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| Clinicians [ RN / NP / PA ] For RNs, NPs, PAs and other current and past medical providers. | 
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| Clinicians [ RN / NP / PA ] For RNs, NPs, PAs and other current and past medical providers. |
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10-22-2006, 09:55 AM
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#51 |
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Senior Member
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SDN Members don't see this ad.
There are many ways to approach this question. Personally direct oversight is the best practice, but often times cannot physically be accomplished. Chart review is resonable. Random oversight (by personally seeing the patient) of select patients is good.
If you cannot physically be "on sight" then...well, do what you gotta do (ie it may not be good practice, but it is 'as the law directs' and 'satisfactory') In the ED, it is our group policy to see ALL PA/NP patients.
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Emergency Medicine Attending Member of SDN (before it was SDN circa 1998)...old man. |
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10-22-2006, 10:42 PM
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#52 |
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misunderstood
Join Date: Oct 2006
Posts: 392
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Why have midlevels in your ER if you have to see all of their patients?
I can understand chart review, and other safeguards... Many midlevels independently see patients alone  in primary care, ambulatory care, and ER, without a physician (physically) behind them...No resentment here...Just curious, why have them? Hospital pressure? |
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10-22-2006, 11:14 PM
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#53 | |
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Senior Member
Join Date: Aug 2001
Location: Lunch on the Summit
Posts: 3,518
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Quote:
agree- if they can't see folks independently and consult as their judgement dictataes they are not helping move folks through the dept. you might as well just hire more docs.....
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Emergency Medicine P.A., EMT-P 23 Years working in EM |
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10-23-2006, 01:37 AM
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#54 |
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misunderstood
Join Date: Oct 2006
Posts: 392
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or better yet...have residents move them through "quickly"
I see my own patients...My charts are reviewed just as ANY other provider - randomly... My bounce back visits are as low as the next... I have a friend who OWNS half her practice (NP)... The only problem is that she is reimbursed less than her partner (10% less...he's an MD) BTW, how's that cake? I'm eating some too... Oh, and who was seeing those (FT) patients 20 years ago? hmmm |
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10-23-2006, 05:19 AM
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#55 |
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yah mo b there
Join Date: Jun 2005
Location: Somewhere Between Heaven and Hell
Posts: 13,627
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Owning a practice has nothing to do with your scope in your job. It just means you had enough money to buy in to be a partner.
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10-23-2006, 09:41 AM
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#56 |
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misunderstood
Join Date: Oct 2006
Posts: 392
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or that he's sleeping w/ his partner...
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10-23-2006, 07:22 PM
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#57 |
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Senior Member
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Midlevels are treated similar to residents, except they see the less acute patients. Ie, the attendings see very FEW patients but oversee ALL of the work of the midlevels.
Works well for the attendings (ie we work less and sit more). |
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