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Coffee Shop
People acting crazy
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<blockquote data-quote="simme" data-source="post: 1824511" data-attributes="member: 40418"><p>I think you know that my daughter is a veterinarian. She tells me that a well known corporate vet group that you see in the strip shopping centers in the pet store has rigid rules for diagnosis and treatments that the vet employees must follow. Sort of a flowchart style approach. Gather information from exam, owner and proceed per the system. Most vets don't like that since things are not that straight forward sometimes and experience and knowledge and smarts should win over a flowchart. Some vets like it since it takes the pressure off them to - well maybe do their job instead of following a chart/system. My daughter would never give up her independence to practice that way, but has friends who work in those situations. (Unless I misunderstood, that is my understanding of how they proceed.)</p><p></p><p>I find myself always thinking about medical doctors when my daughter relates some of her stories from the vet world. Are the corporate medical doctors told to follow the same plan? Most doctors now work for a local/large hospital system. And I suspect they spend their time dealing with that sort of thing. How much independence do they have and how much time are they allowed to properly diagnose and treat? I suspect that a lot of the problem does not originate with the people you see.</p><p></p><p>And I think that Medicare has unique problems with their defined payment amounts that might end up encouraging providers to work the system to get their reward instead of concentrating on what the patient needs.</p></blockquote><p></p>
[QUOTE="simme, post: 1824511, member: 40418"] I think you know that my daughter is a veterinarian. She tells me that a well known corporate vet group that you see in the strip shopping centers in the pet store has rigid rules for diagnosis and treatments that the vet employees must follow. Sort of a flowchart style approach. Gather information from exam, owner and proceed per the system. Most vets don't like that since things are not that straight forward sometimes and experience and knowledge and smarts should win over a flowchart. Some vets like it since it takes the pressure off them to - well maybe do their job instead of following a chart/system. My daughter would never give up her independence to practice that way, but has friends who work in those situations. (Unless I misunderstood, that is my understanding of how they proceed.) I find myself always thinking about medical doctors when my daughter relates some of her stories from the vet world. Are the corporate medical doctors told to follow the same plan? Most doctors now work for a local/large hospital system. And I suspect they spend their time dealing with that sort of thing. How much independence do they have and how much time are they allowed to properly diagnose and treat? I suspect that a lot of the problem does not originate with the people you see. And I think that Medicare has unique problems with their defined payment amounts that might end up encouraging providers to work the system to get their reward instead of concentrating on what the patient needs. [/QUOTE]
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