Interventional practice

[georgiamd]

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I know here are many variables but how many injections under fluoro a year are most interventional pain docs doing?

700, 900, 1500, 2000,3000

this isn’t to argue about who’s the busiest, I’m more curious how many people are actually doing.

 

[willabeast]

I know here are many variables but how many injections under fluoro a year are most interventional pain docs doing?

700, 900, 1500, 2000,3000

this isn’t to argue about who’s the busiest, I’m more curious how many people are actually doing.

How many patient appointments to get injected? I did 90% under fluoro. Average time 30 minutes. 4 days a week. 4 weeks off vacation. so 11 times 8 times 4 times 4 = 1400 times .9 = 1260. The problem is there are also some long cases in there that took more than 60 minutes, so i would round down to 1000 fluoro cases a year.

 

[DOctorJay]

I’d estimate all the guys in my group are between 1,000 and 1,500.


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[Ferrismonk]

I do between 20 and 40 per week on average, but I'm still growing. 30x48 weeks=1440. Get to 50 procedures a week, that's 2400.

 

[clubdeac]

I do about 1750.... at the VA I did over 2200 per year (however 2/3rds of the week was procedures, 1/3rd clinic). That has now flipped

 

[DubVille]

About 25 fluoro guided a week say 48 weeks a year. With no shows and longer procedures, I'd guess 1000-1150. I'd like to do about 40 injections a week over 2 days. I dont like feeling rushed, and dont like seeing more than 14-18 a day on clinic days (emgs take longer and I have 45 min for news).

 

[Ferrismonk]

About 25 fluoro guided a week say 48 weeks a year. With no shows and longer procedures, I'd guess 1000-1150. I'd like to do about 40 injections a week over 2 days. I dont like feeling rushed, and dont like seeing more than 14-18 a day on clinic days (emgs take longer and I have 45 min for news).

Woah. I would be fired if I only saw that much.

 

[DubVille]

I don't make mgma 25%, but I'd rather not be rushed.

 

[deleted993114]

How many patient appointments to get injected? I did 90% under fluoro. Average time 30 minutes. 4 days a week. 4 weeks off vacation. so 11 times 8 times 4 times 4 = 1400 times .9 = 1260. The problem is there are also some long cases in there that took more than 60 minutes, so i would round down to 1000 fluoro cases a year.

Wowser- times change.

I used to do AT LEAST 100 injections under fluoro per week (only because I did a half day for stims). A gal who took over my old practice about 1.5 years ago is quitting, as she is now responsible for overhead and would make NEGATIVE income at her current pace.

I can see why salaries have declined, as one needs to do a TON of injections to pay for the overhead that continues to rise.

Fellowships need to train guys to work not only well, but fast, and learn the business aspects of medicine. When I have visited modern academic practice (unless it is an academic practice in WV, which is akin to a sweatshop), they take too damn much time and give fellows a false sense of reality.

I am what I consider to be "semi-retired" and do about 15 fluoro procedures per day, which is a very nice, relaxed practice. The rest of the volume is pt evals.

 

[paindoc007]

Wowser- times change.

I used to do AT LEAST 100 injections under fluoro per week (only because I did a half day for stims).

I can see why salaries have declined, as one needs to do a TON of injections to pay for the overhead that continues to rise.

Fellowships need to train guys to work not only well, but fast, and learn the business aspects of medicine.

I am what I consider to be "semi-retired" and do about 15 fluoro procedures per day, which is a very nice, relaxed practice. The rest of the volume is pt evals.

Uhhhh, okay. >100 injections a week is the definition of a block shop. Fellows do not need to learn that. There is not a needle solution to all pain problem. Fellows need to learn to be good clinicians, and use injections as one of many modalities available to treat patients.

 

[DubVille]

Can you also "do" 6 rfas an hour and "talk to patients" before and after the appointment. I hear this constantly at conferences. Would love to be a fly and the wall and look at those pics.

 

[NJPAIN]

Uhhhh, okay. >100 injections a week is the definition of a block shop. Fellows do not need to learn that. There is not a needle solution to all pain problem. Fellows need to learn to be good clinicians, and use injections as one of many modalities available to treat patients.

I agree a fellowship is not the place to teach a trainee to do as many procedures as they can as quickly as they can. That’s just the wrong message even if the sad state of affairs in American Medicine requires that to make a living.
I’m sure that gal who is leaving the practice is very disenchanted about the practice of medicine. Very very sad for us and our patients.


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[psychapp121]

Uhhhh, okay. >100 injections a week is the definition of a block shop. Fellows do not need to learn that. There is not a needle solution to all pain problem. Fellows need to learn to be good clinicians, and use injections as one of many modalities available to treat patients.

now we know how he used to make 1.5 mil a year lol

 

[georgiamd]

is a million dollars professional collections good? Just trying to get a ballpark

 

[clubdeac]

is a million dollars professional collections good? Just trying to get a ballpark

Yes