marsupial

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Trying to understand why docs (primary care) wear pagers at night at all these days when there are full time hospitalists on duty. Why wouldn't you just work 8-5 and tell your pt's to go to the ER on nights and weekends?
 

fanondelaterre

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hi, I am sure there are other reasons, but one quick one I can think of is that sometimes those patients do go to the ER and the ER physician or the admitting physician needs to contact their primary care in order to make a better plan of treatment.
 

PremedIowa

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Trying to understand why docs (primary care) wear pagers at night at all these days when there are full time hospitalists on duty. Why wouldn't you just work 8-5 and tell your pt's to go to the ER on nights and weekends?
Because that would be terrible medicine? Plus in order to work at hospitals they make you take a certain amount of call and/or care for your own patients specifically to avoid this.
 

aProgDirector

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Primary care docs on call manage people over the phone. Prescription refills. Minor questions. etc. If someone is ill enough that they need to be physically evaluated, then they are sent to the ED (unless your office clinic is open on the weekends, which some are).

That being said, some primary care clinics have an office answering machine only that says "If it can wait until Monday, leave a message. If not, go to the ED".
 

drdavemd

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patients call with symptoms in the middle of the night and those that have been to the ED know how horrible of an experience it can be (wait times, being around other sick people, etc.) Patient with the sniffles or something simple want to be reassured and not sent to the ED.
 

heretics

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Yeah but if you don't have hospital privileges, you're not getting paid a penny more to take those sniffle phone calls. You can't bill.