...a concept that is utterly incompetently or uncaringly executed. Medicare, are you really buying their story? Bonuses for ordering more diagnostic tests? Really???
(But that just proves it's not a concept that is currently sustainable...and also shows you why they are bottom-of-the-barrel when it comes to physician salary, in an environment that is just as stressful as an office)
Management supports their central office...expect to be treated like an expendable widget by management, and like dirt from their DME and other ancillary, and central, departments.
Almost no written policies and protocols...their "internal website" is laughable, full of lectures by the "Chief Medical Officer" who hasn't practiced in forever, judging by the rose tinted stories she tells. You will get no backup from your immediate supervisor...who will be a nurse or other non-physician and who will be as interested in improving the company as is the central office: NOT AT ALL. Go ahead, make a suggestion...but don't hold your breath waiting for it to be addressed.
The admin acts like they are just a lil ol beginning company, still working out the kinks, while in fact they are 20+ years old and just purchased for the usual millions by Centene. That Centene, which owns Superior Health.
The EMR (Aprima) is the worst--I think it is in fact the worst--it is actively anti-Medical training. Is it nitpicking to try to recall that "Asthma" is a diagnosis, not a chief complaint? That Labs go in the Objective section, not the Subjective? That we need a place to track health maintenance? That we should be able to track our consults, Home health, DME requests? The EMR descriptors (for ROS or PE for instance) are not consistent and often lack commonly used findings; apparently there is no general editor for the EMR. Certainly not one with current medical training.
I don't know how many patients just laughed/sighed when I showed up, "Oh boy, they are changing my doctor again!"--because their turnover is so horribly bad. Meanwhile they keep adding new patients, often farther and farther from city center...so your driving time will start creeping over 2 hours a day. 2 hours of trying to type while holding your overheating laptop on your knees.
Well, I thought it would be a nice change. I was wrong. I work as much as I did in a private office, and for much...MUCH...less money. Take my advice...if you are looking at this as a way to destress at all, go elsewhere. Cut your hours in a clinic to 4 days a week and you'll make about as much as you do here, and actually have less stress. Or start your own :) Good luck to all-