It’s called “having privileges” at a hospital. To be honest most family med PCP’s wouldn’t know the first steps to take in an acute care setting of a hospital. It’s not an insult, rather acknowledging the difference in exposure.
I was at a my pcp one time and a patient dropped dead in an exam room and my pcp damn near kicked down my exam room door asking for help. Every one is trained in what to do. But it’s that mike Tyson saying “everyone has a plan until you get punched in the mouth” if you’re not used to acute care, emergent, or critical care medicine it’s a whole different world.
Hell you can even see a drastic difference in the plain ole Hospitalist vs a critical care doc in the middle of the shit hitting the fan. Hospitalist (most, not all) are standing in the corner while we run the code. Vs the acute care doc calmly taking control (again, most not all. Plenty of new crit care docs shit their pants too.)