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In residency we rotated at a UHS hospital. Every single attending billed for at minimum 40 patients a day, frequently up to 60, and 80+ on weekend coverage. One of them would see 40 inpatients in the morning and then run the IOP in the afternoon. The PGY-2 covered a 12 patient unit for the attending, the rest were allegedly only seen by the attending. One nurse per unit. Social workers were covering just as many patients as the attendings.Re: UHS. Two anecdotes of very solid psychiatrists (like very competent and efficient, but not efficient bad) from two different UHS hospitals. I assumed these types of docs would be perfect fits because they are sort of no nonsense practical guys who understand it's a business. One lasted 1 year because he was as he put it "one of the four D's: dumb, desperate, divorced, or in debt." And UHS paid the most in the region. The other doc lasted 3 months before bailing saying it wasn't a safe place to work. And this was a guy who would see 20 adults and 10 child patients per day on weekend cross cover at his previous hospital and he thought UHS was bad So, I can't imagine ever working at UHS personally. I've also had patients go there and tell me the groups were just a nurse giving them a handout to read about DBT skills, and the patients all sat in silence in the group room reading to themselves.
When thinking about the fact that $100 per patient was their going rate, it makes a lot of sense that they would be willing to see that many patients. I would agree that they all met at least one of the four Ds.