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- Jun 23, 2003
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Does this ever happen anywhere outside of the .mil? I was acting chief of my clinic/section for about a year and the previous chief I replaced was also a physician. During my tenure, I was able to really change the environment of the clinic, morale increased, people enjoyed coming to work for a change, a lot of the BS stopped, etc., etc.
The workload sucked so I was grateful when the permanent chief came on board and I could step down. However, the new chief is a civilian PhD. He makes decisions now regarding my schedule, workflow, and even does the triage for referrals to me.
The environment here has significantly changed to the point that I and many others no longer enjoy working here. I have a constant deluge of nonsense referrals and absolutely zero say in the triage process. Admin staff have also been both encouraged and supported by the new chief to independently and liberally schedule patients outside of my appointment template for patient convenience, such as merging two follow-up sessions to create an intake evaluation, even though I have two open intake slots on other days that same week. They ignore my instructions of when to schedule a f/u and which apt type to schedule someone in, so I am routinely seeing complex high-acuity patients in 30 minute apt slots (which actually end up being about 15 minutes actual face to face time), or 10 minute f/u patients being scheduled in my 60-minute apt times.
I realize this is more a venting session for me, but I'm guessing this is pretty common for the .mil? Any recourse I may have? I have talked with the chief already as a first step which was pretty useless. I don't expect him to understand physician workload and why certain things are important since he's not a physician, but I was a bit surprised that he really wasn't willing to listen.
The workload sucked so I was grateful when the permanent chief came on board and I could step down. However, the new chief is a civilian PhD. He makes decisions now regarding my schedule, workflow, and even does the triage for referrals to me.
The environment here has significantly changed to the point that I and many others no longer enjoy working here. I have a constant deluge of nonsense referrals and absolutely zero say in the triage process. Admin staff have also been both encouraged and supported by the new chief to independently and liberally schedule patients outside of my appointment template for patient convenience, such as merging two follow-up sessions to create an intake evaluation, even though I have two open intake slots on other days that same week. They ignore my instructions of when to schedule a f/u and which apt type to schedule someone in, so I am routinely seeing complex high-acuity patients in 30 minute apt slots (which actually end up being about 15 minutes actual face to face time), or 10 minute f/u patients being scheduled in my 60-minute apt times.
I realize this is more a venting session for me, but I'm guessing this is pretty common for the .mil? Any recourse I may have? I have talked with the chief already as a first step which was pretty useless. I don't expect him to understand physician workload and why certain things are important since he's not a physician, but I was a bit surprised that he really wasn't willing to listen.