C******7
发帖数: 105 | 1 jennymm,hospital outpatient tech和inpatient tech,做的有什么不同吗？我现在正准
备找工作，也要照顾好孩子家庭，总觉得口语不太好，不知道哪个合适我。
找到tech工作后，有training吗？
typing 有要求吗？ |
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f****o
发帖数: 2770 | 2 口语不好只能做hospital inpatient tech了，outpatient tech要和顾客交流很多的。 |
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j*********g
发帖数: 324 | 3 口语不好的话我觉得还是做out patient，因为在药店顾客电话都是差不多，要refill
啊什么的 (问题就那么几种）。但是在inpatient，tech如果只是deliver那到没什么口
语要求，但是tech轮到customer service，就要整天坐在电脑旁，任务就是接一天电话
，会是nurse，doctor，pharmacist，或是其他医院打过来，我感觉压力挺大的。(我一
美国朋友也说在医院接电话比在retail难）但是怎么说了，口语不好，就要多练习口语
才是，所以主要看自己喜欢在哪边干。PS，在医院 tech收入多一点，training正式一
点。full time的话还有福利什么的。药店就没有了。 |
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P*******D
发帖数: 523 | 4 哈哈，其实要说的也没有很多，因为每天都一样。我上一个是inpatient的实习，紧接
着就是这个retail的，对比太强烈了，刚开始的几天简直是无聊至极，后来才慢慢适应
，全当给脑子放个假。就是觉得我的给他们工作还得给他们交钱，真是不fair，我也是
觉得非常失望。 |
|
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l******k
发帖数: 27533 | 6 是吗？有什么系统能代替pharmacists的工作？
我实习的医院一直缺人，想招pharmacist很久了，大家都非常忙，非常累
不过不招刚毕业的就是了，我们班有两个同学在那个inpatient药房工作很多年了，也
不可能被招去。他们都要申请residency.
医院等着residency出来的人申请，职位多多 |
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b******8
发帖数: 1251 | 7 我同学，上学期间没有工作，最近都陆陆续续有offer了，都还不是偏远地方，稍微偏
的地方还给sign on bonus,我一个同学差点接了，结果后来城里的CVS又找他了。我还
收到RX RELIEF的人的信，问我要不要去稍微远的地方还是inpatient的job。感觉
retail里面CVS是我们这里收完全没有工作经验的学生。RITE AID主要是为偏远地方输
送人才。
想到加州稍微偏远地方（不算太偏，也有个MACYS也有COSTCO）的同学给我站内信把
EMAIL给我，我把RX RELIEP的EMAIL REFER 给你。 |
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r*******w
发帖数: 197 | 8 我还想做 inpatient呢，干好自己的活就行，不用跟人强颜欢笑，不用理病人保险啊
refill 等等一大堆破事。
的, |
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f****o
发帖数: 2770 | 9 那我就多申请吧，反正我不缺钱
我这两年都是做inpatient, 还做过学生的preceptor |
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b******8
发帖数: 1251 | 10 我也是在医院做ROTATION觉得药剂师特没地位，所以不想在医院inpatient or clinic.
我觉得医院out-patient还不错。retail工资还是在涨的。我4月拿到offer的是一个工
资，8月上班发现居然涨了1.5 |
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p********a
发帖数: 5352 | 11 赞～～～～～～～
俺也来附和一个
在 HEALTHCARE 做编程的一点点小总结
1) 俺的工作需要和COST打交道，老是要算DOLLAR AMOUNT，INPATIENT RATE。以前老有
算错的时候。其实俺的正确率已经是99%左右了，但那1%被老板揪住还是骂，然后老板
被老板的老板批评。。。没办法，直接和钱有关啊。后来俺就费心思写了个大的MACRO
，里面包括十几个小MACRO，把Identification, Stratification, Cost, Utilization
, Report都包括了。不管什么DATA一来，俺就套MACRO，三下五除二就干完了，从来没
出过错。当然，也有和MACRO无关的分析，俺为了避免错误，CODE一般自己读5遍， LOG
一般读1遍，然后写了个SAS程序从LOG里搜索容易出错但不报警的关键词，比方说obs=0
,warning,not initialized etc...
没了 OVER。 |
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h****n
发帖数: 18 | 12 I worked for Medicaid Claims processing and I knew all subsystems related to
claims. Before Interview, you need to know how many different types claim
have and how the claims are processed. For example, Inpatient Hospital will
price based on revenue code and provider rate, Physicial claim priced based
on procedure codes, etc. The statistics only is not enough. |
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y******0
发帖数: 401 | 13 Most of inpatient Claims are paid by DRG (Diagnosis related group) in
Medicare/Medicaid. Some may be paid by per diem. |
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e******g
发帖数: 33 | 14 谢谢您的指点，我的小破文章倒是经常用health outcome这个词，就是有多少
inpatient,outpatient，是这些吗？这算一个专业吗？有什么机构是做这个的呢？请给
一两个例子好吗？ |
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p**********a
发帖数: 9 | 15 手头的数据很详细，基本涵盖病人关于医疗方面的所有过去到现在的数据，project的
目的很明确，希望利用这些数据build一个model来预测一个patient明年是否可能
admmit into a hospital.希望版上朋友帮我出谋划策。
数据如下：
1.病人visit start and end date,visit type(inpatient,outpatient,emergency
visit)
2.procedure type（治疗方案？）(for heart attack,brain operation,can be very
detailed),procedure start and end data。基本是文字叙述，需要分类汇总。
3.drug:病人每天用什么药,药的用量,服用始末日期。
4.condition:病人服药期间出现的一些症状，如血压低，心跳不正常。这些症状基本都
是文字叙述。需要分类。
5.针对病人病情的一些测量数据：如心跳，尿液检测，血压，血液检测等。
如果版上有类似经历，希望大家献计献策，有包子。 |
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EA
发帖数: 3965 | 16 用病人是否inpatient过作dependent variable,你的那些其他变量作predictors,using
logistic regression. |
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a********t
发帖数: 1810 | 17 最大的问题是DATA CODING.
不同的系统对DATA 的分类不一样
例如有的系统会把一些花费算在INPATIENT里,一些会把它们算在OUT PATIENT. 你再提
取DATA 时要能分出来. |
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p********a
发帖数: 5352 | 18 We have a new opening and the HM perfers to hire candidates in Los Angeles/
OC area or candidates who can relocate to Cypress, CA.
Please note this is a intermediate position (usually requiring 2-3 years SAS
programming experience). No visa sponsorship. Please contact Michael by
email m********[email protected]
Position Title: HealthCare Economics Consultant
MI Job Description:
The Healthcare Economics Consultant is a combination programmer/analyst role
that will provide support for the national inpatie... 阅读全帖 |
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w******8
发帖数: 59 | 19 本人基本情况：六年大学癌症中心工作经验，冷门理科博士，统计硕士，在读应用统计
博士
这个面试机会来得算是容易， 一个猎头给找的，当时没觉得有希望，因为基本上所有
人都告诉我 药厂统计师必须是博士 。当时正在休产假，连简历都没改就发了。没想到
通过了电话面试。电话面试也不容易，问了很多问题。 被问到最近做了什么
simulation的project， 我想不出来，但是赶紧说我读书时在statistical computing
课上拿的是A， 那门课有一半的学生是dropped。这应该有所帮助。
去药厂onsite时，第一个活动是吃午饭，陪我的哥们告诉我要准备回答有关临床实验
设计的问题。在学校机会也不多，我也就设计了那么几个有限的实验，都是early
phase， 方法也是传统的， 什么3＋3（我也懂CRM）， 什么Simon’s two stage。有
时也用老板paper里的方法。有一个临床实验我确实是起了一个重要的作用，因为我的
老板开始建议的设计貌似合理，其实是有问题的，辛亏我不盲信老板，好好思考，发现
了问题，指了出来，最终修改了设计。 唯一一个这么好的故事我竟然后来没讲，是一... 阅读全帖 |
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A*******s
发帖数: 9638 | 20 So 50% time you can be online at work. I am jealous.
Today's schedule for me so far:
Clinic started at 9am, I finished at 4 pm. Lunch time I drove to hospital
for seeing the inpatient.
I had 28 patients scheduled and saw 21. In hosptial, I saw 7 patients
including 3 new patients.
After 4 pm, I just need to finish all notes and dictations left over. Takes
2 hours possibly.
No calls for me. This is a nice part.
|
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A*******s
发帖数: 9638 | 21 So 50% time you can be online at work. I am jealous.
Today's schedule for me so far:
Clinic started at 9am, I finished at 4 pm. Lunch time I drove to hospital
for seeing the inpatient.
I had 28 patients scheduled and saw 21. In hosptial, I saw 7 patients
including 3 new patients.
After 4 pm, I just need to finish all notes and dictations left over. Takes
2 hours possibly.
No calls for me. This is a nice part.
|
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L****n
发帖数: 12932 | 22 • Gross Patient Service Revenue (GPSR). The amount of money
that hospitals would make if they were paid in full (that is, the
nondiscounted rate) for the care they deliver (total inpatient and
outpatient revenues before deductions). However, hospitals provide
most patient care at less than full charge and never actually
collect their gross patient service revenue.
• Net Patient Service Revenue (NPSR). The total amount of money
the hospital actually collects after deducting charity ca... 阅读全帖 |
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L****n
发帖数: 12932 | 23 有点不知从何说起的感觉：
1. diagnostic and operating service are 2 major money maker for most of
hospitals. but not inpatient service, which usually lose money.
2. Hospital hires hospitalist to cover those patients that don't have PCP,
but was admitted to hospital through some other reason - ER visit, Surgical
services etc. Hospitalists don't see clinic patient, and don't admit
patients.
人? |
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e*********d
发帖数: 41 | 24 Very interesting discussions.
I also think this is a good business model and there will be a huge market
in China for this.
I think the key, or the only key, here is marketing in China; all other
elements mentioned in A++'s post are currently available somewhere and can
be accomplished through contracting with existing service vendors, like US
hospitals, physician groups, travel agencies etc.
Also, Chinese patients can get most of radiology or pathology related
services in China; that will save ... 阅读全帖 |
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e*********d
发帖数: 41 | 25 Very interesting discussions.
I also think this is a good business model and there will be a huge market
in China for this.
I think the key, or the only key, here is marketing in China; all other
elements mentioned in A++'s post are currently available somewhere and can
be accomplished through contracting with existing service vendors, like US
hospitals, physician groups, travel agencies etc.
Also, Chinese patients can get most of radiology or pathology related
services in China; that will save ... 阅读全帖 |
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f*****w
发帖数: 1451 | 26 好奇哪个lasix PRN病人如何决定?一般回家用药都是scheduled dose for furosemide,
这个让病人自己PRN,有点难吧....难不成病人自己觉得腿肿了,就吃一剂?请教前辈答疑
解惑....
这类病人对于inpatient来说很正常啊,尤其是我们医院,经常是每月一住.....就是每个
月来住院一次...几乎每个resident都过了一遍..药一大堆,难怪也没有胃口吃饭,吃药
就吃饱了.....记得以前ob的时候attending告诉我,一定要尽量减少用药,能不用的就不
用,而且药多了,之间的interaction也多,monitor也很困难.
常常面对这样的病人觉得很无助....life is unfair.起止是这些病人.就是现实生活中
也常常有感慨阿.
已经有报道了,医生这个行业本来就是stressful 的行业,depression的几率也比较大. |
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a*********d
发帖数: 2763 | 27 说实话，lZ的选择，说到底，就是选inpatient或者outpatient的区别，PCP和
hospitalist现在都是跑量的干活，能够耐得住琐碎，责任到不大，有什么繁难的refer
就好了。对很多老中来说不是很有挑战性。 |
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s*********8
发帖数: 1630 | 28 A+的答复。自从开始找工作以来，一直很困惑， 有时候不知道自己到底想要什么。
outpatient 比较繁琐，inpatient 倒是straight forward, 但是家里有孩子，年纪也
不轻了，非常不想上夜班。
还有个问题想请教， 如果我选择去大的教学医院，将来申请fellowship 的机会会大些
吗？现在我只想把身份问题解决，如果将来有机会做fellow,还是很想去试试。 |
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A*******s
发帖数: 9638 | 29 You are right on the point. To start a new solo, you need to cover hospital
1. hospital privilege,
2. Get referral. (ER, inpatient),
3. Your patient's satisfaction. etc.
You can share calls with other physicians, this usually is not a problem, especially now we have hospitalists.
I agree with againstwind it is not a good time to start your own practice.
However, I know some friends did very well. One PCP who covers NH as
regular business started his own practice about 2 years ago. At the
beg... 阅读全帖 |
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a********n
发帖数: 182 | 30 Thanks a lot for your input.
Solo practice seems give the Doc more freedom in terms of what kind of
patient you want to see.I want to do 100% outpatient, but most of the group
need me to cover the hospital call since it gives the group more income.
Inpatient care is more risky to have malpractice. This is the main reason
for me to think about starting my own practice.
I am thinking that I probably do not need the hospital privilege if I just
do 100% outpatient, and I can share the patient's call... 阅读全帖 |
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M****a
发帖数: 577 | 31 赞！好详细啊。OM我感觉是最严格按照protocol办事的科室，而且去办事效率很高，等
待时间一般都很短。
我们医院在几个细节上有点小区别：
1.Source patient好像不需要written consent，如果inpatient病人有血样在化验室，
OM直接可以检测HIV/HBV/HCV。现在HIV化验的paperwork似乎比以前松很多，在ER里
verbal consent就可以了
2.HCV我们这里f/u一年就可以了。
在floor出了needle stick，如果不了解流程，我觉得主要还是靠自己。首先，你不一
定会告诉上司，虽然上司知道了一般都会让你去OM的。其次，绝对不能指望护士，他们
躲得比谁都快，有时还会说用水冲冲就可以了，然后给你一个轻蔑的眼神。在OR里出了
needle stick，上司直接把你踢出去，叫你去OM。
一个很悲催的案例
http://articles.courant.com/1999-10-29/news/9910290128_1_needle
of the training. Common cases are
attendings as w... 阅读全帖 |
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p*******1
发帖数: 102 | 32 Health Care for Members of Congress?
Posted on August 25, 2009
Q: What type of health insurance do members of Congress receive? Is it a
single-payer, government-run system?
A: Members of Congress are covered by private insurance under the same
system that covers all federal workers.
FULL ANSWER
Members of Congress have good health insurance by any standard, but it’s
not free and not reserved only for them – and it’s not government
insurance. House and Senate members are allowed to purchase priva... 阅读全帖 |
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s******t
发帖数: 579 | 33 多谢老大的建议！
上周换了个地方，inpatient psych，很忙，没时间运动，有两个晚上赶着写病例只睡
了几个小时，都想quit了。好在seinor们都很好，有问必答。觉得有点摸着门了。不过
还是带抱怨带请教地给chief说我很慢，导致睡眠不足，怎样提高。结果第二天主治就
把我的病人分了两个给学生了，一下轻松不少。
昨天今天很happy，可以早点回来游泳，咱要求不高，要是让我觉得健康，别太不堪一
击就开心了。不过听病人说昨天主治呆到很晚才走。
attending今天赞咱了，说我的presentation 很到位，八成是安慰咱，怕咱太没自信了
。这里的attending怎么个个都很谦逊，很顾及手下的感受。估计是看咱很好学，底子
又差，主动提出加supervision time。
这个主治很年轻很聪明（感觉我是最傻的，比病人还傻），对病人很有耐性，不管什么
性格各涩的人他都不嫌弃。其他的护士，社工也都很好相处。
今天收到好几个seinor的建议和他们的心得，估计是chief给他们都通气了。总的来说
建议如下：
利用小片段的时间，分分秒秒写notes，
早上在家喝coffee时就可以看... 阅读全帖 |
|
l*h
发帖数: 4124 | 34 heart attack and chronic kidney failure on the background of diabetes makes
it kind of tricky to manage.
1. basically no expensive procedures can be done. the department will make
no big money on your dad.
2. it's easy to develop new complications for these conditions. this will
drag down the inpatient QC statistics of the department and the hospital,
causing the them to lose money.
so it's all about money, to be honest. try hospitals of 二医 or 二军医
systems. you may have better luck at 二军医 because... 阅读全帖 |
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s******t
发帖数: 579 | 35 An inpatient was seen by us because of anxiety. He was having an abscess at
private area and was suffering from terrible pain from the infection. His
wife was hospitalized too because of the potentially fatal fungal meningitis
2/2 steroid injection.
While asked him about his anxiety. He said that he has been anxious about
pretty much everything in his life, but he was most anxious about if he
could be discharged before the Election Day so that he could vote.
Fortunately, he was discharged yester... 阅读全帖 |
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s*********8
发帖数: 1630 | 36 Laugh soooo bad! How could I miss this joke!
My little story here,
I work inpatient, one of my colleague, who is a 30+ Caucasian man, c/o to
the nurse supervisor, that he was interrupted by the staff all the time, and
he could not focus on what he is doing. The nursing supervisor had a
medical staff meeting, and asked me what I think. I said, " well, it is very
true, but I figure it is just the way is on the floor, just deal with it."
Then we try to figure out how to solve the problem, and ask... 阅读全帖 |
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A*******s
发帖数: 9638 | 37 Are you aware of differences between nursing home and hospice inpatient when
you talk about long term care? |
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s*******2
发帖数: 1182 | 38 1. She may have multiple organ damaged, so not safe to stay at home now. Go
to inpatient pulmonary unit of Beijing Union Hospital, it is top 1 in China.
2. Use the donated money to hire care giver, let parents have a little relax. |
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A*******s
发帖数: 9638 | 39 不用感叹，在一个医生聚会上我说了一下韩国医生Dr.Lee的externship program（
outpatient），然后请求中国医生有没有愿意与Dr.Lee合作提供inpatient OB。 我得
到的回答都是询问哪里有externship program，他们的熟人想去。 |
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m********4
发帖数: 607 | 40 这样的结果，很好吗？能够接受吗？问题出在哪？
——————————————————————————————————
http://circ.ahajournals.org/content/127/1/e6.full
Below are a few highlights from this year’s Update.
1， The 2013 Update Expands Data Coverage of the Epidemic of Poor
Cardiovascular Health Behaviors and Their Antecedents and Consequences
Adjusted population attributable fractions for cardiovascular disease (CVD)
mortality were as follows1: 40.6% (95% confidence interval [CI], 24.5–54.6)
for high blood pressure; 13.7% (95% CI, 4.8–22.3) fo... 阅读全帖 |
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f**********n
发帖数: 246 | 41 Most of US physicians have their own outpatient clinic as well outside of
hospital setting. They do see patients in the hospital when they are
admitted for conditions need inpatient management or to have surgery. Once
they are discharged by the hospital, they are usually still followed up at
physician's outpatient clinic. So of course, the well know physicians can be
seen at their clinics.
，但是在这个小诊所却有全球知名的妇科专家？ |
|
b***u
发帖数: 746 | 42 which year are you?
to open a private, you need to establish a steady referral network, which
takes time. So in the beginning, will be better to have a 'side job' with
salary.
you will need to deal with money--insurance claim by yourself. you need to
dig into billing codes. you might not be able to afford a staff in the
beginning. You might hire your wife as you pay her anyway, LOL, but the
catch is that you cannot fire her
unlike other providers, majority of the private practicing psychiatrist ... 阅读全帖 |
|
w*******7
发帖数: 412 | 43 你可以找个inpatient or CPEP attending的job,医院的contract里面应该有允许你看
private patients的时间限制，然后用医院配的秘书来handle那些预约，argue with
insurance companies 之类的杂事，渐渐建立你自己的network再转whole private
practice.当然你要交医院overhead的费用，但你不用rent office也剩了不少.
在chinatown的几个psychiatrist据说赚钱方面都很成功。我们这里的一些adjunct
professors做private practice都不收保险，据说都是half million annual income.
child psychiatry 如果打工的话，年薪最多多个4-5万，但打工的话，琐事有social
worker之类的帮忙，如做private的，还是可以多赚很多的，我知道的NJ的
psychiatrist一个45分钟的intake session charge $450,regular session 15-30mins
,... 阅读全帖 |
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N****a
发帖数: 100 | 44 谢谢您的回复！
我不明白为什么要找CPEP的位置呢？所有科里，我最不喜欢的就是CPEP：smelly，
chaotic，depressing。为什么做inpatient或outpatient的attending就不行呢？另外
您提到的用医院配的秘书来handle那些预约，argue with insurance companies 之类
的杂事，让人耳目一新，我确实不知道还可以这样做，但不知道可操作性如何。再有,
“不用rent office也" 又做何解? 在那里看病人呢？
以前我得到的信息有些不一致，比如说我们有attending以前有private office但后来
又关了。估计是挣不了太多的钱。但从另外一些渠道，包括您的信息，似乎private
practice还是有钱可挣。当然不知道O8的政策执行以后对private practice的冲击有多
大。
.
30mins |
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w*******7
发帖数: 412 | 45 if you take an inpatient attending or cpep attending job, you will have more
flexibility to schedule your own private patient and you can use the office
the hospital give you to see your private patients. if you do outpatient
jobs, your day time will be arranged full and you can do evening clinic but
the sectaries will be off work and no security there, and you have to handle
everything on you own. Private practice for sure will makes way more money
but you have to know how to do business.
I hav... 阅读全帖 |
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N****a
发帖数: 100 | 46 谢谢您的解释！我实际上一直在想今后的private office 是下班以后看病人如5.30pm-
8.00pm，和周六看病人。如果在医院上班时间（比如我是inpatient attending）看自
己的outpatient，那我还不被医院开掉吗？另外，医生的office都在办公区，病人也进
不来啊。至少我认为这在我目前的医院精神科好像没人这样做的。
more
office
but
handle
money |
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a**********2
发帖数: 3726 | 47 Seems that I need to learn some Spanish. Looking for office based practice,
not inpatient. Hate the hassle.
hospitalist |
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a**********2
发帖数: 3726 | 48 Seems that I need to learn some Spanish. Looking for office based practice,
not inpatient. Hate the hassle.
hospitalist |
|
l*****9
发帖数: 9501 | 49 http://www.opednews.com/articles/Bernie-Sanders-Introduces-by-B
General News 12/12/2013 at 13:25:01
Bernie Sanders Introduces Single Payer Bill: American Health Security Act of
2013
Summary of S. 1782, The American Health Security Act of 2013
The American Health Security Act of 2013 (S. 1782) provides every American
with affordable and comprehensive health care services through the
establishment of a national American Health Security Program (the Program)
that requires each participating state t... 阅读全帖 |
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u******e
发帖数: 65 | 50 Hospital pharmacy never deal with outpatient Rx. They only dispense unit
dose medicine to inpatient. If you got a Rx from clinic, you can go any
retail to fill it. Some retail, offer $3 for a month supply. Do you think it
is more expensive than China? |
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