Quote:
Originally Posted by Unregistered
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.
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not true lei
Private: depends on your mode of operations. Are you a MC clinic where footfall matters or you are a reliable FP where skillset/experience matters? To me , those MC clinics are not even considered FM. As a private GP / FP your business can only be truly viable in the long term when you sell expertise and continuity rather than convivence. MC clinics are just a race to the bottom with higher rent, longer hours and more and more greedy TPAs
Public? If you in hospital doing transition care , community care or in comm hospital how can the ability to manage a multi morbid chronic patient be unimportant? In polyclinics , well, you are obviously not boss level yet. There are clinical indices which are tracked for each individual clinician that affects pay. The effect is not great year on year but cumulative , over a 5 or 10 year period the difference is not insignificant. That's the reason why on this forum, u hear some polyclinic FP at AC level claiming 250K annual awhile other say only 200K.