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How many patients per day? New grad offers


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I am considering two offers, one is in pediatrics and the other is in family practice.

 

Pediatrics

  • Rural NC location
  • NHSC Loan repayment site (HPSA score 16)
  • Base salare 80k
  • Expected to see 35 pts/day!
  • $300 Stipend for health insurance

 

Family Practice

  • Nicer setting in large urban NC
  • Base salary 82k
  • 20-25 patients per day
  • Health coverage provided

 

Everything else about these offers is pretty comparable. I like the idea of loan repayment because I have a high debt burden. I'm just concerned about the patient load. I know it's kids, but still. I'd welcome any thoughts. 

 

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I can speak to this as I am a new grad, practicing for 5 months now doinrg acute same day visits (sort of like urgent care) and some chronic disease mgmt follow up visits in an IM clinic.  They want to get me to 22 patients/day in another 1.5 months and I think this is too much to be safe or fair to the patients.  Currently seeing 15/day and I feel maxed out with my ability to accurately and safely assess patients, write chart notes, and have a life on the side. 

 

Peds and family med would have lower acuity patients generally speaking and could see more, but I'd be cautious, especially with family med.

 

My advice is to really try and find a job where they recognize your new grad status and gradually increase your patient load at a fair rate reflecting your experience level.

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pt volume seen depends on experience of provider and efficiency of infrastructure. if you can dictate visits or do paper charts, high volume is much easier than if you are forced to use an emr which limits you to 2-3/hr.

if your support staff works like a well oiled machine and can get folks in/out of the rooms, get splints/dressings done quickly, etc it will flow much better than if you have min staff moving slowly and inefficiently.

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