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I am new to private practice, but I know that it is important to not alienate the referring providers or fellow surgeons. I was wondering if anybody has any advice on how to deal with when what you do is different than what everyone else expects. The reason I ask is because it has come up that my application of nonoperative management of early uncomplicated appendicitis has ruffled feathers in the community. I lease my overhead and participate in a shared call schedule that is basically run by one guy and he let me know that he was been getting called by PCP's about some patients I have managed this way (none of the patients had any problem with it since I presented it as just another option besides surgery and only have been doing it for those that want to, also none of them have had any issues after leaving the hospital). He asked me to stop offering nonop management and to just take all those appys out. Since it is such a new and not universally accepted thing, I don't really think it is worth arguing about. However, perhaps there will be something else that I do and feel more strongly about that will be called into question as well. How do I decide when to stick to my guns, and how do I go about it without getting blackballed in the community. Also, am I wrong to roll over on the appy issue.
Keep in mind this is a community where a lot of the surgeons just do open appys, and where interval management of perfed appy is not really done either (although I will keep doing that)
Keep in mind this is a community where a lot of the surgeons just do open appys, and where interval management of perfed appy is not really done either (although I will keep doing that)