We also use a group that provides after hour telephone triage and backup. They can arrange for reasonable prescriptions... antibiotics for a clear UTI in a young woman for example.. or refer to the ER if it really sounds urgent. We even made them a user on AC so they can access charts via LogMeIn if they really need. That change in our practice plus hospitalists took care of nights and weekends. I am now 66 years old with no plans to quit. Any guess if I would still be doing this if I were still carrying a beeper? Yeah, no one else does it quite like I would, but my patients are still better off with most of me than with none of me, which was becoming the only option.

Last edited by dgrauman; 10/19/2011 6:24 PM.

David Grauman MD
Department of Medicine
Commonwealth Health Center
Saipan, Northern Mariana Islands