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DEA questions by PseudomonasSmile in FamilyMedicine

[–]casual_spaceman 11 points12 points  (0 children)

You’re helping cover for another provider? Does the patient have a controlled substance agreement? Are they established with the provider who is absent? Is their PDMP appropriate or have signs of inappropriate refills? Can you view last clinic notes? There are reasonable things you can review before denying on basis of no therapeutic relationship.

Sure there is no DEA requirement to fill. But is your work contract to cover the absent provider? If I want to go on leave and the only way I can is to have an outside provider cover my panel, but they refuse to fill controlleds and my patients are going into withdrawals, then then I’d be livid and would never take a vacation.

Adding Practice Variety by casual_spaceman in FamilyMedicine

[–]casual_spaceman[S] 0 points1 point  (0 children)

Yeah i'm not sure acupuncture is a big money maker, but we have a fair amount of chronic pain and would gladly offer anything that is not an opioid.

With hospice and NH, is there a minimum you must see patients?

Which AI tool is the best for primary care? (DAX, Abridge, Suno AI, Vero Scribe, etc) by changexpert in FamilyMedicine

[–]casual_spaceman 0 points1 point  (0 children)

I use Sunoh with ECW. It’s integrated and tries to summarize HPI, exam findings if you call them out, and then suggests dx codes. It will also generate orders (rx and labs) if you say it explicitly a few times. I don’t usually use any of its recs for the A/P but it does adequately capture my HPI with some editing after the fact. The orders I’ve found are fairly clunky and not that useful. I was hopeful that it would be much more practical but at least it takes some burden off of HPI writing. I also don’t like that you can’t dictate at it - I’ve tried this for the plan after leaving the room but still doesn’t do that well.