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- Mar 13, 2012
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Several of the places I am contracting with require mid level supervision.
I have personally seen good models where the PA/NP is basically like a senior level resident, they do their thing, then every case gets run by the attending. I am not saying the attending actually goes in and see's all of these patients, but they at least have been told about this person before they leave the department. I am totally ok with this type of arrangement. It seems efficient, It seems safe. It seems like good ER medicine.
One of my prospective jobs has a fast track area of the side of the main ED with a PA/NP staffing, and I am to provide "supervision". I am concerned that I will have to sign charts of patients I have never seen or even been told about, and this represents a major liability on my part, which is not worth the risk because I am working a flat hourly rate, and will not being getting any of the extra money this staffing model brings in. I am NOT ok with that situation.
How do you experienced doc's here handle the above situation, and how to express to a prospective employer that I am not Ok with that model?
I have personally seen good models where the PA/NP is basically like a senior level resident, they do their thing, then every case gets run by the attending. I am not saying the attending actually goes in and see's all of these patients, but they at least have been told about this person before they leave the department. I am totally ok with this type of arrangement. It seems efficient, It seems safe. It seems like good ER medicine.
One of my prospective jobs has a fast track area of the side of the main ED with a PA/NP staffing, and I am to provide "supervision". I am concerned that I will have to sign charts of patients I have never seen or even been told about, and this represents a major liability on my part, which is not worth the risk because I am working a flat hourly rate, and will not being getting any of the extra money this staffing model brings in. I am NOT ok with that situation.
How do you experienced doc's here handle the above situation, and how to express to a prospective employer that I am not Ok with that model?