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I don't doubt that, but here the only difference it would make is I would be arguing with GI more often or continue to let them demand the unnecessary studies because they are the drivers of it not the hospitalists.Our hospital enacted a policy that choledocho gets admitted to surgery upfront (unless they have some other medical issue that takes precedence). Rationale being that (a) it's ultimately a surgical problem and needs operation prior to discharge and (b) if the surgeons are running the show there is usually less d**king around with unnecessary studies like HIDAs and MRs.
There is a study out there somewhere that they based this on - that study was able to show decreased LOS and decreased costs if the patients are admitted to surgery.