Well I am a pediatrician. Work half time. Not a partner, I am an employed physician with a large group practice. My experience is certainly colored by the perspective I have, but I like to see fewer patients. When I first went into practice, I felt so much pressure to have high production numbers. After about ten years, I suddenly realized two things. #1 my job satisfaction is much higher when I can spend more time with my patients and #2 I am less likely to get sued when I spend more time with my patients. Therefore, I have had a shift in philosophy. I now will block extra time into my schedule so I actually have time to address the needs of my more complex patients. I do feel I am practicing medicine the way it should be practiced now. I am not a partner in my group and I am not paid on production. I also have control over my schedule (we have EMR) so I can make it work for me. My staff also knows how I run so they schedule me appropriately. I have to say, my job satisfaction is so much better now that I have made these changes. I see about 20 patients per day on average, sometimes more and sometimes less. I do have time for coordination of care during my day (phone calls to specialists and families), too bad this is not reimbursed!
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