I find it interesting that many practices describe delegating tasks to staff that I would never dream of doing (like calling patients to discuss lab results) but then several of you would give your cell phone number to a pharmacy which seems like a guarantee of needless interruption. I go at the prescription thing backwards from you. I never take calls from the pharmacy nor do I respond to refill requests from the pharmacy, but instead have the patient call a staff member to request a refill. The staff member can then determine from the chart if the patient needs to be seen or if it is a legitimate need, then pass it on to me. We have a few pharmacists who like to play doctor, and "suggest" medication substitutions or additions. These have been snuck in as "refill requests" from the pharmacy.


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