Bobbbyyyy

5+ Year Member
Aug 8, 2015
804
1,430
Status
  1. Resident [Any Field]
Hello my fellow comrades,

I am a PGY-1 FM resident. My program is unfortunately heavy on administrative tasks/scutwork/extra-clinical projects.

One such task that takes up a considerable amount of time is logging our patients into an online patient tracking system.

We have to enter in the patients name, MRN number, DOB, their age range, date of service, the clinical setting, attending name, and ICD10 codes for every single patient we see, every single time. Whether it be outpatient continuity clinic, non continuity clinic, inpatient medicine, NF, ICU, pediatrics, OB, or electives.

This takes up a LOT of time. From my understanding, this is not the norm when it comes to FM programs.

Can someone please shed some light into this specific issue? How do other programs track their patients? Is it inbuilt into their EMR system? Do they hire people to log residents patients? How exactly does it work? I can't imagine FM residents in other programs going through as much hassle as we do.
 
About the Ads

KnuxNole

Sweets Addict
10+ Year Member
May 3, 2006
4,671
1,542
Status
  1. Attending Physician
Hello my fellow comrades,

I am a PGY-1 FM resident. My program is unfortunately heavy on administrative tasks/scutwork/extra-clinical projects.

One such task that takes up a considerable amount of time is logging our patients into an online patient tracking system.

We have to enter in the patients name, MRN number, DOB, their age range, date of service, the clinical setting, attending name, and ICD10 codes for every single patient we see, every single time. Whether it be outpatient continuity clinic, non continuity clinic, inpatient medicine, NF, ICU, pediatrics, OB, or electives.

This takes up a LOT of time. From my understanding, this is not the norm when it comes to FM programs.

Can someone please shed some light into this specific issue? How do other programs track their patients? Is it inbuilt into their EMR system? Do they hire people to log residents patients? How exactly does it work? I can't imagine FM residents in other programs going through as much hassle as we do.

This is a newer thing(2014 and above) that now residents have to log inpatients, peds, etc. in addition to procedures. Our program uses NI as the final count and the PD pulls up the log list to check for ACGME requirements. In my program, we did not hire someone to log patients. Usually, the residents can ask the office manager to run a report on a specific population(ED numbers, clinic numbers). Unfortunately, it is cumbersome. Usually the standard is for residents to log for at least 5-10 minutes so it doesn't pile up. Sadly there were 3rd years that had to spend their last day spending over several hours logging patients frantically. Our program did not require ICD10 codes, but had to put all of the above listed. If you met a requirement you did not have to log beyond that.
 

Reboa

2+ Year Member
Sep 30, 2018
49
25
Bad enough that they take advantage of us every other way, now they’re having you do a program coordinators job. Sorry you have to deal with this. This is also not a newer thing in residency as a lot of residencies have actual personnel that take care of resident compliance do it.
 

AMEHigh

10+ Year Member
Jul 25, 2008
2,236
2,624
Status
  1. Attending Physician
Yeah we had to log ICU patients, deliveries and I think something else. Something about peds, maybe peds ED? It was not every single patient but whatever the bare minimum acgme requirement is. Once we logged the minimum we stopped.

And yes to logging procedures.
For continuity patients, heck no we didn’t have to log those. That’s what the emr is for. Once we got to our 3rd year they’d keep us up to date if we needed any extra sessions to meet the 1650 rule (I cut it a little close because I did a few away rotations).
 
  • Like
Reactions: 1 user

SLC

A Punk Rock Country Doc
10+ Year Member
Mar 24, 2010
3,926
4,405
The Empire
Status
  1. Attending Physician
Our program kept track for us, we just checked in periodically to see where we stood. I didn’t have to log anything at all.

I hit 1650 clinic encounters pretty early in 3rd year. We all hit the adult and peds inpatient and the OB requirements without even trying.
 
Last edited:

Keona

10+ Year Member
Jul 14, 2008
559
256
Status
  1. Attending Physician
We had to log amount of pediatric inpatients. Pediatric er. ICU encounters. All Procedures. All ob longitudinal experiences and then program coordinator and director dealt with the rest. The clinic encounters they had reports they would generate
 

NeuroticByN8ure

7+ Year Member
Apr 7, 2012
13
6
Status
  1. Attending Physician
ICD10 codes for all of continuity clinic patients you see???? That's obscene and completely useless. You should not be spending time doing that in residency.

What EMR do you use in your continuity clinic? As the other posts have stated- at the very least, you should not need to manually log your clinic patients
 

Your message may be considered spam for the following reasons:

  1. Your new thread title is very short, and likely is unhelpful.
  2. Your reply is very short and likely does not add anything to the thread.
  3. Your reply is very long and likely does not add anything to the thread.
  4. It is very likely that it does not need any further discussion and thus bumping it serves no purpose.
  5. Your message is mostly quotes or spoilers.
  6. Your reply has occurred very quickly after a previous reply and likely does not add anything to the thread.
  7. This thread is locked.
About the Ads