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1. transmission of a message or plan that must be made to all levels in the chain of command as well as horizontally before any action can be taken or deliberation made
2. the many levels of communication that an order or plan must go through on a medical or surgical service such that the original meaning of or teaching significance is absolutely useless
3. calling your senior resident for explanation of something that is self evident or could be garnered from closer inspection of the chart
"I am so sick of this shit...I'm trying to get this patient intubated and I spend more time doing pancommunication with the senior resident and attending than at the bedside taking care of the patient"
by Blaze It Up! April 21, 2008
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