Read this, not good. Same pay for the same job is dumb but it’s simple and could drastically lower reimbursement
See, I take this as a legit reason for us to keep MLPs doing MLP things, and not just pick up the level-2 chest pain/SOB patient whenever they feel like 'learning'.
The time for 'learning' is called R.E.S.I.D.E.N.C.Y.
Didn't do that RESIDENCY thing? Welp, we hired you to see low-acuity things quickly. So... go see low-acuity things quickly.
Before anyone says it; yes, I'm aware that the CMGs see us as almost interchangeable and that since we have little power over our work environment, that they will ratchet us down to their level, and that the upward pressure from the MLP lobbies will make this even harder.
This is presently happening at my main gig.
It can happen for you, too.
The CMG lost the contract, and the new quasi-SDG is in.
Before anyone squeaks; no, its not USASSKISS or Vituity or any of those shell-games.
One BIG aspect of the remodel is the role that MLPs are playing.
The message was sent about a half year ago that we want the MLPs to see fast-track things quickly.
The MLPs didn't like this, and would often pick up level 2 or 3 patients in the main ED out of petulance.
Then, they made a big mistake; and they let patients stack up 2 and 3 at a time in their fast track area.
So, one of us physicians would go and "clean their house" in 20 minutes or less. Send 'em all home.
This happened a few times, and it came to light that ... "Hey; you guys are sitting there wondering what to do with this flank pain patient, while we're doing your job in half the time that you could ever do it in. Stay in your lane."
They didn't listen.
With the new group.... we hired two brand-spanking new MLPs. Didn't need 'em. But we hired them. I was involved heavily with the process.
They will start soon.
The message was sent during the hiring process: "You're going to see low-acuity stuff quickly, and take direction. If that's a problem for you; say so now."
The message was thus tacitly sent to the current MLP crowd that "they were on notice".
They know that some or all of them are going to run out of shifts. *
Some of them will be "absorbed" by the other hospitals in our system.
Some of them quit and found new workplaces.
Some of them are sticking around and seeing where the axe falls.
We will see what happens.
* We used to have 2 MLP shifts a day at 12 hours each. We changed the shift map to have double physician coverage during the hours of 2-10pm, and 1 MLP shift between 12p-12a. The only reason we could do this is because decisions are now made LOCALLY, and not by old, buttery vasculopaths somewhere five states away between their shrimp cocktail/martini lunch and their afternoon A1 steak sauce message session. Yes; you can see that man-boobed and balding administrator pouring A1 sauce straight out of the bottle onto his tiddies and paunchy abdomen and rubbing it around. His tongue is hanging halfway out of his mouth, and he is droning on with sounds generally made during intimate moments.
A few folks on here know me in real life. For those that do.... if we catch up at some conference from here until doomsday, and I am a paunchy and man-tiddied guy (and I don't have a terrible autoimmune endocrine disease), then kick my ass, please.
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