another VA question

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Yup. This is how the myth gets propagated.

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Don't the comp and pen people also review your notes, meaning you're somehow involved in the process? At least when I was rotating at theVA, I remember working with attending who didn't specifically comment on improvement related issues out of worries that it would reduce a patient's service connection if it were reviewed again. It would seem a bit ridiculous to have a disability process where the medical provider's documentation is not reviewed.

I am routinely referred patients who are undergoing C&Ps for possible neurological complaints and many who are applying for caregiver support. So, yes, some of us are doing plenty in the comp and pen realm even though we do not work for the VBA.
 
The VA is not my cup of tea. At least not the VA at my residency program. Too much administrative work, too many lazy support/clerical staff, to many entitled patients (though many patients were great). At least at the CMHC the patients don't think they're owed everything. The VA seemed to attract patients with a mix of narcissistic dependency, which is annoying to deal with.
I worked for the va for 5 years in primary care and it suck the life out of me. Their benefits isn't worth working there. They have very little regards towards primary care doctors. Also their nightmare archaic cprs EMR creates endless alerts on your desktop plus keeping up with secure messaging, refill requests, rejected consult requests,random demanding/rude walk-in patients wanting their narcotics refilled on the spot etc is enough to make you hate life.
Lastly be prepared to refill narcotics for anywhere from 150 to 250 patients per month. I think the doctors who tend to enjoy the va the most are the specialists.
 
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I worked for the va for 5 years in primary care and it suck the life out of me. Their benefits isn't worth working there. They have very little regards towards primary care doctors. Also their nightmare archaic cprs EMR creates endless alerts on your desktop plus keeping up with secure messaging, refill requests, rejected consult requests,random demanding/rude walk-in patients wanting their narcotics refilled on the spot etc is enough to make you hate life.
Lastly be prepared to refill narcotics for anywhere from 150 to 250 patients per month. I think the doctors who tend to enjoy the va the most are the specialists.

Or those heavily institutionalized.
 
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I finally decided to leave the VA. Walked into a job offer of 15% more pay with better benefits. Hassle and atmosphere just started to get to me, and I am not optimistic about possible changes in the pipeline that are being rumored about in the VA.
 
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