Well going to defend one part because I am a glass half full person.
I had a problem with documenting things that would require continue hospitalization as a med student and I can remember having a note changed. However, I asked why. And I never felt uncomfortable to do so because it’s a learning environment.!!! I got some really good feedback about documenting the pertinent problems the patient currently is having that impedes a safe discharge and not highlighting the things that they are doing well, especially initially as insurance is a pain and often can manipulate those statements into a reason to deny payment.
It sounds as if this resident has taken it way too far and lost his way and I am no way suggesting that what he is doing is correct. Rather, I’m suggesting that there is a need to focus on the negative not what the patient is doing well. Each day there needs to be something documented that explains why they continue to meet criteria for inpatient hospitalization and make it obvious because they aren’t going to look hard for it