ProQuest Nursing & Allied Health Source (Alumni) Engineering Research Database ProQuest One Academic ProQuest One Academic (New) University Readers Technology Research Database ProQuest One Academic Middle East (New) SIRS Editorial ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing Research Library (Alumni Edition) ProQuest Pharma Collection ProQuest Family Health (Alumni Edition) ProQuest Central ProQuest Health & Medical Research Collection Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Bacteriology Abstracts (Microbiology B) Algology Mycology and Protozoology Abstracts (Microbiology C) AIDS and Cancer Research Abstracts ProQuest Research Library ProQuest Central Basic ProQuest Science Journals ProQuest Nursing & Allied Health Source ProQuest Medical Library ProQuest Central (Alumni) MEDLINE - Academic
DatabaseTitleList	Research Library Prep MEDLINE MEDLINE - Academic CrossRef
Database_xml	– sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: BENPR name: ProQuest Central url: https://www.proquest.com/central sourceTypes: Aggregation Database
DeliveryMethod	fulltext_linktorsrc
EISSN	1555-9823
EndPage	54
ExternalDocumentID	2020846771 20135939 10_1177_000313481007600110
Genre	Journal Article Comparative Study
GeographicLocations	North Carolina
GeographicLocations_xml	– name: North Carolina
GroupedDBID	--- .55 .GJ 0R~ 23M 36B 53G 5GY 5RE 6J9 7RV 7X7 88E 88I 8AF 8AO 8FI 8FJ 8G5 8R4 8R5 96U AABMB AACMV AADEU AADUE AAEWN AAGKA AAKGS AAOJP AAPII AAQQT AAQXI AARIX AATAA AAWTL AAYXX ABCQX ABIDT ABJNI ABJZC ABKRH ABLUO ABOCM ABPNF ABRHV ABUAX ABUJY ABUWG ACARO ACFEJ ACGFO ACGOD ACIHN ACLFY ACOFE ACOXC ACPRK ACROE ACSIQ ACUAV ACUIR ACXKE ACXMB ADBBV ADEBD ADHBN ADRRZ ADVBO AEAQA AENEX AESZF AEWHI AEXNY AFFHD AFFNX AFKRA AFMOU AFQAA AFRAH AFUIA AGHKR AGKLV AGNHF AGPXR AHDMH AHMBA AJGYC AJHME AJVBE AJXAJ ALKWR ALMA_UNASSIGNED_HOLDINGS ANDLU ARTOV AZQEC BENPR BKEYQ BKNYI BKSCU BPACV BPHCQ BVXVI CCPQU CDWPY CFDXU CITATION DC- DF. DWQXO EBD EBS EJD EMB EMOBN EX3 F5P FHBDP FYUFA GNUQQ GUQSH H13 HCIFZ HMCUK J5H J8X K9- L7B M0R M1P M2O M2P M2Q NAPCQ P2P PHGZM PHGZT PJZUB PPXIY PQQKQ PROAC PSQYO Q2X RWL RXW S0X SASJQ SAUOL SCNPE SFC SV3 TAE U5U UDS UKHRP UNMZH WH7 WOW X6Y X7M ZE2 ZGI ZONMY ZRKOI ZSSAH ZXP ALIPV ALTZF CGR CUY CVF ECM EIF M4V NPM 3V. 4T- 4U- 7QL 7T7 7U9 7XB 8FD 8FK C1K FR3 H94 K9. M7N MBDVC P64 PKEHL PQEST PQUKI PRINS Q9U 7X8
ID	FETCH-LOGICAL-c329t-adac4ab3cc1e70e9068bfeea1af99da692855598056b7ee683aa862f9bd9546a3
IEDL.DBID	BENPR
ISICitedReferencesCount	3
ISICitedReferencesURI	http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000273834200010&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN	0003-1348
IngestDate	Sun Nov 09 12:12:35 EST 2025 Tue Oct 07 05:22:23 EDT 2025 Thu Apr 03 07:01:54 EDT 2025 Sat Nov 29 08:09:26 EST 2025 Tue Nov 18 19:56:02 EST 2025
IsPeerReviewed	true
IsScholarly	true
Issue	1
Language	English
License	https://journals.sagepub.com/page/policies/text-and-data-mining-license
LinkModel	DirectLink
MergedId	FETCHMERGED-LOGICAL-c329t-adac4ab3cc1e70e9068bfeea1af99da692855598056b7ee683aa862f9bd9546a3
Notes	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 14 content type line 23
PMID	20135939
PQID	194010301
PQPubID	49079
PageCount	7
ParticipantIDs	proquest_miscellaneous_733695881 proquest_journals_194010301 pubmed_primary_20135939 crossref_citationtrail_10_1177_000313481007600110 crossref_primary_10_1177_000313481007600110
PublicationCentury	2000
PublicationDate	2010-01-00 2010-Jan 20100101
PublicationDateYYYYMMDD	2010-01-01
PublicationDate_xml	– month: 01 year: 2010 text: 2010-01-00
PublicationDecade	2010
PublicationPlace	United States
PublicationPlace_xml	– name: United States – name: Atlanta
PublicationTitle	The American surgeon
PublicationTitleAlternate	Am Surg
PublicationYear	2010
Publisher	SAGE PUBLICATIONS, INC
Publisher_xml	– name: SAGE PUBLICATIONS, INC
References	bibr6-000313481007600110 bibr23-000313481007600110 bibr22-000313481007600110 Sturmberg J.P. (bibr14-000313481007600110) 2001; 30 Porter J.M. (bibr2-000313481007600110) 2001; 67 bibr9-000313481007600110 bibr4-000313481007600110 bibr3-000313481007600110 bibr5-000313481007600110 bibr8-000313481007600110 bibr7-000313481007600110 bibr1-000313481007600110 bibr17-000313481007600110 bibr15-000313481007600110 bibr16-000313481007600110 bibr18-000313481007600110 bibr20-000313481007600110 Harding J. (bibr13-000313481007600110) 1991; 17 bibr19-000313481007600110 bibr21-000313481007600110 bibr12-000313481007600110 bibr10-000313481007600110 bibr11-000313481007600110
References_xml	– ident: bibr7-000313481007600110 doi: 10.1097/00005373-199703000-00017 – ident: bibr17-000313481007600110 doi: 10.1097/00005650-198302000-00010 – ident: bibr5-000313481007600110 doi: 10.1097/00005373-200209000-00017 – ident: bibr11-000313481007600110 doi: 10.1001/archsurg.140.3.230 – ident: bibr4-000313481007600110 doi: 10.1097/00005373-199904000-00001 – ident: bibr15-000313481007600110 doi: 10.1370/afm.63 – ident: bibr18-000313481007600110 doi: 10.1001/archinte.161.21.2631-a – volume: 30 start-page: 513 year: 2001 ident: bibr14-000313481007600110 publication-title: Aust Fam Physician – ident: bibr16-000313481007600110 doi: 10.1186/1471-2296-6-40 – volume: 67 start-page: 611 year: 2001 ident: bibr2-000313481007600110 publication-title: Am Surg doi: 10.1177/000313480106700701 – volume: 17 start-page: 41 year: 1991 ident: bibr13-000313481007600110 publication-title: Physician Exec – ident: bibr22-000313481007600110 doi: 10.1067/msy.2001.116670 – ident: bibr6-000313481007600110 doi: 10.1097/00005373-199909000-00028 – ident: bibr21-000313481007600110 doi: 10.1046/j.1525-1497.2003.20605.x – ident: bibr1-000313481007600110 doi: 10.1097/00005373-199310000-00010 – ident: bibr9-000313481007600110 doi: 10.1177/000313480607200109 – ident: bibr12-000313481007600110 doi: 10.1097/01.ta.0000222384.18838.02 – ident: bibr10-000313481007600110 doi: 10.1097/01.sla.0000220042.48310.66 – ident: bibr20-000313481007600110 doi: 10.1111/j.1525-1497.2004.30408.x – ident: bibr8-000313481007600110 doi: 10.1016/j.jpedsurg.2004.09.029 – ident: bibr23-000313481007600110 doi: 10.1177/0885713X9501000104 – ident: bibr3-000313481007600110 doi: 10.1097/01.TA.0000071621.39088.7B – ident: bibr19-000313481007600110 doi: 10.1016/j.jamcollsurg.2004.11.009
SSID	ssj0004651
Score	1.896036
Snippet	Continuity of care is important in achieving optimal outcomes in trauma patients, but the optimal length of the trauma attending (TA) rotation is unknown. We...
SourceID	proquest pubmed crossref
SourceType	Aggregation Database Index Database Enrichment Source
StartPage	48
SubjectTerms	Adult Continuity of Patient Care Emergency medical care Female Hospitals Humans Length of Stay Male Medical Staff, Hospital - organization & administration Morbidity North Carolina Personnel Staffing and Scheduling Physicians Retrospective Studies Studies Treatment Outcome Wounds and Injuries - complications Wounds and Injuries - therapy
Title	Trauma Attending Physician Continuity: Does it Make a Difference?
URI	https://www.ncbi.nlm.nih.gov/pubmed/20135939 https://www.proquest.com/docview/194010301 https://www.proquest.com/docview/733695881
Volume	76
WOSCitedRecordID	wos000273834200010&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText	1
inHoldings	1
isFullTextHit
isPrint
journalDatabaseRights	– providerCode: PRVPQU databaseName: Consumer Health Database customDbUrl: eissn: 1555-9823 dateEnd: 20211231 omitProxy: false ssIdentifier: ssj0004651 issn: 0003-1348 databaseCode: M0R dateStart: 19971201 isFulltext: true titleUrlDefault: https://search.proquest.com/familyhealth providerName: ProQuest – providerCode: PRVPQU databaseName: Nursing & Allied Health Database customDbUrl: eissn: 1555-9823 dateEnd: 20211231 omitProxy: false ssIdentifier: ssj0004651 issn: 0003-1348 databaseCode: 7RV dateStart: 19971201 isFulltext: true titleUrlDefault: https://search.proquest.com/nahs providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest Central customDbUrl: eissn: 1555-9823 dateEnd: 20211231 omitProxy: false ssIdentifier: ssj0004651 issn: 0003-1348 databaseCode: BENPR dateStart: 19971201 isFulltext: true titleUrlDefault: https://www.proquest.com/central providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest Health & Medical Collection customDbUrl: eissn: 1555-9823 dateEnd: 20211231 omitProxy: false ssIdentifier: ssj0004651 issn: 0003-1348 databaseCode: 7X7 dateStart: 19971201 isFulltext: true titleUrlDefault: https://search.proquest.com/healthcomplete providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest Research Library customDbUrl: eissn: 1555-9823 dateEnd: 20211231 omitProxy: false ssIdentifier: ssj0004651 issn: 0003-1348 databaseCode: M2O dateStart: 19971201 isFulltext: true titleUrlDefault: https://search.proquest.com/pqrl providerName: ProQuest – providerCode: PRVPQU databaseName: Science Database customDbUrl: eissn: 1555-9823 dateEnd: 20211231 omitProxy: false ssIdentifier: ssj0004651 issn: 0003-1348 databaseCode: M2P dateStart: 19971201 isFulltext: true titleUrlDefault: https://search.proquest.com/sciencejournals providerName: ProQuest
link	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3BjtMwEB3RlgOXBcQC3YXKB24o2rhOYpvLqtBWHGipKkC9RY49kapd0m6T7vdjJ05UCdELl5GSOHY0sT3jsec9gA-GxxkXjAWZoVkQJaEMMusmBGinyRh1bhitE4W_8eVSbDZy5c_mlP5YZTsn1hO12WkXI7-xi21HSRDS2_1D4Eij3OaqZ9DowcABlUV9GHyeLVfrk8TIuKPMoywSbdYMr1EbmbtFm70p6lJoTy3TP9zN2uzMn__nB7-AC-9vkknTQV7CEyxewcRaqONvRSaVi4Bb40VWbYCDOLiqbXG0zvknMt1hSbYVWag7JIpMPZmKxttL-Dmf_fjyNfBcCoFmY1kFyigdqYxpTZGHKMNEZDmioiqX0qhEjkXssNqtP5RxxEQwpexiJ5eZkXGUKPYa-sWuwLdAuBG5s-1G5TqiaGvgEjVDY2Qu9FgOgbZ6TLUHGnd8F_cpbbHF_9L9ED527-wbmI2zpa9blad-yJVpp-8hkO6pHStuA0QVuDuWqYN-lLEQtsib5qd2jVk_iMWSyauzVV_Ds-b0gAvBvIN-dTjie3iqH6tteRhBj69_ObnhtRQj3x_t1SKs5fh7LVd_ABdz46s
linkProvider	ProQuest
linkToHtml	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1LT9wwEB7xqEQvQNWWLk8f2lMVdR0nsY2EVisWBGJZoQoQt9SxJ9IKmqUkC-JH8R-x89JKFdw4cE0cJ8qMZj6PPd8H8N3wMOGCMS8xNPGCqCu9xMIED22YDFGnhtGyUXjIRyNxdSXP5uCp6YVxxyqbmFgGajPRrkb-yy62nSRBl_Zu_3lONMptrjYKGpVXnODjg12x5XvHA2veH75_eHC-f-TVogKeZr4sPGWUDlTCtKbIuyi7kUhSREVVKqVRkfRF6EjLLTBIOGIkmFIW9acyMTIMIsXsvPOwaMM4dSfI-O_LmTbMsBXooywQTY8OLzkimbtEq50w6hp2Z_PgC-C2THKHK-_s96zCco2mSb9y_08wh9ln6Nv8O_2rSL9w9X2bmslZU74hjoxrnE3t0mOXDCaYk3FBTtU1EkUGtVSMxt4XuHiTr_4KC9kkw29AuBGpQy5GpTqgaGfgEjVDY2QqtC87QBu7xbqmUXdqHjcxbZjT_7N1B362z9xWJCKvjt5oTBzXASWPW_t2gLR3bSRw2zsqw8k0jx2xpQyFsEPWKidqX2ZRHgslk-uvTr0DS0fnp8N4eDw62YCP1TkJV2zahIXibopb8EHfF-P8brv0ewJ_3tqTngGHSjwT
linkToPdf	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V3da9RAEB9qK-KLrdSPs7Xug32S0Gw2ye4KUg6vR0vrcYhC3-JmdwKHba42OcU_zf_OnXxREPvWh74mm03IzM73_AbgrZNJLpUQQe54HsRpqIPcmwkBejGZoC2c4E2j8JmczdT5uZ6vwZ--F4bKKnuZ2Ahqt7QUIz_wzjaNJAj5QdFVRcwn08OrHwENkKJEaz9No-WQU_z9y3tv1YeTiSf1fhRNj758PA66AQOBFZGuA-OMjU0urOUoQ9RhqvIC0XBTaO1MqiOVEIC5NxJyiZgqYYz3AAqdO53EqRF-3wewISk3SFWD4ecbLZnJMKyPi1j1_TqywYsUdIm3WTFOzbs3deJ_DN1G4U037_Gv2oInnZXNxu2xeAprWG7D2Ovl1aVh45ri_l5ls3kf1mEE0rUoV94lec8mS6zYomafzHdkhk26ETIWD5_B1zv56uewXi5LfAlMOlWQReNMYWOOfgep0Qp0ThfKRnoEvKdhZjt4dZrycZHxHlH9H7qP4N3wzFULLnLr6p2e3FknaKpsoPUI2HDXSwhK-5gSl6sqI8BLnSjll7xoGWp4mbf-RKKFfnXr1m_gkWeg7OxkdroDj9vyCYpB7cJ6fb3C1_DQ_qwX1fVecwQYfLtrRvoLOXdEsA
openUrl	ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Trauma+Attending+Physician+Continuity%3A+Does+it+Make+a+Difference%3F&rft.jtitle=The+American+surgeon&rft.au=Jacobs%2C+David+G.&rft.au=Sarafin%2C+Jennifer+L.&rft.au=Head%2C+Karen+E.&rft.au=Christmas%2C+A+Britt&rft.date=2010-01-01&rft.issn=0003-1348&rft.eissn=1555-9823&rft.volume=76&rft.issue=1&rft.spage=48&rft.epage=54&rft_id=info:doi/10.1177%2F000313481007600110&rft.externalDBID=n%2Fa&rft.externalDocID=10_1177_000313481007600110
thumbnail_l	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0003-1348&client=summon
thumbnail_m	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0003-1348&client=summon
thumbnail_s	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0003-1348&client=summon