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Question to those of you who do clinic notes... - Almost Friday

Posted: Jul 28, 2011

Has anyone started to get more work in the last year (in a clinic setting)? It was steady for me a few years ago, and now I am overwhelmed with the amount of dictation I have!! Each of the doctors I work for are seeing wayyy too many patients in one day, thus more dictating, etc. Im putting in like 10-12 hour days now, whereas I used to only work 5 or 6.

They are scheduling the patients all at the same time, making them wait in the waiting room for a couple hours, and only spending like 5 or so minutes with them... I have also noticed the same thing this year going to my doctor appointments... I guess that is the only way they think they are going to make any money... Im pretty much disgusted by it.

Are they running bus routes?? - Me2

[ In Reply To ..]
I have jokingly said my ortho docs are running buses and trolling for patients,lol. I don't understand how any practice can see so many patients in a day, but their patients love them, so they must be doing SOMETHING right!

busy docs - lmj

[ In Reply To ..]
Not sure what state you are in, but I know in my state the malpractice insurance has gone so high that many doctors have closed up shop. This means the remaining doctors are absorbing the fall out.

But as the saying goes, make hay while the sun shines! More lines is better than not enough!

Me too....lots more in the last year or so - sm - XXX

[ In Reply To ..]
I used to be able to actually do stuff with my kids in the summer, ha, now I get about 140-160 mins a day, been like that for the year or so. The case load was much lighter before. I am working on and off from 8am to midnight usually, it varies of course, but I do hospital clinic and wow has it picked up. Granted my hospital merged/took over another's case load so that did have something to do with it. Obviously I should not complain, I have good steady work but it is hard not to get burned out. I have not wanted to work today at all, just starting now. Will make a good dent now and finish early in the morning, just gets rough sometimes, luckily all my docs but 2 take different days off during the week so that really helps but still very busy most days.

slow now - but not always

[ In Reply To ..]
Used to work for a urology clinic, had 4 of 7 doctors that I did all of the work for. They were all on tapes and was easy at first, two of the doctors only had 5-10 patients a day and maybe 10-15 minutes of dictation each, the others had 30 to 45 minutes. By the time I was let go because they decided to outsource, I was ready to quit anyway. My boss told me they thought I was goofing off since I was being paid hourly. Not a chance! After 5 years the 10 to 15 minutes of dictation turned into 30 minutes a day and the 30 to 45 minutes were 60 to 90 every day. I am good, but I was turning in 8 hours on my time sheet even though I was working 10 or more hours every day trying to keep up. My husband was not happy because I was working for free and they were expecting me to keep it up. Went with a service when I left and did not hear good things from the medical records people when I checked back a few months later, lots of blanks and (no surprise!) the turn around time was not even as good as mine, and they had several different transcriptionists working on the account! Glad to be where I am now, even though it is not consistent, it is steady work and not so stressful!

clinics busier - Happy MT

[ In Reply To ..]
What about hiring subs to help you. I do that. I have my own large clinic but can do as much or little as I want. I have two reliable subs and can take off when I want, so we all get extra lines if one of us is off. My clinic also busier, line counts going up every month. Lot of my docs seeing 25 patients a day. Blows my mind how you can see 25 patients a day. My son-in-law is a physician also and doesn't get home till 7 every night, large patient loads also. He CAN control his patient load and basically, it's pure unadulterated greed. My daughter FIGHTS to get him to take a day off. So I think young new docs are like that, so excited about this money after all those years of training and making peanuts they just LOVE the money but I do know THEY can personally control their workload.

clinic work - PC

[ In Reply To ..]
oh please, please tell me what company has clinic work to do!!! That is what I love, excel in and have had the most recent experience in and cannot for the life of me find a service that has any openings for clinic work!!

Insurance company demands - LaurieG

[ In Reply To ..]
When I recently went to my primary care doc, I waited nearly 2 hours. He told me that one of the more popular insurance companies was demanding all their Medicare patients have a complete physical before a certain date. You don't do a complete physical in 15 minutes, so he was overwhelmed with patients to get everyone in before the deadline.

Waiting time to see doctor - Happy MT

[ In Reply To ..]
I have never, and I am 59, waited two hours to see a doctor, NOR would I. That is rude of them to be scheduling so many patients. Doing a CPE is no excuse to schedule you to wait two hours. I would walk out if not seen in an hour but have never waited more than 30 mins. Our time is important too. They do it because they get away with it. They should lose patients over it because there are plenty of clinics who pride themselves on NOT doing that.

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