My Average for last year was 10200, this year might be more as we have been covering for a colleague.
My first patient nowadays at 830, last usually 345-4p. I dont think I recall being in office after 5pm this year even once, all notes are done and close before I leave. I dont chart prep anymore the night before, I usually am here in am due to meetings etc and try to do a quick review and plan for the day while sipping coffee.
In order to be efficient, I have spent a good amount of time on training nursing staff so they can do better triage, unless its urgent or a chemo reaction they arent supposed to bug us back here. Most things are assigned to our nurse coordinator for example, following up on Imaging results, pathology, ordering NGS, getting medical records for referral, oncotype DX followup etc. There is a shared reminder list in EPIC which we all follow and keep tabs on.
My notes are pretty concise, initially as you stated were bloated but I have learned to only write relevant information.
I start my note prior to going into the room, as soon as I come back and dictate/finish before going to the next patient. (for new Onc patients I will take some extra time to be sure to have a good initial note so subsequent ones are easier to do).
Heme followup notes- 2-3 mins max
Onc followup notes- 3-5 mins max
New heme notes- 5-8 mins max
New Onc notes- 8-15 mins max
We take inpatient consults on rotating basis q3-4 weeks , 1 week at a time including weekends. Fortunately inpatient isnt very busy and hospital is across the road. I will usually go in lunch time quickly see 3-4 patients and come back. This is not usually every day. EMR is the same so it helps.
BTW I dont plan on doing this for ever, will grind now for the next 10 years and have enough to Retire in my early 50s 😀
(enough for me might be different for enough for anyone else, I also understand that)
Hope this helps