Academic consequences of a trauma system failure

J Trauma. 1990 Jul;30(7):784-90; discussion 790-1. doi: 10.1097/00005373-199007000-00004.


Houston is served by only two trauma centers: Hermann Hospital (University of Texas Medical School at Houston [UTMSH]), and Ben Taub General Hospital (Baylor College of Medicine). In mid-1988, Hermann Hospital, prompted by a shortage of ICU nurses and +8.0 million/yr of uncollectible trauma charges, began to divert critically ill and injured patients to the already overburdened Ben Taub General Hospital. The academic consequences to UTMSH included a severe loss of clinical experience by the surgical residents and medical students and a severe reduction in faculty-generated billing. The lost billing from the trauma service and the other clinical services approximated +8.0 million/yr. This equated to an +13.5 million decrease in the anticipated billings for the year. Alternative revenue sources were not apparent. Other centers with a heavy trauma system commitment are at risk to suffer similar unsettling academic sequelae as our trauma systems fail.

MeSH terms

  • Academic Medical Centers*
  • Clinical Competence
  • Fees and Charges
  • General Surgery / education*
  • Humans
  • Interinstitutional Relations
  • Schools, Medical / economics
  • Surgery Department, Hospital / economics
  • Texas
  • Transportation of Patients / organization & administration
  • Trauma Centers / economics
  • Trauma Centers / organization & administration*
  • Trauma Centers / statistics & numerical data
  • Traumatology / education