Question answered. Thanks boardingdoc
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I apologize in advance as this is going to be a very disjointed question
My first job is on the horizon as I am PGY3 looking to sign early. Prospective job at a level 2 trauma center in the north east that is rather faced paced. The "fast" guys see ~3patient/hr in fast track area and 2 in higher acuity area and are rewarded accordingly as it is an RVU based system with base rate of $205 for those that can't average more than ~x5 RVU/hr (@$40/RVU). Director says most docs average 6RVU/hr ($240/hr) They do offer scribes for free.
I average ~2patients per hour currently as a PGY 3 at a level 1 ~110,000 visits/yr. This # includes pure peds ED shifts, "fast-track"/low acuity pod shifts, and high acuity shifts (admission rates close to 40%). No doubt the number is skewed especially given that we try to avoid picking up in the last hour of the shift to avoid hand offs. On my evaluations my patient per hour metrics is typically "above average." Will this translate to practice or do things change drastically once out? I just dont want to sign on at this busy shop and not be able to keep up and make good $.
I feel pretty confident that I can see more per hour but dont want to sacrifice patient care or note quality. Notes should be easier with a scribe. I moonlight and will read notes from older docs and notice sometimes there nearly nothing when it comes to MDM and ED course. Just a diagnosis and ordered medications etc... Is this acceptable for lower acuity patients that require minimal testing or when you have a low suspicion for badness? Is this what allows some docs to see patients faster? How does one provide good patient care, document adequately, and still move the meat? Good charting does improve reimbursment after all so there has to be a balance. Someone please weigh in. Once again sorry. I know this is a mess
Prospective job at a level 2 trauma center in the north east that is rather faced paced. The "fast" guys see ~3patient/hr in fast track area and 2 in higher acuity area and are rewarded accordingly as it is an RVU based system with base rate of $205 for those that can't average more than ~x5 RVU/hr (@$40/RVU). Director says most docs average 6RVU/hr ($240/hr)