Patients are confused … the pa in my clinic (don’t supervise him) has been there 15 yrs. Patients call him doctor all the time….same w the np in clinic. They think everyone is the same…
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APCs work 3 of our 11 shifts a day. That results in our hourly rate being about 1/4 higher than it otherwise would be. If that money wasn't going into my pocket, I'd be much less happy about the situation.Helping those who wear the white coat get a fair shake on Wall Street since 2011
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Originally posted by Huggy View Post
hmm interesting take. So who is doing the triaging to determine whether a patient’s medical problem is worthy of being evaluated by a physician versus hopefully one of those decently trained midlevels? Example, I just admitted a patient last night with a hemoglobin of 3 and melanotic stool who visited an NP (or APP as you like to call them) one week prior for generalized weakness, fatigue and feeling like her legs are “giving out.” No labs obtained, patient prescribed ibuprofen twice daily for her leg discomfort. Her only medical history is gastric ulcers and iron deficiency anemia requiring frequent transfusions by the way.
Additionally, I don’t see “APPs can be compensated well” and “physician owners can get reasonable compensation” as compelling reasons to justify the use of midlevels but to each their own. Does that not just prove my original statement that financial interests are the primary driver for the utilization of inferiority trained medical providers? And i think it is safe to assume based on your position that you have a financial interest in the employment of midlevels in your practice, please correct me if I’m wrong.
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Originally posted by The White Coat Investor View PostAPCs work 3 of our 11 shifts a day. That results in our hourly rate being about 1/4 higher than it otherwise would be. If that money wasn't going into my pocket, I'd be much less happy about the situation.
It would be interesting to see a poll on how this works
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Originally posted by Turf Doc View Post
Does your EM group decide how they function? or the hospital? For instance, assuming they're working, when does a patient see a physician vs. midlevel if they're undifferentiated? Just depending on whose available or there are systems where x. complaint goes to physician and y goes to midlevel?
It would be interesting to see a poll on how this worksHelping those who wear the white coat get a fair shake on Wall Street since 2011
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Originally posted by Turf Doc View Post
Does your EM group decide how they function? or the hospital? For instance, assuming they're working, when does a patient see a physician vs. midlevel if they're undifferentiated? Just depending on whose available or there are systems where x. complaint goes to physician and y goes to midlevel?
It would be interesting to see a poll on how this works
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