Quote:
Originally Posted by Unregistered
not my problem
my colleague will see but yes, referral is a very common management option. Nowadays in such a climate, why take risk ? U recover i'm just doing my job. You dun , become my fault even though 3 idiots before me completely miss the diagnosis. I refer you la, u want u go, dun want, collapse and die not my problem. Share decision liao. I defer to your preference, I am patient centric ok. Already smartphrase counselling phrase and padded to every entry where i have to refer.
aiyah , inpatient also like that. Refer every specialty. Fever refer ID, AKI refer renal, abdo pain refer GS, pain score 7/10 refer inpatient pain team. Social problem refer MSW, refer OT/PT
A&E either you AOR or your get admitted
radiology - always got disclaimer " pls co-relate clinically. Further imaging might be warranted"
all cover backside. My job is not to be a hero. My job is a job, to bring moolah back home to feed myself , my wife and my kids.
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I think the biggest mindset change many doctors need to realize in FM is that clinical acumen/excellence alone is not often rewarded.
- private judge you on revenue
- public judge you on administrative things (like QIs, education, research etc)
So able to manage a chronic patient with multiple issues well or picking up a tiny nodule on cxr (that even radiology cant see) which eventually turn out cancerous may get you compliment from pt, but may not enhance your bonus/career.