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- Jan 5, 2007
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So --- I'm in a multi-partner practice that also has a few employed physicians and PAs/NPs ---
Being the new guy, my schedule of patients is usually not full -- I see anywhere from 9 to 19 a day --- very few of them my patients. We have a concept of "On-Call" that allows a patient with an acute illness to see a doc if they can't get in with their PCP/NP/PA -- well, usually it's an acute illness -- now it's more of a "convenience of the patient" type of thing and I've had to refill a few chronic med scripts and do DM f/u visits -- usual stuff.
However, there's another employed physician here and a situation is developing that I'm really not sure how to handle ----
Had a patient of theirs on my schedule one day for hematuria and LAP --- the UA was like a thick tomato soup and the patient was complaining of LAP x 1-2 days -- to me, that needs to be checked out with a scope to find the source of bleeding rather quickly -- so I tried to get them STAT into a urologist -- when that failed due to patient transportation issues, I recommended ER (which the patient had originally considered before presenting to clininc and quickly agreed to) ---- so it was handled (maybe not the best but handled nonetheless) and I had to get up to a mandatory meeting --- left it in the hands of my MA who knew what I wanted -- and I thought I was done.
I come back down from the meeting and ask about the patient -- only to be told that this other physician (patient's PCP) had pulled the patient into one of their exam rooms, ordered a different workup, ordered abx for hemorrhagic cystitis and was discharging the patient --- so I turned and asked about billing issues with seeing 2 FM providers in one day so we don't double bill the patient and I get told,"I don't care who bills them or gets the credit, I just wanted the patient to be taken care of" --- ok, so maybe I've got a chip on my shoulder, but I thought I had taken care of the patient and the plan was in place and workable until YOU stuck your nose in --- but it's her patient so ok, good.
From that point on, everytime I get one of her patient's I always ask if she wants them -- I've had situations where she would see one of her patients on my schedule and being roomed and intervene and take the patient if she wasn't busy.
So today, the original hematuria patient is doing a f/u visit but can't be sure when they'll be here -- so they're on my and the other physicians schedule -- depending on when they get here, that's who will see them. The other physician can't stay late due to commitments so I may get this one on my schedule or not.
How do you handle this --- this person has been condescending quite a bit and one time I turned around and flat out told them that I went to the same medical school they did (actually that's literally true) and passed the ACGME boards ----
Recommendations?
Being the new guy, my schedule of patients is usually not full -- I see anywhere from 9 to 19 a day --- very few of them my patients. We have a concept of "On-Call" that allows a patient with an acute illness to see a doc if they can't get in with their PCP/NP/PA -- well, usually it's an acute illness -- now it's more of a "convenience of the patient" type of thing and I've had to refill a few chronic med scripts and do DM f/u visits -- usual stuff.
However, there's another employed physician here and a situation is developing that I'm really not sure how to handle ----
Had a patient of theirs on my schedule one day for hematuria and LAP --- the UA was like a thick tomato soup and the patient was complaining of LAP x 1-2 days -- to me, that needs to be checked out with a scope to find the source of bleeding rather quickly -- so I tried to get them STAT into a urologist -- when that failed due to patient transportation issues, I recommended ER (which the patient had originally considered before presenting to clininc and quickly agreed to) ---- so it was handled (maybe not the best but handled nonetheless) and I had to get up to a mandatory meeting --- left it in the hands of my MA who knew what I wanted -- and I thought I was done.
I come back down from the meeting and ask about the patient -- only to be told that this other physician (patient's PCP) had pulled the patient into one of their exam rooms, ordered a different workup, ordered abx for hemorrhagic cystitis and was discharging the patient --- so I turned and asked about billing issues with seeing 2 FM providers in one day so we don't double bill the patient and I get told,"I don't care who bills them or gets the credit, I just wanted the patient to be taken care of" --- ok, so maybe I've got a chip on my shoulder, but I thought I had taken care of the patient and the plan was in place and workable until YOU stuck your nose in --- but it's her patient so ok, good.
From that point on, everytime I get one of her patient's I always ask if she wants them -- I've had situations where she would see one of her patients on my schedule and being roomed and intervene and take the patient if she wasn't busy.
So today, the original hematuria patient is doing a f/u visit but can't be sure when they'll be here -- so they're on my and the other physicians schedule -- depending on when they get here, that's who will see them. The other physician can't stay late due to commitments so I may get this one on my schedule or not.
How do you handle this --- this person has been condescending quite a bit and one time I turned around and flat out told them that I went to the same medical school they did (actually that's literally true) and passed the ACGME boards ----
Recommendations?
