Medical clinics are often overbooked, like airports. This is why they give you an appointment time that is generally thirty minutes early. ONE late person fucks the entire day’s schedule after their appointment time, that’s how tightly management insists on arranging it. Even the extra time slots of the past are being booked or even double booked in advance of the day. Docs are often given 10-15min per patient. Those other rooms you see in the hall? There are patients inside waiting for doc to go down the line, as staff keeps refilling those rooms down the line as the doc finishes. You think there’s time to read between? Oh you sweet summer child. That’s not on docs, that’s on corporate. Whatever company logo is stamped on the clinic and also on the nearby hospital, they’re the ones making it happen that way. Why? More patients crammed into each day means more $$$. Quantity over quality. Clinic docs are also paid by patient encounter. So this works together to arrange what we in healthcare commonly call a clusterfuck.
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This is the part that’s probably messing with you most. And it likely won’t change. In medical, the assessment is sacrosanct. And your own. You MUST do it yourself. You don’t just go with the assessment of the first person to do one and never check again, you always check again. Always. Every visit. A lot can change in half a day. A day. A week. A month. And the quality of assessment changes with each person. Each person. Medical isn’t robots, it’s people, and most data collection happens through people. Each medical staff, doc or NP or RN or PA, gets their own assessments before they begin, unless they’re utter garbage at their jobs. This doctor never assessed you before, which means, they MUST assess you now, per their licensing. Also, a good chunk of what’s in the chart is old news. What’s right in front of you contains the best data about the patients present state. And the speed at which a clinic is to move from patient to patient, 2 min to read a chart isn’t part of the schedule. Even logging in these days can take half that 10min time slot due to old crappy computers. Sure stuff like moms medical history, what tests you’ve had already, and meds (pharmacies e-record talks to your medical e-record these days) is current, but your present state changes day to day and asking YOU what’s happening today is usually best practice and the most accurate. There’s no day prep time to a clinic day and no one takes “homework” home after work. It’s hit the ground running and just start diving into appointments. When the doc knows the patient already ofc this goes more smoothly because the doc knows the bigger picture. That’s why there’s an assigned doc for each patient.
.
All the NPs being trained makes the process more difficult. Heavy revolving door there as they do their version of residency and then poof they’re gone to find their actual job.
.
Wait until you’re admitted to a hospital from an emergency room, you’ll be in for a real treat. /s.
Somewhere, dunno where, there is a country where doctors in state medical institutions make less than me, get bullied by superiors daily, deal with all kind of bureaucratic paper fuckery, and yet show the heroism of not leaving that work for greener pastures in private medical institutions which pay normal. And they are conscious of that. Cause sometimes lonely old people, or clueless\lost\just poor people, or someone unprepared, need help.
Your system might not be good, but if you are thinking of building some other one, please think how it’s going to make doctor’s pay proportional to their value for the society, without tanking the rest of said society.
Medical clinics are often overbooked, like airports. This is why they give you an appointment time that is generally thirty minutes early. ONE late person fucks the entire day’s schedule after their appointment time, that’s how tightly management insists on arranging it. Even the extra time slots of the past are being booked or even double booked in advance of the day. Docs are often given 10-15min per patient. Those other rooms you see in the hall? There are patients inside waiting for doc to go down the line, as staff keeps refilling those rooms down the line as the doc finishes. You think there’s time to read between? Oh you sweet summer child. That’s not on docs, that’s on corporate. Whatever company logo is stamped on the clinic and also on the nearby hospital, they’re the ones making it happen that way. Why? More patients crammed into each day means more $$$. Quantity over quality. Clinic docs are also paid by patient encounter. So this works together to arrange what we in healthcare commonly call a clusterfuck.
.
This is the part that’s probably messing with you most. And it likely won’t change. In medical, the assessment is sacrosanct. And your own. You MUST do it yourself. You don’t just go with the assessment of the first person to do one and never check again, you always check again. Always. Every visit. A lot can change in half a day. A day. A week. A month. And the quality of assessment changes with each person. Each person. Medical isn’t robots, it’s people, and most data collection happens through people. Each medical staff, doc or NP or RN or PA, gets their own assessments before they begin, unless they’re utter garbage at their jobs. This doctor never assessed you before, which means, they MUST assess you now, per their licensing. Also, a good chunk of what’s in the chart is old news. What’s right in front of you contains the best data about the patients present state. And the speed at which a clinic is to move from patient to patient, 2 min to read a chart isn’t part of the schedule. Even logging in these days can take half that 10min time slot due to old crappy computers. Sure stuff like moms medical history, what tests you’ve had already, and meds (pharmacies e-record talks to your medical e-record these days) is current, but your present state changes day to day and asking YOU what’s happening today is usually best practice and the most accurate. There’s no day prep time to a clinic day and no one takes “homework” home after work. It’s hit the ground running and just start diving into appointments. When the doc knows the patient already ofc this goes more smoothly because the doc knows the bigger picture. That’s why there’s an assigned doc for each patient.
.
All the NPs being trained makes the process more difficult. Heavy revolving door there as they do their version of residency and then poof they’re gone to find their actual job.
.
Wait until you’re admitted to a hospital from an emergency room, you’ll be in for a real treat. /s.
For-profit medicine is a cruelty unlike any other. The United States government’s embrace of this system is truly abhorrent.
Somewhere, dunno where, there is a country where doctors in state medical institutions make less than me, get bullied by superiors daily, deal with all kind of bureaucratic paper fuckery, and yet show the heroism of not leaving that work for greener pastures in private medical institutions which pay normal. And they are conscious of that. Cause sometimes lonely old people, or clueless\lost\just poor people, or someone unprepared, need help.
Your system might not be good, but if you are thinking of building some other one, please think how it’s going to make doctor’s pay proportional to their value for the society, without tanking the rest of said society.