is a 10 minute med check really that bad? How quickly can they be done?

[kugel]

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Really? I cannot believe that one-minute dictations give a pattern of effect of medications over time. And I am VERY disturbed over your attitude, as it indicates less that strong commitment to your patients. I am frankly bothered by this.

Regnvejr and Michaelrack,
Please both take a breath. My experience on this forum suggests you BOTH have a sincere concern for patient care and communication to other providers (but I could be completely wrong. Who knows?)

Regnvejr has a concern about how much useful info is dictated in a 1-min note, but has no way to know how useful Michaelrack's dictated notes are. I've run into lots of long useless notes, and had a friend in a previous location who could put enormous info into a 3 line note - astounding. And I've seen LOTS of great notes with lots of detail and intricate treatment plans, that were useless because I couldn't read the handwriting.

If this needs to be resolved, (which I actually doubt) Michaelrack could give us an example of a 1-min dictated note (obviously, with all identifiers removed). We would have to assume he is telling the truth and can talk as fast as necessary to get that note dictated in 60 seconds.

Honestly, I'd rather just leave this at, "Well, I hope you really can dictate a useful note in 60 seconds. That's impressive. I wish everyone would put some effort into their notes on the assumption that someone else may have to read and use them."

 

[abcxyz0123]

You might ask yourself how a patient would react to seeing that question...and if you were the one in world of pain and mental anguish, would you want to go to you?

But my future patients will not see it, which is why i asked it in the first place, so your question is moot.

You are looking way too deeply into my questions and making far too many assumptions. It was a set of simple questions. None of what I said means that I am going to practice in that manner. I just want to get a better idea about the possibilities.

 

[RGMSU]

It takes approx 1 minute to dictate a f/u note. It's possible to run a practice so you don't have too many phone calls (or at least make it so the doctor isn't the person calling back). In a cash practice you probably can't cut down the appts that much (and there's no need to), if you take insurance the patients don't have that much choice.

I would hate to get sued and have no other record than a 1 minute note on a patient's status to back me up. Of course, it depends on the complexity of the case. But, I would want to have enough record there that it showed I had at least considered potential problems that might arise and made sure they weren't happening at the time.

 

[erg923]

But my future patients will not see it, which is why i asked it in the first place, so your question is moot.

I meant imagine it. The underlying issue that the question forces you to think about is most certainly not moot in this profession. The fact that you think it is, is what's alarming here.......

 

[RGMSU]

I meant imagine it. The underlying issue that the question forces you to think about is most certainly not moot in this profession. The fact that you think it is, is what's alarming here.......

I believe ERG is referencing having some compassion for your patients, which is the case in any medical specialty, and giving them the time their circumstances require, rather than just rushing them through with efficiency rather than excellent patient care as the primary goal. I think both can be accomplished.

 

[abcxyz0123]

I meant imagine it. The underlying issue that the question forces you to think about is most certainly not moot in this profession. The fact that you think it is, is what's alarming here.......

You still don't understand...and are assuming way too much. And the fact that u are the only person "questioning my compassion", telling me its "alarming" that I am thinking in this way, is getting annoying. What my question was getting at is whether the practice of med checks lasting longer than 10 minutes were inefficient...and whether it was that bad if they were done in that time or less. I am a 2nd year student so I have barely any practical experience in the field. I received my answer, which is that they are not, and that they are far too short. So I do not plan on doing them in that manner. I do not need to prove my "amount of compassion" to you; that was beaten to death in the med school application process. If I didn't have any, I wouldn't be in med school in the first place.

You can comment more on this if you want, but I'm not responding to any more of your posts on this issue b/c its not going anywhere.

 

[whopper]

Seth03...

Disclosure to others: Seth03 gave me the website of the person who did the $125 med checks, he did not put the person's website on the forum becuase he thought it might be unproffesional to broadcast that person's personal information.

That person you were referring to that did the $125 10 minute med checks, if you notice also charges quite a bit for a full one hour session.

So simply boiling it to 10 minute med checks is too simplistic a way to look at it (and I'm not trying to point the finger at you or anything like that). The same person would make about the same money doing the 1 hour session.

I'm thinking this person is someone who is on the order of one of those boutique type psychiatrists that is shooting for a wealthly clientele, and she at least has some credentials that allow her to do this.

I don't know her, or know her business strategy, but I'm thinking that since she is in a severely underserved area of the country she probably can do this. Her credentials, while impressive are certainly far less than several doctors I know making an average salary for a psychiatrist. Heck my PD is one of the top guys in the country for forensic psychiatry, and that's one of the fields that draws in the money, but he's not making more money than the average psychiatrist either--well at least from what I think I'm seeing. The guy drives a compact car, his house is on the order of someone making an average salary.

(I think the guy's like Einstein-he doesn't care so much about the money as he does the field itself).

 

[RGMSU]

Let's not get too carried away here. The psychiatrists I know aren't living in homes of someone on an "average salary." Depends on how you define average. I wouldn't call a brand new 5 bedroom/3 bath home in an exclusive neighborhood average. After you've completed medical school, residency, paid your loans back, and taken on the responsibility of people's healthcare, I don't think that kind of living is out of the question at all.

 

[whopper]

Depends how you define average

Aww nuts, its not like I want to give every detail of his home away. Let's just my best friend from high school who's father was a grounds keeper had a house just as big.

Seth03 corrected me. Turns out that doc does charge much less for a straight hour, and much more for a 10 minute medcheck per minute. I'm not sure what's going on there, but I can tell you that even in a 10 minute medcheck you're going to have to be familiar with the patient (that means at least a few sessions), and read up on them before they see you. That might just be 10 minutes to the patient, but its probably going to be at least 20 minutes of real time for the doctor.

 

[RGMSU]

Aww nuts, its not like I want to give every detail of his home away. Let's just my best friend from high school who's father was a grounds keeper had a house just as big.

Seth03 corrected me. Turns out that doc does charge much less for a straight hour, and much more for a 10 minute medcheck per minute. I'm not sure what's going on there, but I can tell you that even in a 10 minute medcheck you're going to have to be familiar with the patient (that means at least a few sessions), and read up on them before they see you. That might just be 10 minutes to the patient, but its probably going to be at least 20 minutes of real time for the doctor.

Hah, well, I don't know where you are. Around here, I haven't seen any landscapers living in the same neighborhoods as psychiatrists, unless they own a landscaping company or something.

 

[whopper]

I've known a lot of medical doctors. Both my parents are medical doctors, and their doctor friends would show up, or I'd go to their houses during my childhood. Most with big houses, 3-4 car garages, a very nice car etc.

Seriously, the guy I'm talking about, his is one of the most modest I've seen. I think the guy is one of those that is 10x more interested in the academic and scientific aspects of the field vs the types that want to make the money. Of course who knows. Its not like I can peer into his bank account. For all I know its loaded.

I can tell you the guy practices very ethically. There's a lot of people attracted into forensics for the money. He will not take a case just for the money, or fudge a report, or go the way of the defense attorney hiring him because it will make him more marketable.