keccers
@keccers.eth
Wait times to see a specialist in 🇺🇸 are now in the months to years range One solution I didn’t expect: group based care https://www.huffpost.com/entry/wait-time-specialists_l_67cb20e4e4b056d451321921
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Omar
@dromar.eth
Another reason for this is the growth of PAs and NPs in primary care who reflexively refer to specialists for everything Physician PCPs are very comfortable managing most common issues. @farmerboy thoughts?
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Shamsul Bhuiyan
@farmerboy
Financial engineers industrialized health care like ford did through car industry. It’s sad we created technicians with short training who can’t tell 5-10 differentials of most common disease . It’s very sensitive zone to talk about even . We can’t criticize one individual knowledge, that’s not proper . But we can criticize looking how system is developed to produce so called skilled worker . When we don’t think we do test and ref every places . More radiation exposure every where through more test . Working in primary care setting I can see everyday billions dollars waste by doing test . We are in tough time . Training being distorted and financial business person don’t understand depth how physician works . Fundamentals training system need revolution. We have reached to the point where we are about to CT scan of hair and don’t know what we are looking even .
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0xOmen
@0x-omen.eth
Former PCP turned hospitalist here. This is an interesting perspective, having been out of primary care for a while. The rate of positive findings for me in hospital medicine is pretty high and often scans find unexpected diseases earlier than if I had gone on physical exam alone. But my patients are by definition sicker and more prone to complications. I ised to torture myself over if a test was needed back when I did primary care. I've noticed a significant lack of respect for primary care providers, too. I feel a lot of ppl think a PCP is just for med refills, colds, and well checks. In reality, a good pcp should have a broad, albeit shallow, understanding of all specialties. A lot of people think as soon as they are diagnosed with a chronic disease, they need THE specialist for it. Sad state of affairs
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Shamsul Bhuiyan
@farmerboy
Agree. Work rewards created such big differences. And lack of pcp in community created such big chaos . My experience is opposite. Worked as hospitalist decades then realized I can help people more in outside and prevent tertiary level sickness. Health care is so diverse and complex hard to figure out. I find challenging and enjoy doing what I do . We all will contribute at each level and do best to help all our patients always .
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