Hello. I'm trying to help the wife who currently works as a PT for outpatient mill. We want to open our own outpatient clinic with goals of better work life balance and later we can make more money. We need list of things to do and we need guidance like is it profitable to open our own clinic? The building we have in mind will cost around$24/sq.ft. for rent and$9sq.ft for maintenance. It will be a1200 sqft shop at a strip mall. Is this rent low or high or ok? We're in high cost area in NJ with good schools. We think opening up with bare minimal equipment and just having my wife work will do for first few months. What are all the things we need? Equipment, towels, cleaning supplies, etc. What all licenses and inspections we need? What's the best way to drive traffic? There is lot of competition, is that ok? There is a PT shop across the road. But the town has lot of elderly population.
Understanding that supply is limited and there needs to be some standard criteria for treatment, I'm wondering how other regions are handling outpatient prescription of these meds? In order to RX either med we have to document in pharmacy comments the date sx's began, date of positive COVID test, and an Oral Antiviral & Monoclonal Antibody Screening Score (OMASS) score (adapted from Mayo Clinic's published Monoclonal Antibody Screening Score (MASS)) of 6 or greater for Paxlovid and 3 or greater for Molnupiravir.
What are others experiencing when trying to prescribe and have you been successful?
Come on spill your guts, tell us if you all will quit or continue to work. LOL
EDIT: Just overheard from our manager, apparently Kaiser is backfilling their department, majority of them quit. Can anyone confirm? I would love to see it recorded, just the sheer joy of saying " I am outta here"
EDIT EDIT: it was outpatient oncology, 2 pharmacists and 1 tech won!!
I am new to the prospects of the field & don't know much about it in the long term, so I apologize if the question is not well-formulated. Is that an achievable salary as an outpatient-only psychiatrist in, say, New Jersey? Would the workload be intense & heavy to achieve that?
Hello reddit PTs. My work place has it in the contract that they expect full-time PTs to work as many hours as required. Until now I was doing about 40 hours a week week barely 30 minutes lunch everyday. Now they want my to work 46 hours a week. Basically we have to do wherever is required to get the job done. They don't hire techs, PTA, nothing and expect the PTs to take care of everything. They're not about to find new hires for some reason.
Is this the industry Norm?
I work for a small lower income hospital but for a large hospital system in Ohio. (I don't practice medicine so I'm sorry if this is the wrong place for this.
I have to say over the past year this job is just becoming increasingly more upsetting. I'm having a really hard time with how many people I have to explain ABN's to. (incase this isn't a common term, basically forms saying Medicare isn't going to pay for the test because of the diagnoses given. But if they choose to, they can still have the test and hope that Medicare accepts the new diagnoses given at a later date. But if they don't like it then the patient pays full cost of the test.)
Trying to explain an ABN to a 70+ year old person is so soul crushing. They are beyond confused, and there is no good way to explain the form without them asking "so are they going to accept the new diagnoses?" Like I have no way of telling you. You can get the test still but you're at risk of thousands of dollars. And watching people decide that they don't want to have tests that scan for things like cancer, or all kinds of other diseases is so frustrating. Me and my boss get into it all the time that they make us at the front desk discuss money with the patients at every check-in.
I hate collecting money or showing people how much money their test is going to cost right before checking them in. It's frustrating showing them a bill for 1,2,3+ thousand dollars and watching them debate with themselves how bad they really need that brain MRI.
It's gotten to the point that my bosses hate talking to me about collecting money because they know they are going to get an earful about how I feel. Sorry for ranting in a not-so-eloquent way. If this isn't right for this sub then feel totally free to delete it mods.
Just curious if it's common practice everywhere for front-desk people to have to try and collect the costs of the test from every patient right before their test.
What is the standard regarding amount of time allotted for follow up appointments in outpatient psychiatry? And is it the same for in person?
Outpatients at move to urgent care delivery model
As part of our escalated COVID response, we are pivoting the outpatient services into an urgent care only delivery model to help support the reduction in the transmission of COVID-19, including social distancing and reduced movement within CALHN sites. The following measures to ensure the safety of staff, patients and the community. Effective immediately:
all non-urgent onsite outpatient appointments will be rescheduled or canceled, where appropriate
outpatient appointments will be delivered in a virtual capacity (either via phone or telehealth), where clinically appropriate
face-to-face appointments will be for clinically urgent appointments
outpatient services at the RAH are to be relocated where possible to an alternative appropriate CALHN site such as TQEH.
The outpatient nursing and administration teams will be supporting to assist and facilitate the new outpatient delivery measures in partnership with each of the clinical programs. The outpatient nursing and administration resources will continue to be mobilised to areas of greatest priority and need.
Well… didn’t think I’d find myself here, but looking for outpatient alcoholism treatment in SF.
We have to be able to combine with a daytime job, but still looking for more intense than counseling once per week.
Lots of comorbidity with other addictions and mental health issues.
Preferably no religious or spiritual solutions.
Luckily money is not the biggest driver in our choice.
I work in outpatient peds for a large healthcare corporation in my state and I’m totally burnt out of my schedule. We are booked at 100% capacity every single day and are always told “yeah but you get cancels—that happens in pediatrics!” But reality is if I do get cancels they are often filled with a new evaluation immediately by our central scheduling staff or I spend all the time care coordinating, following up to families that are reaching out to me, talking to school therapists etc. these cancels aren’t helping me get the endless mounds of paperwork done.
I’m losing my passion for OT because I feel like healthcare is asking me to give and give and give and I get no time to take care of myself (or god forbid use the restroom) during the work day. I love my actual job and the work I do but I’m so burnt out of being go go go everyday at work.
What are your schedules like for outpatient OT and is anyone else feeling like their job is trying to suck out as much productivity out of you with little regard for your well-being?
I'm working at an outpatient clinic where I have the opportunity to specialize in pelvic floor therapy. There is an experienced pelvic therapist willing to mentor me and my company is offering to pay for CEU courses. I understand it will be a big time commitment to learn this new practice. I definitely see there is a big need for it in my area and I see how it could make a big difference, but I'm having a hard time deciding if it will be the right fit for me. Just wondering if there are any other PTs out there that made this transition and could tell me about their experience or in general pros/cons of working with this patient population. Thanks!
Im talking like mandating staffing ratios at nursing homes. Mandating what EMS can be called to at nursing homes. Actually leveraging massive fines against nursing homes for preventable injuries and illnesses in the nursing home due to poor staffing ratios. Better, more robust community health support for geriatrics living in their homes (I have no idea how to do this, sounds complicated). I honestly think at least 50% of ED and hospital admissions would go down.
At least 70% of my unit admissions are people who fell in the nursing home, got pneumonia in the nursing home, hate their nursing home and want to go somewhere else, unmanageable dementia in the nursing home, UTI in the nursing home, got unstageable wounds in the nursing home, or experienced failure to thrive in the nursing home. All of these could be managed in an SNF, if SNF leaderships could get it together.
I don’t blame the facility nurses. They are doing their best with insane ratios and terrible staffing.
But these nursing home execs are making exorbitant amounts of money while taking advantage of vulnerable families and pushing the healthcare system to its breaking point.
My surgery is tomorrow, and my surgeon called to tell me the reservation she had for a bed was taken up by Covid people, so she wanted to know if I was comfortable being outpatient. I said yes and immediately scanned this group for everything on outpatient VSG, and I have to say, I AM SO GRATEFUL TO THIS COMMUNITY. I am still nervous, but feel so well informed because of the contributions of others to the intel here.
I have to be there at 5:45 in the morning. I just took the bowel cleanse stuff, am on liquids, holy heck this is finally happening!!! My best to those who have gone before, and I’ll post my own experiences for those who come after. Happy 2022 people!
If you're not familiar with Evusheld, it is a COVID antibody treatment from AstraZeneca that lasts for 6 months. It helps provide protection for those who can't get the vaccine or don't have an immune system to fight COVID.
While at my husband's outpatient appointment yesterday in New Mexico, he was offered Evusheld since he has severe neutropenia from chemotherapy for his AML (no white blood cells at all). If this is you or someone you love, ask your provider to see if it's available and something they'd recommend.
Since these don’t require hospitalization, I was hopping they would be able to continue even with ICU cases going up.
I'm a second year resident right now, starting to brainstorm where I might want to end up and maybe send a few places my CV, which has me wondering where the best places to practice are. I know most states in the northeast don't pay quite as well as other states in the country, but that's where I've lived all of my life and have a lot of family and friends in the area. Always figured perhaps I would wind up in a suburb of Boston or something like that.
So far I've been looking at a few of the large academic medical centers in states like Vermont, New Hampshire, Connecticut, and Massachusetts. Haven't really had a chance to look at places outside of academia as they seem a bit harder to look up and figure out who to contact us far as recruitment. I also think it might be good for my first attending job to have residents and med students around to teach, as that's the dynamic I'm most familiar with right now. I think I'd be a little bit intimidated starting at a clinic that has nobody around to talk to except a few other attendings and some nurses. Even if it paid better, I'm not sure a smaller private practice or something like that would be for me, at least at the start of my career.
Any FM attendings here who were in the process of hunting for a new job in the Northeast within the last several years, and have any tips or advice for me? I'd like to live outside the city limits of any major metropolitan area like Boston or New York City, but ideally within like a 30-45 minute drive of a city like that. Working in a major metro area wouldn't be an issue, but I definitely wouldn't want to live there.
Which states have the best pay? Which have other benefits I might not know about yet regarding practicing in family medicine? Did anyone leave one job for another within the northeast, and find that they liked it or disliked it more than where they were previously? Thank you!
Currently a student who originally got into PT because I was interested in being an outpatient PT, but I’ve come to just see so much complaining about the field in general. I get most of it and mills are obviously terrible, but is it possible to find a decent paying outpatient job that is not a mill and enjoy your life ?
And I’m proud of myself. Just 6 weeks ago I felt like there was absolutely no way out of the hole I was in and living was completely pointless. I’m still not sure what my purpose is and I know I’ve got so much more learning and healing to do- but I am still here. I just wanted to let you guys know that DBT does work and you don’t have to feel like this forever. It’s fucking hard and a total emotional roller coaster but you can take steps to start creating a life worth living. 💕
Context: I am a therapist (about 750 hours into my pre-licensure 3,000) at a residential facility in our state’s biggest/most well-known behavioral health hospital. I began my mental health career here at the hospital when I started my masters and worked my way up to being a therapist, got my first gig upon graduating and transitioned from inpatient to res. Got my training license in august and all in all have been doing this for about 1.5 years.
Long story short: I’m pretty miserable and I don’t know how much longer I can keep doing this (realistically I CAN keep doing it but I want out). A few of my non-local friends have managed to transition to group/private practice early on in their careers and encouraged me strongly to do the same. However, I don’t get any concrete guidance from them on how to do this even though they say it isn’t overly difficult. One of the few big benefits of being under a hospital’s umbrella is that I’ve never had to worry about billing, insurance, finding my own clients, or anything business related. The problem is that I know nothing about these things and have no idea where to start learning.
I imagine I would join a group practice if I did transition- I am not a business mind and I don’t have money lying around to start my own practice. I’ve seen group practices in my area that seem like a good fit and appear to cover a lot of the insurance and billing piece, some even finding clients. Unfortunately most require you to be post-3000 hours, though there are a few that will provide supervision and theoretically could hire me now.
I want to leave so badly, but I’m incredibly overwhelmed by even figuring out what I would have to learn to go to a practice, what they would expect me to know. Therapists who have made a similar transition, can you offer learning resources or information on how you left an agency or hospital environment?
TIA so much!
Could anyone give me opinions on places they have been to? Not a joke and hoping for serious answers..
Will it probably seem more like PT than OT? That’s what I’m nervous about I like more occupation based. There’s a 2:1 ratio of PTs in this clinic so I may be living in a PT world constantly saying I’m OT! Lol. Common conditions treated?
Say your outpatient clinic job as a new attending wants 36 patient contact hours/week.
Company A: we want 40 min news, 20 min follow ups. On a 4 day workweek that is like 5 news and 20 follow ups.
Company B: we want 60 min news, 30 min follow ups. On a 4 day workweek that is like 4 news and 10 follow ups.
So one can either work to see 14/day average versus 25/day??? or does my math suck lol. If the salary is the same, then it will be hard to pass up the longer patient time = better care; less burnout; quicker charting.
I have been trying to get out of bedside nursing basically since I started, and I now have a job offer at an outpatient pediatric office. The office has 4 pediatricians and 1 NP, plus some MAs and other RNs. From what I gathered in the interview, there's a lot of phone triage and some vaccinations.
Does anyone have experience working in this kind of setting? The only thing holding me back from jumping in is my fear that I will find it boring, or my skills will wither down to nothing. But I do like kids, and I think I will enjoy the M-F schedule. The office is close to my house, so my commute will be nothing compared to what it is now. And my net pay will be close to what I make now.
So I guess I'm really asking, what do y'all think? Would taking this job totally ruin my chance to return to the hospital at some future date? Thank you in advance!
For surg/OR rotations I'm set on wearing comfortable sneakers. However, for peds/outpatient FM/IM can I get away with wearing 2.75-inch heeled clogs? they are *slighty* dressier than Dansko's but worried even those 2.75 inches would get cumbersome. I honestly hate the way flats look, have no arch support, and expose the top of your feet. Plus, you can't wear socks with flats which leave your feet freezing cold.
I attached a pic of the shoes I hope to purchase. Everyone in the reviews say they are comfortable. Though, my guess is they probably aren't as comfy as my New Balances. My goal is to look put together, but comfortable. Thoughts on purchasing these shoes for outpatient rotations?
https://preview.redd.it/kw9l64omphb81.png?width=253&format=png&auto=webp&s=94ab99799b71706c8844305a3ef78305ad15afc3
I graduated in 2019 and have been working in a typical outpatient clinic for the last couple of years. I'm in my 30s and spent my 20s in various graduate programs and dead-end jobs more or less panicking about "what to do with my life." I'm not in a position to go back to school and I need to make a steady income so now that I have a "career" I don't feel I can just leave it.
That being said, I loathe every second of being a PT. I have pretty severe social anxiety and am very introverted. On a good day at my clinic, I "only" have to see 8-10 patients, but even that is overwhelming. There is increasing pressure to see more patients due to some staffing issues at my clinic, and I end up feeling like a bad employee (and a "bad person" accordingly, thanks capitalism) when I don't enthusiastically offer to take last-minute evals or cover for colleagues who are on vacation. I come home totally emotionally exhausted and find myself dissociating heavily when interacting with people outside of work simply because I have nothing left to give.
How do other PTs with anxiety issues and/or highly introverted personalities deal with this job? I'm not at all cut out for hospital work and I don't feel particularly safe doing home health where I currently live. I really need a job where I can have a lot of autonomy and control over my schedule, and where I can have ample time alone to reset between episodes of dealing with people. I don't think I can continue to do this but I feel trapped. If nothing else I guess I'm hoping to hear from others who feel the same way so we can commiserate.
Hello! Although I originally became an occupational therapist to pursue outpatient ortho (hands) and that alone, it has caused a significant imbalance between work and life. I have a 10 month old son, but often don't get home until he is already in bed for the night. Additionally, my clinic has pushed hard to see as many patients as possible while billing as many units as possible. I feel this is not only leading to a decline of quality care, but also to me feeling very burnt out each day.
So, I'm exploring other OT options and home health has caught my eye. Can anyone who works home health give me some pros/cons? What are your normal hours? What is a good salary for home health? When are you typically finished with work for the day? What are your patients like and what is a typical treatment?
Thank you all!
So my dad is in the hospital with acute kidney issues and getting dialysis as a result of his multiple myeloma coming back. He can barely get up, but they are saying to get the chemo he needs he has to be discharged because medicare wont cover the chemo if it's inpatient.
This means my mom, whose also disabled and with a bad back injury will have to transport him up and down stairs to chemo and to dialysis as an out patient. The doctors says he can't even be inpatient at a rehab facility.
His oncologist says he needs a chemo called KCd, and medicare only covers as an outpatient.
It makes no sense, but I want to trust. The doctors and hospital seem to want to push him out, but my mom and I can't care for him fully at home.
We aren't getting any answers thst are clear and just want to know what's really true and if there are any possible better ways.
