I book 15 minutes slots, open 8 available hours. Open 4–5 days per week and on call 24–7.
For efficiency, I’ve opted to sacrifice income to also preserve what’s left of my sanity, I block 1 per 4. This means 3×8 slots a day, plus squeeze ins.
Most physicians are doing 15 min x 4×8 hours – 32 slots a day. Most MDs work 4.5 – 5 full 8 hour days. This means 32×5 or 150 a week.
There are many factors that effect how much you will be remembered, but the critical thing, from a safety standpoint is, what is the status of the note as it pertains to relevant detail.
Some things which seem very important to you may not be what is important to your health, and MD’s have to fit concisely what matters in that tiny 15 minute or less slot.
Other times I hear a “broken record”
“it’s my thyroid” repeated over and over, about a person’s weight.
Actually the communication disconnect is that they are not hearing my broken record
“it’s not your thyroid”
There is a massively long list of possible scenarios where these disconnects could arise, and it’s hard to be helpful without more info.
It’s important to remember, that we are chosing to have doctors see patients, 5 an hour under the current system, which is the result of prior HMO style “reforms”.
In the good ole days it was 20–30 min per visit, and visits costed 8$
I was infuriated after hearing in a doctor conference from an MBA analyst in the organization I had sold my soul to:
“If you are still seeing 16 patients a day, you are practicing 1960’s medicine”
I went solo within a year.
May the buyer beware, and you are “buying” with your votes