Practicing in rural location - SCS trial and refer out for implant?

[PainApp2021]

I might be signing a contract for a rural practice. I would be able to do SCS trials, but would not be able to put in implants due to no ASC/OR. Is it possible to just do trials on my own in the clinic and refer out for the implant to a larger city 2 hours away? Thanks for any input

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[unchockey21]

I might be signing a contract for a rural practice. I would be able to do SCS trials, but would not be able to put in implants due to no ASC/OR. Is it possible to just do trials on my own in the clinic and refer out for the implant to a larger city 2 hours away? Thanks for any input

Yes. We had this arrangement with a doc in fellowship. He trialed and would send to us for implant. If I’m remembering correctly, he’d let us know when he had a successful trial and send records and images and they’d get scheduled straight to the OR. No preop visit with us to save them the drive. Then one postop visit in a week to check the incision with us. Then back to him.

 

[lobelsteve]

I do implants for 2-3 local pain docs. Insurance, time consumption vs lack of pay are reasons. I am no better than the average needlemonkey.

 

[nvrsumr]

I refer out to surgeons for paddle leads. Keeps referrals going both ways.