Recent content by Pikevillemedstudent

Only thing I would add is that trauma has a much higher malpractice risk. Probably not worth it in private practice. If hospital employed, you better ask for a significantly higher salary. The going rate for facial trauma coverage is very significant. I know a few that solely perform facial...

I probably spend an average of 10 minutes. Post-op’s and fna results are all really quick but a scope where I find a cancer can take much longer. I also have a PA and a NP. One has scheduled patients, the other cannibalizes my patients. So I don’t see the 6 month allergy meds refill, no new...

I’ve never had to do that. Occasionally a patient will reschedule if they’ve waited too long. But that’s happened very rarely.

I know exactly what you mean. We have a neurologist that literally has the same copy/paste plan for every patient. Doesn’t even tell what rx they give. My notes say exactly what I’m thinking. They have too or otherwise I won’t remember. Too many patients to remember everything. I do use...

There is but where I practice, patients show up kinda whenever and I still see them. Also can have a high no show rate at times too. So I usually have 60 on the schedule and end up seeing about 45. Sometimes we have long waits but most of the time it’s not too bad. I just see whoever shows up...

Also, Medicaid here requires that we see the patients within a 3 week timeframe for outpatient and 72 hours for ED referrals. Their requirements actually cause the large numbers. Now my average is probably 45 patients per day. 63 was a crazy day and thankfully rare.

Yes. I’ve been audited before. It’s not a big deal. They just want your average to be a level 3. If it’s higher, they audit you. Plus the EMR tells you what to bill and it’s mostly correct. The billing is easy. It’s sending in the prescriptions that’s the most tedious.

The scribe keeps me on track. But to be fair, my scribe is very good. Former office administrator of another practice who was looking for a change. I was hesitant to use one because I thought they would actually slow me up so much at first.

What Falconslice said. Also, a scribe has really made my life easier. Just started using one in January. I have seen 63 patients in one day before. No lunch. No breaks. Just work.

Great discussion here. And I agree with most everything being said. Ive worked in a PP and hospital employed. For me, the employed setting has been far and away better. I will provide some insight since few have from that perspective. But I will say that I'm likely the exception and not the...

I basically agree with your thoughts. Balloons are underwhelming. Regardless of the published evidence, I've found few patients that would benefit. My experience might be jaded but those performing balloons regularly seem more interested in the financial aspect than patient care. We've decided...

We have our own board and therefore board certification. So it's actually easier to be a "board certified facial plastic surgeon" through the DO route because you must only complete an otolaryngology residency and written and oral boards. But I agree that the standards compared to ABFPRS may be...

I don't think your tone or demeanor is very professional in this thread, especially from someone who has never met a DO ENT. With that said, I'm a DO otolaryngologist. My residency training was better than most, MD or DO. Why? We had a faculty to resident ratio of greater than 3:1. I had an...

Actuallly it is a residency not a fellowship and can be completed in just three years after med school. They perform colonoscopies and minor rectal surgery. Only one residency left in the entire nation. Apparently they do well financiallly and with regards to lifestyle. Being known as the...

Actually one anes. fellowship does exist, pain management at Pontiac Osteopathic Hospital. It is on the opportunities website.