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Old 08-03-2016, 08:03 AM
 
Location: Manhattan
25,368 posts, read 37,063,795 times
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Urgent Care doctors are not great diagnosticians, so its better to have a good idea of what your issue is prior to walking in the door.





Nobody is. I think the last good diagnostician was Gregory House and he has moved on to greener pastures.
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Old 08-03-2016, 11:19 AM
 
2,465 posts, read 2,761,261 times
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Quote:
Originally Posted by Cida View Post
But they should have a GP!

Imagine if we said: people aren't eating vegetables the way they should, so we're going to open a produce store on every single block!
Have you recently tried to find a new GP? It's difficult to find a doctor accepting new patients, particular coverage, one who has a schedule that allows for you to see them within 90 days, etc. Even within a large hospital system like there is difficulty in receiving timely appointments. Never mind a "sick visit".
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Old 08-03-2016, 11:27 AM
 
5,116 posts, read 4,964,964 times
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Originally Posted by charmed hour View Post
Have you recently tried to find a new GP? It's difficult to find a doctor accepting new patients, particular coverage, one who has a schedule that allows for you to see them within 90 days, etc. Even within a large hospital system like there is difficulty in receiving timely appointments. Never mind a "sick visit".
Why is that?
i never heard of that in the Asian community. They are happy to take any one at any time of the day/week/year as long as you pay.
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Old 08-03-2016, 11:49 AM
 
2,465 posts, read 2,761,261 times
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Originally Posted by leoliu View Post
Why is that?
i never heard of that in the Asian community. They are happy to take any one at any time of the day/week/year as long as you pay.
GPs in general are lower paid than nearly all other specialties- if not all others. Average salary is about 200k whereas most others are 200k-$400k range.

There's an actual shortage of family and primary care practitioners. There's only about 250,000 of them nationwide which is estimated to be 10,000 less than what's required and that gap is going to continue to grow. Less than 1% of medical school graduates go into primary care. They have a heavier patient load, work longer hours and generally experience a higher rate of burn out and quit practice.

Last edited by charmed hour; 08-03-2016 at 12:09 PM..
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Old 08-03-2016, 01:49 PM
 
31,902 posts, read 26,945,953 times
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Quote:
Originally Posted by charmed hour View Post
GPs in general are lower paid than nearly all other specialties- if not all others. Average salary is about 200k whereas most others are 200k-$400k range.

There's an actual shortage of family and primary care practitioners. There's only about 250,000 of them nationwide which is estimated to be 10,000 less than what's required and that gap is going to continue to grow. Less than 1% of medical school graduates go into primary care. They have a heavier patient load, work longer hours and generally experience a higher rate of burn out and quit practice.



GP, pediatrician, gynecologist, obstetrician... are not hot specialties for new doctors and thus their ranks are dwindling and or it is hard to find even an experienced.


As noted above it is a range of things from perceived low salary (compared to other specialties), but also the risk (high malpractice insurance rates), and life style, (having to be on call/available all hours and so forth.


Many old school doctors in New York and elsewhere are retiring their practices rather than deal with changes brought on by Obamacare. The requirement about electronic medical records was the final straw for my former GP, he sold his practice and retired.


Also you are finding not every GP these days has or even wants hospital admitting privileges.
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Old 08-03-2016, 01:54 PM
 
31,902 posts, read 26,945,953 times
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Quote:
Originally Posted by charmed hour View Post
Have you recently tried to find a new GP? It's difficult to find a doctor accepting new patients, particular coverage, one who has a schedule that allows for you to see them within 90 days, etc. Even within a large hospital system like there is difficulty in receiving timely appointments. Never mind a "sick visit".

Not just GPs, try finding a pediatrician during "off hours" not affiliated with a clinic or hospital network like "Mount Sinai Doctors, and even then.


Long story short many younger physicians refuse to live the sort of "Marcus Welby, M.D." practice where they are pretty much available 24/7. This is true especially for many female doctors who want that "work/life balance" in order to be at home with their husbands and children.


It is becoming more and more difficult to find physicians even in highly compensated specialties who want to get out of bed say in the middle of the night to answer a call from hospital.
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Old 08-03-2016, 01:58 PM
 
5,116 posts, read 4,964,964 times
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Quote:
Originally Posted by BugsyPal View Post
GP, pediatrician, gynecologist, obstetrician... are not hot specialties for new doctors and thus their ranks are dwindling and or it is hard to find even an experienced.


As noted above it is a range of things from perceived low salary (compared to other specialties), but also the risk (high malpractice insurance rates), and life style, (having to be on call/available all hours and so forth.


Many old school doctors in New York and elsewhere are retiring their practices rather than deal with changes brought on by Obamacare. The requirement about electronic medical records was the final straw for my former GP, he sold his practice and retired.


Also you are finding not every GP these days has or even wants hospital admitting privileges.

Well, smart GPs have now grown extra arms ih the form PA and NP, who work under them to maximize their practice profit and income. A Chinese GP in Chinatown I personally know rakes in 4-5 mil per year in this way. Of course he works like a dog and has no time to enjoy what he has earned.
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Old 08-06-2016, 06:44 AM
 
5 posts, read 2,974 times
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My husband went to one in Long Island and was very impressed with the modern looking facility as well as atmosphere. He was taken in right away and diagnosed properly. Would definitely reccomend.
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Old 08-06-2016, 04:25 PM
 
31,902 posts, read 26,945,953 times
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Will say it again; people need to get used to the idea of urgent/ambulatory care centers as they are likely going to expand as large full service hospitals close.


Nature of how healthcare is delivered in the United States is changing, pushed along by Obamacare. Those of us old enough to remember when *everything* was done in hospital, now know it isn't always so anymore.


Back in the day a simple colonoscopy or similar diagnostic exam was a two or three day hospital stay. Now virtually always they are done on a outpatient basis. Hospitals are being pushed towards doing everything possible to get patients not only out the door faster but keep them from coming back.


Urgent care centers cost less to build, staff and maintain then a full service hospital. With no or a few inpatient beds (Lenox Hill West Village on the former Saint Vincent's hospital site has only two med/surg beds), you don't need scores of nurses staffing the place 24/7.
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Old 08-06-2016, 04:38 PM
 
3,699 posts, read 3,854,765 times
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lol @ bugsy's post which I agree with 100%. The best part about urgent care centers IS the lack of Nurses!
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