Recent content by gutonc

If you're hustling for $$ in academics, you're doing it wrong.

I can't believe how wrong you are here. It's actually the FIRST day of fellowship.

Every institution will have some process for this. Most of the ones I'm familiar with require staff (including physicians) to be certified either as fluent via a test, or be certified/licensed (whatever your locality calls it) medical interpreters. Any staff member can do it if they're...

The "something else" is that it's Yuma.

I never fully got into academics as an attending. But I was planning on it and I don't regret the path I've taken at all.

They all start out as 99204s, but most wind up as 99213 follow ups. It’s not that big of a deal though. I double book them in a 20 minute slot, spend 5 minutes total on each one (including the note), and still have time to prep for the next patient while running on time. But as @guildsman...

I see a TON of benign heme. I work in a rural area with a fair number of NP/PAs doing primary care. They tend to refer anyone with any sort of abnormality on a random CBC. These usually result in a couple of follow ups at least, all of which require only reviewing a CBC and sending them away. I...

I'm using the G2211 a lot these days (~80% of encounters) and on the 2022 CMS values I'm averaging 2.35 wRVU/pt for the year so far. I track my own productivity so I can double check my employer's work. This way I can pay attention not just to the wRVU #s but the breakdown of codes. For follow...

You definitely have leverage. I will say that for many jobs, particularly employed ones, signing and relo are where the most flexibility is so definitely run with that. You're also in the driver's seat for this one so feel free to counter their offer and once they get back to you, let them know...

I will do that a lot of the time. Either an InBasket or Teams message if they're in our system, or a text if I have their number.

Glad handing goes a long way. Be sure EVERYONE (PCPs, surgeons, the ED docs, hospitalists) in the area has your cell number and knows that you're happy to help out at any time. It's way easier to text "hey, got a second for a quick question about X?" than it is to look up who's on call for...

I don't use a scribe, or dictation of any sort, but I imagine it's just dictated and they let the scribe write it down. But TBH, the MDM in oncology is pretty straightforward. Kind of like ortho most of the time. "Has cancer...give chemo"/"Bone broke...must fix"

If location is good for you, the ONLY potential flaw I can find is the lack of a productivity component. I think the base pay is great and would have no issues with that. But I can tell you with certainty that whenever there's a situation where there's no incentive to work and everyone gets paid...

I am the quintessential generic white guy. I'm looking for a new PCP in my new semi-rural town. There are a couple of DPC practices there that I looked into, but they have such douche-y names (totally unrelated to the names of the physicians) that I couldn't get over it and just went with the...

If, as @NewYorkDoctors states, the business must be under your real name and you're worried about it, you can either just make it YourLastName Direct Primary Care and be done with it, or you can register with your YourLastName Direct Primary Care, DBA "A Name White People Can Pronounce Direct...