Have posted about clinical productivity and compensation before. Am curious to hear from others in hospital-based systems where they measure clinical productivity, but you also likely have less freedom to dictate things like policies, caseload, etc.
I'm not going to hit my RVUs for the year. Today is a good example given I scheduled 7 and am going to see 2-3. I normally try to schedule 8, but obviously it doesn't always happen. Clinic policy is we don't charge for last-minute cancellations (not my decision). Scheduling happens through a centralized system and I don't really have much freedom to dictate my caseload within that to try and pick/choose populations with high show rates (which I wouldn't necessarily feel great about doing anyways but hey, gotta work within the system). I try to walk a line between emphasizing the need for regular attendance without being so dictatorial as to impact rapport.
I'm sure others have been in similar situations and am curious how they handled it. Truthfully, I doubt its going to "hurt me" per se. I'm mostly research, am doing great on that front, and I seriously doubt anyone will care two licks if I come up slightly short on the clinical front. Nonetheless, failing to meet goals bugs me Is 6/day an unreasonable expectation for a moderate-severity clinic that takes insurance? They also set our hours of operation so I couldn't schedule outside 8-6 even if I wanted to (and I'd give up seeing patients entirely if they try to make me book 10/day). All I can think to do would be to expand my caseload so I'm cramming folks in where they fit and frequently not weekly. If that is what needs to happen I'll deal, but it doesn't sit well with me ethically.
Thoughts? Encountered similar problems? How do you handle?
I'm not going to hit my RVUs for the year. Today is a good example given I scheduled 7 and am going to see 2-3. I normally try to schedule 8, but obviously it doesn't always happen. Clinic policy is we don't charge for last-minute cancellations (not my decision). Scheduling happens through a centralized system and I don't really have much freedom to dictate my caseload within that to try and pick/choose populations with high show rates (which I wouldn't necessarily feel great about doing anyways but hey, gotta work within the system). I try to walk a line between emphasizing the need for regular attendance without being so dictatorial as to impact rapport.
I'm sure others have been in similar situations and am curious how they handled it. Truthfully, I doubt its going to "hurt me" per se. I'm mostly research, am doing great on that front, and I seriously doubt anyone will care two licks if I come up slightly short on the clinical front. Nonetheless, failing to meet goals bugs me Is 6/day an unreasonable expectation for a moderate-severity clinic that takes insurance? They also set our hours of operation so I couldn't schedule outside 8-6 even if I wanted to (and I'd give up seeing patients entirely if they try to make me book 10/day). All I can think to do would be to expand my caseload so I'm cramming folks in where they fit and frequently not weekly. If that is what needs to happen I'll deal, but it doesn't sit well with me ethically.
Thoughts? Encountered similar problems? How do you handle?