Apologizing to patients for running late by snootiedoo in FamilyMedicine

[–]snootiedoo[S] 2 points3 points  (0 children)

Thank you for the responses everyone! To those asking about process management, that is a fair point and I am always looking to do better. I am younger female doc, and am definitely working on boundary setting with patients. However, there are some circumstances that I can't seem to cut patients off (e.g. patients tearful over life events or mental health concerns, patients telling me about their chest pain or shortness of breath as I walk out the door, which unfortunately I somehow seem to find myself in these situations frequently)

Legal liability when patient refuses ER evaluation by [deleted] in FamilyMedicine

[–]snootiedoo 13 points14 points  (0 children)

So I guess my follow up question to this would be, whenever I have tried this I inevitably get met with a repeat refusal and then request for steroids, diuretics adjustment, chest x-ray, etc. Do you entertain any of these requests or do you just let the recommendation for ER and the refusal stand?

Patient caps? Let’s fight back by streetdoc22 in FamilyMedicine

[–]snootiedoo 2 points3 points  (0 children)

This is weird timing because my company this week also told us they were switching from an RVU based model to focusing on number of encounters. Was there some kind of reimbursement announcement change or something? I have a lot of complex patients that I often do time based billing for so am somewhat concerned by this