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Physician Burnout
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dfarr Offline
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Post: #21
RE: Physician Burnout
(01-16-2019 11:31 AM)UofMemphis Wrote:  NPs and PAs are two of the fastest growing medical fields...if more folks would go see a NP or PA for routine matters we wouldn't see near as much MD burnout. The insane cost of Medical school and the predatory nature of students loans don't help.

Incorrect. The burnout is due to the bs clicking and over documentation and bs that we have to do courtesy of being over regulated.
01-16-2019 10:07 PM
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dfarr Offline
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Post: #22
RE: Physician Burnout
(01-16-2019 12:55 PM)EverRespect Wrote:  
(01-16-2019 12:24 PM)bullet Wrote:  
(01-16-2019 11:38 AM)EverRespect Wrote:  
(01-16-2019 11:31 AM)UofMemphis Wrote:  NPs and PAs are two of the fastest growing medical fields...if more folks would go see a NP or PA for routine matters we wouldn't see near as much MD burnout. The insane cost of Medical school and the predatory nature of students loans don't help.

I agree. I don't need to see an MD for the flu, strep, a cold, or an ear infection. I just need antibiotics, cough syrup, or Tamiflu. I'd be happy to see an NP or PA for that, but to my knowledge, there aren't any with their own practices. Every time I have seen one, it has been at an MD's practice and I have never been given a discount... I get charged the same rate as if I saw the doc.

Another thing that would save a lot of time and money is to allow a pharmacist to give some of this low-risk/low abuse medication at his/her discretion without a script.

Well I quit going to one practice. I wasn't sick enough so I got "fired" as a patient by the doctor as she wasn't taking "new" patients. They assigned me to a PA. Its annoying having her have to go to a doctor to get prescriptions. And they aren't as well trained on many things. Now basic stuff like upper respiratory infections they are fine for.

I'd rather have a doctor analyzing my bloodwork, looking for signs of underlying issues and recommending courses of action, if necessary. I am fine with a PA for routine sick visits, but I have a problem paying the same rate for it. The doc is paying his PA 1/3 of what he is paying himself. If I pay the same rate, the rest goes into his pocket for what is theoretically inferior care. Now if a PA could set up their own shop and charge me $30 to go in and out in 10 minutes with a script instead of the $100 I currently pay a doctors office for taking over an hour for the same thing, I would be happy to pay that instead.

NPs and PAs actually get reimbursed at 85% of the physician rate. In about 27 states NPs have full practice authority, meaning they can open their own clinics and don’t have to collaborate with a physician.

I’d love to get someone in and out in 10 minutes, but the EMRs and billing codes slow it down so much that it is nearly impossible.
01-16-2019 10:10 PM
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UofMemphis Away
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Post: #23
RE: Physician Burnout
(01-16-2019 11:38 AM)EverRespect Wrote:  
(01-16-2019 11:31 AM)UofMemphis Wrote:  NPs and PAs are two of the fastest growing medical fields...if more folks would go see a NP or PA for routine matters we wouldn't see near as much MD burnout. The insane cost of Medical school and the predatory nature of students loans don't help.

I agree. I don't need to see an MD for the flu, strep, a cold, or an ear infection. I just need antibiotics, cough syrup, or Tamiflu. I'd be happy to see an NP or PA for that, but to my knowledge, there aren't any with their own practices. Every time I have seen one, it has been at an MD's practice and I have never been given a discount... I get charged the same rate as if I saw the doc.

Another thing that would save a lot of time and money is to allow a pharmacist to give some of this low-risk/low abuse medication at his/her discretion without a script.

Agreed. A PharmD should be able to write stuff like birth control, Motrin 800, Anaprox 500, Metformin, etc.
01-17-2019 12:00 AM
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JRsec Offline
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Post: #24
RE: Physician Burnout
(01-16-2019 10:45 AM)AdoptedMonarch Wrote:  My personal physician has decided to retire early. Good for him. Over 20 years, I've grown to know and like him as a friend. I wish him the best, and will miss seeing him professionally.

It's not at all a surprise. Although he's relatively young, over the last few years it was becoming clear he was no longer enjoying his work. My last visit with him, when he told me his early retirement plan, it was clear that he was more than fed up with the changes to the medical profession.

He apparently is not alone:

https://nypost.com/2019/01/16/alarming-b...hemselves/

Thanks Obama.

Was notified by mine today that he would be closing his office and retiring in February. He isn't an old guy either. I'm bummed. We are friends and I never was rescheduled when I needed to see him. He was tired of the slow pay by the government, the insurance games, and the heavy workload.
01-17-2019 12:06 AM
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Post: #25
RE: Physician Burnout
(01-17-2019 12:06 AM)JRsec Wrote:  
(01-16-2019 10:45 AM)AdoptedMonarch Wrote:  My personal physician has decided to retire early. Good for him. Over 20 years, I've grown to know and like him as a friend. I wish him the best, and will miss seeing him professionally.
It's not at all a surprise. Although he's relatively young, over the last few years it was becoming clear he was no longer enjoying his work. My last visit with him, when he told me his early retirement plan, it was clear that he was more than fed up with the changes to the medical profession.
He apparently is not alone:
https://nypost.com/2019/01/16/alarming-b...hemselves/
Thanks Obama.
Was notified by mine today that he would be closing his office and retiring in February. He isn't an old guy either. I'm bummed. We are friends and I never was rescheduled when I needed to see him. He was tired of the slow pay by the government, the insurance games, and the heavy workload.

Mine left about six months ago to go do missionary work in Africa. He was a young guy, so not ready to retire. I don't know, but his M.D. was from the University of Utah, so I would guess that there is a strong possibility that he is LDS (Mormon).
01-17-2019 07:49 AM
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Post: #26
RE: Physician Burnout
My brothers' wife is an OB-GYN. She mostly teaches now but does a lot of volunteer work with lower incomes groups both in the US and abroad.

I don't think we'll ever have a shortage of doctors in the States. If we're not producing enough American doctors, there will just end up being more and more from Asian countries, India and Africa. Same with nurses.
01-17-2019 08:00 AM
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dfarr Offline
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Post: #27
RE: Physician Burnout
(01-17-2019 12:00 AM)UofMemphis Wrote:  
(01-16-2019 11:38 AM)EverRespect Wrote:  
(01-16-2019 11:31 AM)UofMemphis Wrote:  NPs and PAs are two of the fastest growing medical fields...if more folks would go see a NP or PA for routine matters we wouldn't see near as much MD burnout. The insane cost of Medical school and the predatory nature of students loans don't help.

I agree. I don't need to see an MD for the flu, strep, a cold, or an ear infection. I just need antibiotics, cough syrup, or Tamiflu. I'd be happy to see an NP or PA for that, but to my knowledge, there aren't any with their own practices. Every time I have seen one, it has been at an MD's practice and I have never been given a discount... I get charged the same rate as if I saw the doc.

Another thing that would save a lot of time and money is to allow a pharmacist to give some of this low-risk/low abuse medication at his/her discretion without a script.

Agreed. A PharmD should be able to write stuff like birth control, Motrin 800, Anaprox 500, Metformin, etc.

Uh, do you realize how dangerous metformin is? Is the pharmacist going to follow the patient’s blood sugar and A1c? Also, birth control can be quite dangerous and have nasty side effects depending on the woman.

Also, you’re an idiot if you’re paying for 800mg Motrin. Just take 4 regular strength ibuprofen. It’s the same thing.
01-17-2019 08:07 AM
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Post: #28
RE: Physician Burnout
(01-17-2019 08:07 AM)dfarr Wrote:  
(01-17-2019 12:00 AM)UofMemphis Wrote:  
(01-16-2019 11:38 AM)EverRespect Wrote:  
(01-16-2019 11:31 AM)UofMemphis Wrote:  NPs and PAs are two of the fastest growing medical fields...if more folks would go see a NP or PA for routine matters we wouldn't see near as much MD burnout. The insane cost of Medical school and the predatory nature of students loans don't help.

I agree. I don't need to see an MD for the flu, strep, a cold, or an ear infection. I just need antibiotics, cough syrup, or Tamiflu. I'd be happy to see an NP or PA for that, but to my knowledge, there aren't any with their own practices. Every time I have seen one, it has been at an MD's practice and I have never been given a discount... I get charged the same rate as if I saw the doc.

Another thing that would save a lot of time and money is to allow a pharmacist to give some of this low-risk/low abuse medication at his/her discretion without a script.

Agreed. A PharmD should be able to write stuff like birth control, Motrin 800, Anaprox 500, Metformin, etc.

Uh, do you realize how dangerous metformin is? Is the pharmacist going to follow the patient’s blood sugar and A1c? Also, birth control can be quite dangerous and have nasty side effects depending on the woman.

Also, you’re an idiot if you’re paying for 800mg Motrin. Just take 4 regular strength ibuprofen. It’s the same thing.

Why is metformin dangerous (honest question)? I understand you need your blood sugar and A1C monitored if taking it for diabetes, but my wife takes it for PCOS. We were not advised of any risks taking the drug. Is the drug itself dangerous or just medicating without observation?
01-17-2019 08:23 AM
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Post: #29
RE: Physician Burnout
(01-17-2019 08:07 AM)dfarr Wrote:  
(01-17-2019 12:00 AM)UofMemphis Wrote:  
(01-16-2019 11:38 AM)EverRespect Wrote:  
(01-16-2019 11:31 AM)UofMemphis Wrote:  NPs and PAs are two of the fastest growing medical fields...if more folks would go see a NP or PA for routine matters we wouldn't see near as much MD burnout. The insane cost of Medical school and the predatory nature of students loans don't help.

I agree. I don't need to see an MD for the flu, strep, a cold, or an ear infection. I just need antibiotics, cough syrup, or Tamiflu. I'd be happy to see an NP or PA for that, but to my knowledge, there aren't any with their own practices. Every time I have seen one, it has been at an MD's practice and I have never been given a discount... I get charged the same rate as if I saw the doc.

Another thing that would save a lot of time and money is to allow a pharmacist to give some of this low-risk/low abuse medication at his/her discretion without a script.

Agreed. A PharmD should be able to write stuff like birth control, Motrin 800, Anaprox 500, Metformin, etc.

Uh, do you realize how dangerous metformin is? Is the pharmacist going to follow the patient’s blood sugar and A1c? Also, birth control can be quite dangerous and have nasty side effects depending on the woman.

Also, you’re an idiot if you’re paying for 800mg Motrin. Just take 4 regular strength ibuprofen. It’s the same thing.

are you always this condescending?
01-17-2019 08:13 PM
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Post: #30
RE: Physician Burnout
(01-16-2019 10:45 AM)AdoptedMonarch Wrote:  My personal physician has decided to retire early. Good for him. Over 20 years, I've grown to know and like him as a friend. I wish him the best, and will miss seeing him professionally.

It's not at all a surprise. Although he's relatively young, over the last few years it was becoming clear he was no longer enjoying his work. My last visit with him, when he told me his early retirement plan, it was clear that he was more than fed up with the changes to the medical profession.

He apparently is not alone:

https://nypost.com/2019/01/16/alarming-b...hemselves/

Thanks Obama.

Shortly after the passage of Obamacare my physician sold half his practice. He informed me he would see patients 2 and 1/2 days a week and his new partner the other days. He said Friday's had to be set aside to do patient charts and make sure all procedure codes were correct for Obamacare reimbursement.
01-18-2019 05:28 PM
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