glikesw Posted November 1, 2014 Share Posted November 1, 2014 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. Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted November 1, 2014 Administrator Share Posted November 1, 2014 Both are too many patients per day for a new grad to see safely if you have to do any charting at all. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted November 1, 2014 Moderator Share Posted November 1, 2014 loan repayment is worth 25k+/yr. 35 pts/day is ridiculous unless those are 12 hr shifts and/or have all been triaged as super low acuity/rx refills/etc. . Link to comment Share on other sites More sharing options...
treejay Posted November 1, 2014 Share Posted November 1, 2014 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. Link to comment Share on other sites More sharing options...
glikesw Posted November 1, 2014 Author Share Posted November 1, 2014 Thanks for the insight treejay. Neither site would expect me to see that many patient initially, this would be after a training period. I just wonder if 35 patients is too many for anybody. The peds site would be a mix of well visits/physicals and sick care. Link to comment Share on other sites More sharing options...
treejay Posted November 3, 2014 Share Posted November 3, 2014 i think 35 patients is too much for anybody. granted this is of course my opinion, but it's all about greed at that point. It's a disservice to the patients and to the provider Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted November 3, 2014 Moderator Share Posted November 3, 2014 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. Link to comment Share on other sites More sharing options...
Patho Posted November 4, 2014 Share Posted November 4, 2014 That sounds like a lot. Hopefully patients are getting the proper attention they need. The primary care providers I've shadowed saw 15 patients on average and 20 on a busy day. The PA I shadowed in the ICU had 5 patients on average and 7-10 on busy days. Link to comment Share on other sites More sharing options...
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