Anonymous wrote:

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Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between "makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

If a doctor actually can control his own patient schedule- and let’s say he sees 3 patients per hour at 20min per patient and then has an hour at the end of the day to answer calls. And a lunch 30min. That’s 21 patients a day. Billed at primary care sick visit rates to insurance. Now he has to pay his receptionist and his two medical assistants. He has to pay his billing lady and his office manager (unless he manages his own office in which case give him an additional patient free hour per day to do administrative work , so, that’s down to 18 patients a day). Now he doesn’t double book patients either. So imagine 3 patients a day no show. You’re down to 15 a day. Now he also has to pay rent , and malpractice insurance. Can you guess how much he’d take home at the end of the day? I’ll clue you in. Not enough to stay in business.

All my doctors are driving much nicer cars than I do—apparently there's some fat to cut in the system. Sorry, not sympathetic.

Of course you’re not sympathetic. You’re an idiot.

Just imagine the types of doctors you’d have if you offered people 50k salaries! the best of the best!

Is $50k the only alternative to $225k that you can think of?

How about, like with any other job, a part of a doctor's pay be tied to customer satisfaction? The contempt most MDs show for their patients would go away in a hurry!

Ah, and here we have someone who doesn't know about Press Ganey scores.

I know doctors don't care about patient satisfaction and make too much money!

https://epmonthly.com/article/227-seven-things-you-may-not-know-about-press-gainey-statistics/

Anonymous wrote:

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Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between
"makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

If a doctor actually can control his own patient schedule- and let’s say he sees 3 patients per hour at 20min per patient and then has an hour at the end of the day to answer calls. And a lunch 30min. That’s 21 patients a day. Billed at primary care sick visit rates to insurance. Now he has to pay his receptionist and his two medical assistants. He has to pay his billing lady and his office manager (unless he manages his own office in which case give him an additional patient free hour per day to do administrative work , so, that’s down to 18 patients a day). Now he doesn’t double book patients either. So imagine 3 patients a day no show. You’re down to 15 a day. Now he also has to pay rent , and malpractice insurance. Can you guess how much he’d take home at the end of the day? I’ll clue you in. Not enough to stay in business.

All my doctors are driving much nicer cars than I do—apparently there's some fat to cut in the system. Sorry, not sympathetic.

Of course you’re not sympathetic. You’re an idiot.

Just imagine the types of doctors you’d have if you offered people 50k salaries! the best of the best!

Is $50k the only alternative to $225k that you can think of?

How about, like with any other job, a part of a doctor's pay be tied to customer satisfaction? The contempt most MDs show for their patients would go away in a hurry!

How much do you propose doctors make? NP and PA already make six figures. If doctors made the same why would anyone put themselves through the process of exams and residency? Tell me who would be dumb enough to do that? And then who would do all the free labor that residents provide hospitals? Someone help me understand.

Argue it whatever way you want - patients pay a lot, doctors earn a lot and patients don’t feel they get the level of care they want. I’m no math major, but surely there’s some way to optimize the system to allow doctors to give more time and attentions and treat patients less rudely. Nobody wants to impoverish doctors, we just don’t feel that sorry.

Patients don’t have any more money to give, doctors are doing quite well. Work it out.

So, to answer your question, I would prefer we recruit someone who would drive a Volvo or a c-class instead of an e-class.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:On dcurbanmoms it seems that:

People want doctors to make pennies and do work for free….

But they get mad when primary care doctors who make little money are quitting and leaving them without care.

People want doctors who pass and excel on their training exams and have tons of knowledge but then get mad at doctors who “think they know more than them” or the think NP/ PAs are better even though they don’t have to take these exams or do any training.

So seriously what do you want from doctors? Should they even exist anymore?

How about not being rude and condescending to women? Take our pain seriously? Stop telling us it is in our heads ( unless it is) How about when you cancel than you find another appointment sooner than 6 months!

Whose appointment do we cancel to get you in sooner, though?

If I cancel, make me wait sure. But why am I being punished when you cancel? And I've already waitrd six months!

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Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between
"makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

If a doctor actually can control his own patient schedule- and let’s say he sees 3 patients per hour at 20min per patient and then has an hour at the end of the day to answer calls. And a lunch 30min. That’s 21 patients a day. Billed at primary care sick visit rates to insurance. Now he has to pay his receptionist and his two medical assistants. He has to pay his billing lady and his office manager (unless he manages his own office in which case give him an additional patient free hour per day to do administrative work , so, that’s down to 18 patients a day). Now he doesn’t double book patients either. So imagine 3 patients a day no show. You’re down to 15 a day. Now he also has to pay rent , and malpractice insurance. Can you guess how much he’d take home at the end of the day? I’ll clue you in. Not enough to stay in business.

All my doctors are driving much nicer cars than I do—apparently there's some fat to cut in the system. Sorry, not sympathetic.

Of course you’re not sympathetic. You’re an idiot.

Just imagine the types of doctors you’d have if you offered people 50k salaries! the best of the best!

Is $50k the only alternative to $225k that you can think of?

How about, like with any other job, a part of a doctor's pay be tied to customer satisfaction? The contempt most MDs show for their patients would go away in a hurry!

How much do you propose doctors make? NP and PA already make six figures. If doctors made the same why would anyone put themselves through the process of exams and residency? Tell me who would be dumb enough to do that? And then who would do all the free labor that residents provide hospitals? Someone help me understand.

I think what’s striking to me is the palpable stress and misery from my PCP docs compared to the multiple specialists I see for my sick child.

We see a developmental pediatrician, a pediatric neurologist (we’ve actually seen 4-5 of these), a child psychiatrist, and a pediatric cardiologist and geneticist. I’m blown away by how awesome my son’s specialty care team is-they are efficient, responsive, collaborative, and kind. They seem so much happier than any other docs I deal with.

All I can assume is they can bill way more and have way fewer patients so life isn’t so stressful for them.

I don’t even think I’m that “great” of a patient. My son is very difficult to see. I sometimes feel kinda miserable that I have to deal with doctors so much and feel stressed myself. And our docs are universally even keeled, egoless, and patient with us. It’s shocking to compare it to how I feel when I need to get primary care and I feel like I am treated like a problem (but I’m a fat middle aged woman so I’m sure that’s a factor).

PP, I don't disagree with you at all, and I really, really wish it didn't require coming up with extra money as a patient. That doesn't seem right or fair.

Anonymous wrote:

Anonymous wrote:I want them and their staff to be polite and helpful. I want them to listen and talk through concerns to find a solution. I don’t want to feel like I’m being rushed out the door. I don’t want them to argue with me if I say no to a treatment option. I want them to explain multiple options and why each are good or bad and let me make the best decision. And I want them to be smarter than me and have experience and not try to fix everything with meds without at least providing me with information on other options first. If I have a concern that can be answered with a minute phone call I don’t want to be asked to come to the office. I don’t want to talk to someone else about the issue either, just call me back in 24 hours. Oh and I don’t want to be charged insurance rates if I’m paying out of pocket. That’s really it, I’d pay big bucks if you know where to find them. House calls would be a plus too.

ND (New Doctor).

Very, very gently -- and please don't misread me here -- I would invite anyone engaging in a one minute phone call to additionally just eyeball the clock and note how long it actually takes.

Maybe 1 minute, maybe not. I'm someone who logs telehealth exact times for billing, and it's interesting. But just take a peek, eh? No pressure.

DP: I get that yes it takes time. But with Concierge medicine, you get that personalized phone call. Normally it's 5mins or so. But many times you can get what you need without actually going to the office. With concierge, if we test positive for Covid or the flu (we use Lucira), we call, talk to doctor within 1 hour, and they send prescriptions to pharmacy. Pre concierge, we would call, talk to an answering machine, and then 5 hours later be told to schedule a visit for 24 hours later (or more) or to go to urgent care to be seen.
When there was NO need to be seen. We had an at home test confirming what our issues were.

Anonymous wrote:

Anonymous wrote:I don’t care what they make. Raise it, lower it, whatever.

I want them to prioritize me as the patient over interacting with the EMR, not to be supercilious AHs, and to answer calls/emails with correct information—not patronizing gatekeeping—in fewer than 72 hours.

I would appreciate it if fewer PCPs punted every single illness involving an identifiable body system to a specialist, but this is lower-level.

If they are going to do this, however, I would like them to actually coordinate care.

This is good. And I’ll add that I’d be fine with compensating for responding to emails/calls but agree with avoiding the gatekeeping because the responses from the gatekeepers are often inaccurate. I want them to LISTEN to my description of the issue (and I make a real effort to be very succinct).

THIS^^^^

I want them to recognize that I as the patient can provide details on what's actually going on. Sometimes there is more going on than just a. "textbook description". Doctors that listen and think outside the box are my favorite.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between "makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

If a doctor actually can control his own patient schedule- and let’s say he sees 3 patients per hour at 20min per patient and then has an hour at the end of the day to answer calls. And a lunch 30min. That’s 21 patients a day. Billed at primary care sick visit rates to insurance. Now he has to pay his receptionist and his two medical assistants. He has to pay his billing lady and his office manager (unless he manages his own office in which case give him an additional patient free hour per day to do administrative work , so, that’s down to 18 patients a day). Now he doesn’t double book patients either. So imagine 3 patients a day no show. You’re down to 15 a day. Now he also has to pay rent , and malpractice insurance. Can you guess how much he’d take home at the end of the day? I’ll clue you in. Not enough to stay in business.

All my doctors are driving much nicer cars than I do—apparently there's some fat to cut in the system. Sorry, not sympathetic.

Of course you’re not sympathetic. You’re an idiot.

Just imagine the types of doctors you’d have if you offered people 50k salaries! the best of the best!

Is $50k the only alternative to $225k that you can think of?

How about, like with any other job, a part of a doctor's pay be tied to customer satisfaction? The contempt most MDs show for their patients would go away in a hurry!

Ah, and here we have someone who doesn't know about Press Ganey scores.

I know doctors don't care about patient satisfaction and make too much money!

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between "makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

If a doctor actually can control his own patient schedule- and let’s say he sees 3 patients per hour at 20min per patient and then has an hour at the end of the day to answer calls. And a lunch 30min. That’s 21 patients a day. Billed at primary care sick visit rates to insurance. Now he has to pay his receptionist and his two medical assistants. He has to pay his billing lady and his office manager (unless he manages his own office in which case give him an additional patient free hour per day to do administrative work , so, that’s down to 18 patients a day). Now he doesn’t double book patients either. So imagine 3 patients a day no show. You’re down to 15 a day. Now he also has to pay rent , and malpractice insurance. Can you guess how much he’d take home at the end of the day? I’ll clue you in. Not enough to stay in business.

All my doctors are driving much nicer cars than I do—apparently there's some fat to cut in the system. Sorry, not sympathetic.

Of course you’re not sympathetic. You’re an idiot.

Just imagine the types of doctors you’d have if you offered people 50k salaries! the best of the best!

Is $50k the only alternative to $225k that you can think of?

How about, like with any other job, a part of a doctor's pay be tied to customer satisfaction? The contempt most MDs show for their patients would go away in a hurry!

Ah, and here we have someone who doesn't know about Press Ganey scores.