You are right on the money, Tom, Bert. I think she needs to reconsider her time management, full attention to finish the chart before going for the next patient. She'd been working for others before and could see 40 patients a day, doing paper charts of course, in and out in 5-10 minutes.
So
Time management including multiple breaks Charts completion strictly enforced end of day Effective coding to extract max pay from time spend RX refill strictly enforced Handouts to minimize time spent explaining Assistants in the exam room
I am sorry but I forgot another issue equally important,
Practice management, this requires a full time attention and many multi page docs need doctors to do the previews and signs like lots of home health paper work requests, reminders from insurances asking why patients not taking this or that, claim denials because of patients in and out of system and slip thru the system (we use outside billing/accounting) needs doc to review, vaccinations inventory (one friend let his trusty assistant to do all the orders and she made mistakes, huge invoices...
I went to some seminars and heard that many practices loosing lots of money because of employees' action, so to control risks, my doctors like to keep this under her control also.
She made jokes saying that family docs like dumpsters
She does assign some of this to her office manager but still ....
How our docs in the forum in the solo practices to see full time patient loads and doing practice management at the same time and to be able to get out after seeing last patients and enjoy nice meals? Very trustworthy office managers? Doing at nights (assume all charts done in the office)?