Healing, caring docs still out there full force... starting next week we are going to implement most of your suggestions.
My late night statement of thanks to our JackChoi, Paul, Catherine, Tom, Jon, Ketan, David, Chris, Wayne, John, Bert ... at the time being, counting in reverse,and hopefully more coming. Our docs, and doc companions are more than amazing.
Katherine, you might be better than many of our docs in your ability to do multitasking. My doc can touch type fast but she can't concentrate on more than one thing at a time and easily getting distracted. Either talk/listen or type but not at same time. To complete her charting we might need to put in multiple, non disturbing time slots so any unfinished charts could be done at that time, also this required highly disciplined time management on her part.
Paul, IMP sounds terrific but to break away from this 'lowly doc mold' of current ins/audit/gov attitude requires great adventurous mindset and that is something tough for my 'traditional, conforming) doc. We can do it but have to be either financially strong or risk taking attitude ( that was myself, younger shell ) Solo doc doesn't have much voice at all and can't create a unified force to stand up, so he lives by the rules. That is my view of the modern medicine solo practice, eventually all solo docs will become obsolete, might be not in the next twenty years. I am both an insider and an outsider.
JackChoi, Jon, your ideas to be implemented last if all else failed as scribes might be taking time to adapt. Most agree upon that charts need to be done at end of day, taking home is the no no. But Jack mentioned he routinely worked till 8 seeing patients so where is the time for pm? or life? More inputs please?
We had a bad snow days couple mos back then everything shuts down for 3 days, considered non-pay vacation, but then admin stuffs piled up, and more overtime needed to catch up, same thing when she tooks CME out of towns, more stresses after those off time, not talking thousands loss income. 3 year solo docs would not that financially able yet, at least 5 years or more now a day... When was your breaking point Tom?
BTW, she has been using remote logon for the past 3 years, that might be one of the problem cause as things not done at the office can be taking home...
