At my teaching hospital, as at any other, the residents perform procedures such as central line insertions, trialysis insertions, a lines, etc. For the majority of these procedures, the residents are alone with the senior teaching or showing the intern. Each procedure note is cosigned by the attending, stating that they were present for the entire procedure. Well, most of the time, this is untrue. Just a blatant lie for the legal medical record. Such as the other night, when the attending was sleeping and did not show his/her face in the unit at any point in time...yet according to the charts, he was present for at least 4 procedures on that shift alone.
Is this a normal practice at other institutions??