Telemedicine

[Backpack234]

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Just got an offer to work $50/pt with a telemedicine service. I have no idea what a telemedicine job entails from a liability standpoint. Seems like it's as simple as adding a physician perspective to a typical nursing line, but also adding that physician's name to the chart increases liability. Should I avoid this or go for it?

 

[GonnaBeADoc2222]

Just got an offer to work $50/pt with a telemedicine service. I have no idea what a telemedicine job entails from a liability standpoint. Seems like it's as simple as adding a physician perspective to a typical nursing line, but also adding that physician's name to the chart increases liability. Should I avoid this or go for it?

Even at 3 pph this is only $150/hr. And you still have to talk to patients.

Seems like a low ball offer.

 

[VA Hopeful Dr]

Even at 3 pph this is only $150/hr. And you still have to talk to patients.

Seems like a low ball offer.

It's about standard. Most telemedicine involves a doctor being an antibiotic dispensing machine and nothing more

 

[GonnaBeADoc2222]

It's about standard. Most telemedicine involves a doctor being an antibiotic dispensing machine and nothing more

Yeahhhhhhh. Not for me.

 

[VA Hopeful Dr]

Yeahhhhhhh. Not for me.

I won't lie and say I won't ***** myself our for money in the professional sense... But it's for more money than that

 

[GonnaBeADoc2222]

I won't lie and say I won't ***** myself our for money in the professional sense... But it's for more money than that

I don't judge you. But it's kinda like that song

"I will do anything for $, but I won't do that."

 

[bravotwozero]

I won't lie and say I won't ***** myself our for money in the professional sense... But it's for more money than that

Lol, since when did offering your professional services for money equate to prostituting yourself? I’m guessing that’s what the starred words said in less delicate terms....

 

[deuist]

Tele medicine seems like in anathema to emergency physicians. You cannot examine the patient, order any tests, or have any kind of disposition other than discharge. You end up prescribing a lot of azithromycin for coughs and colds that should not be dispensed and wind up practicing generally bad medicine.

 

[VA Hopeful Dr]

Lol, since when did offering your professional services for money equate to prostituting yourself? I’m guess that’s what the starred words said in less delicate terms....

Depends on what those services are.

I could open up a weight loss clinic tomorrow with B12 shots, HCG shots and give everyone phentermine and make a fair bit of money doing it. Or, God help me, functional medicine. But neither are supported by evidence, aren't actually doing good doctoring, and are profiting off of the gullible. Same kinda thing with pill mills.

That's what I mean when I say prostituting myself out for money (and yes, you nailed the starred out word).

Most telemedicine is similar. People want an antibiotic/steroid, they don't actually care what you have to say or what you think.

I saw a patient literally yesterday. 22 y/o guy, just broke up with his girlfriend and had a one night stand with a girl from the bar. Now it burns when he pees. The telemed doc gave him macrobid. He saw me when, surprise, he didn't get any better. Apparently chlamydia doesn't respond to macrobid.

 

[cyanide12345678]

Just got an offer to work $50/pt with a telemedicine service. I have no idea what a telemedicine job entails from a liability standpoint. Seems like it's as simple as adding a physician perspective to a typical nursing line, but also adding that physician's name to the chart increases liability. Should I avoid this or go for it?

Is there any charting that you do after a patient encounter? Or are the encounters recorded? How does it work if a back pain ends up a AAA and the person dies and you get sued?

 

[deleted109597]

Telemedicine is urgent care for people too lazy to come to the UC.
Or, one of them does, and calls in for the rest of the family.
It can make money, but it generally ends up being terrible medicine.

 

[deuist]

Is there any charting that you do after a patient encounter? Or are the encounters recorded? How does it work if a back pain ends up a AAA and the person dies and you get sued?

One of the companies that I looked into recorded the calls. A scribe wrote the chart and emailed it to the doc for signing. Malpractice is covered by the company. Just like any other person you see in a professional setting, you are legally responsible for any bad outcomes.

 

[cyanide12345678]

Do the docs even have any vitals to look at?

One of the companies that I looked into recorded the calls. A scribe wrote the chart and emailed it to the doc for signing. Malpractice is covered by the company. Just like any other person you see in a professional setting, you are legally responsible for any bad outcomes.

That sounds terrible. It's much more likely to miss something when you can't lay your hands on the patient and have no access to patient vitals.

 

[migm]

50/pt is way better than the rate i'm getting. Can you PM me the company?

 

[marcozecca]

do the telemedicine job provide Visa for foreign IMGs?

 

[deuist]

do the telemedicine job provide Visa for foreign IMGs?

Why would you need a visa? The whole point of telemedicine is that you stay at home.

 

[marcozecca]

Why would you need a visa? The whole point of telemedicine is that you stay at home.

because I am not a US citizen, I need a visa to work in US usually...that is a tricky situation with telemedicine...that is why I am asking...pls help me...

 

[KeikoTanaka]

I feel like I would only ever do Telemedicine as an adjunctive thing to a conventional practice. If I know the patient and have a good relationship with them, I'm okay with doing more things over the phone (And worse case scenario I say No, you come in now we need to examine you/get a sample etc). I would never blindly do Telemedicine.....

Unless I was a Psychiatrist. That's the only medicine field I can see it totally being 100% Laissez-fairre (Spelling?)

 

[emergentmd]

$50/pt with charting and all the other hoops I have to jump through?

No thank you.

 

[gatewasani]

I'd be interested, anybody have a company they work with they could recommend to me? PM me please