Hello all,
I'm a PGY-6 just finishing my child psychiatry fellowship and getting ready to start a real job.
I was wondering if anybody in the real world still does the same kind of pt logs we had to do in training? Two recent events led me question my assumption that it was only an ACGME necessity.
1. When I submitted my credentialing for the hospital I'll be working at, despite my graduation from an ACGME-approved fellowship in child and adolescent psychiatry, I was asked to submit 2 years worth of pt logs demonstrating who I've been seeing (ages, dxs, etc.). Thank God I had them.
2. On my last rotation (peds neuro), I noticed my attending's office is filled with day planners for (at least) the last 20 years (openly displayed in her bookcase) where she notes what pts she saw that day, whether it was a f/u or new pt eval, and how much time she spent along with any other notes to jog her memory. I asked her about it and she said that it has been very useful for her. She works for a large hospital and she said that she's been shorted money on days the institution claims she was on leave when she was actually seeing pts. That seemed a little extreme to me, but I wanted to see what other people thought. She also said it had been helpful in court--I didn't ask her details about that one. I would think there would be some serious HIPAA issues just leaving the day planners out in the open like that.
Does anyone have any thoughts about this???
Thanks!
I'm a PGY-6 just finishing my child psychiatry fellowship and getting ready to start a real job.
I was wondering if anybody in the real world still does the same kind of pt logs we had to do in training? Two recent events led me question my assumption that it was only an ACGME necessity.
1. When I submitted my credentialing for the hospital I'll be working at, despite my graduation from an ACGME-approved fellowship in child and adolescent psychiatry, I was asked to submit 2 years worth of pt logs demonstrating who I've been seeing (ages, dxs, etc.). Thank God I had them.
2. On my last rotation (peds neuro), I noticed my attending's office is filled with day planners for (at least) the last 20 years (openly displayed in her bookcase) where she notes what pts she saw that day, whether it was a f/u or new pt eval, and how much time she spent along with any other notes to jog her memory. I asked her about it and she said that it has been very useful for her. She works for a large hospital and she said that she's been shorted money on days the institution claims she was on leave when she was actually seeing pts. That seemed a little extreme to me, but I wanted to see what other people thought. She also said it had been helpful in court--I didn't ask her details about that one. I would think there would be some serious HIPAA issues just leaving the day planners out in the open like that.
Does anyone have any thoughts about this???
Thanks!
