can i check with the locums out there
when you guys locum for solo GPs do they usually pay at the end of the session if its ad hoc? or do you have to wait till end of the month if u just covered them for 1 day |
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best way is of course cash or paynow after session |
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Just in case anyone don't catch the drift of this very smart statement It means if U work in such a place, it's likely very very busy If not busy U also end up jobless after a while. |
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Be careful who U locum for Usually solo GP ok End of the day still same profession , will try not to jiak you. There are quite a fair bit of non doctor owned practices Setup by business man They cashflow got problem, end of the month U jiak sai |
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name and shame please, SIC |
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Source please. Leaked by who and where? |
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he emailing at 12 am to 2am prolly too delirious from counting his money ( or too tired ) and accidently include a very popular locum mailing list in his emails later on still send out email saying dun open my email! likely contain virus! I didn't send those email! Damn funny. Who will go write a virus like that? He think we all stupid. Damage done liao. anyway, grab it while u can la folks Got 15K , 18K salary grab it. Esp if its a reputable group that is sensible. Eg frontier, raffles etc. You really don't want to be caught in the situation with this kind of fledging group where you get let off because your 39K clinic rent isn't earning enough to justify your salary. How are you gonna be paying the mortgage on the 2 million dollar 1200 square feet condo you just bought in Clementi if you lost ur job? Your wife who married you for the channel bag isn't gonna be very happy when u can't pay for it when you are jobless. Pandemic over. No more endless easy 80 bucks URTI consult liao. USA inflation ending Singapore errection coming, so inflation will be curb one way or another. Prices gonna moderate GP salary too. Now you all GPs are gonna be suckered into healthier SG. Basically gonna take over some of the polyclinic job. Hehehe.... i dunno how you all are gonna do it. somehow MOH thinks that by writing some guidelines , the GPs will be able to handle things. If you can learn medicine just by books, no need residency liao. People can become cardiologist just by reading textbooks. |
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Can I ask a very noob but genuine question? Hopefully some seniors gp can enlighten me. I have just started locuming for past 1 month. (Previously largely done hospital postings in GM and ed)
My question is regarding the billing system/mechanism in gpland and how a clinic earns their revenue. I have read through this thread, and many have pointed out that it's way easier to earn money through simple urti/ge cases compared to chronics. In my last 1-2 weeks of locum, most of the largest bill size I see are from chronic patients. For e.g - for a patient with just htn/hld, on telmisartan 40mg om and atorvastatin 40mg on, the bill size can hit slightly under 200 dollars for 1 mths supply of meds. (Only realized Atorvastatin 40mg is close to 130 dollars for 1 mths. I am not sure if my clinic uses branded drug or what as I just keyed in the drug name, although I had to give 2x 20mg tab in this case- not sure if it affects price) - another pt with dm with albuminuria and hld, on atorvastatin and forxiga and telmisartan, the bill size came to 600 dollars for 2 mths meds. As their chronics reasonably well control, I can complete the consult in 7-8 min, only slightly longer than a simple urti/ge consult. However for urti/ge consult, very hard to hit over 100 dollars. On average 20-40 dollars only for meds, maybe 50-60 if I push hard for abx) I am not including consult price as many are contract patients (so consults often charged at a much lower price) I am only locum la, so I don't really care about the revenue of the clinics, but I must say that chronic bill size can be 4-5x of an acute case, with only slightly more effort (just a few more minutes of tlc and nagging), so not sure why people say chronic not profitable? This is after hsg whitelisted thing kicked in btw Hence would like to hear more about the billing mechanism in gp land |
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