"Treat and street but refuse repeat"

March 12, 2007

Cute ditty. A med student talks about Minute Clinic medicine:

More and more I’m seeing retail-based clinics treating people who obviously don’t need anything more than just rest and OTC meds with strong antibiotics, pain killers, and then sending them to their PCP when nothing gets better.



Related posts:

  1. Did this ER physician refuse to treat the poor?
  2. Should you be allowed to refuse health insurance?
  3. It’s difficult to treat the morbidly obese
  4. "Her vocabulary was laced with too much plaintiffese"
  5. From medicine to Wall Street
  6. The Debate Over Physician Salaries Continues
  7. Street Anatomy


KevinMD.com on Facebook


  Follow on Twitter   Subscribe



{ 5 comments }

1 DrPak March 12, 2007 at 2:30 pm

Don’t you mean ‘ditty’ ?

2 Kevin March 12, 2007 at 2:32 pm

lol – you’re right. I was getting all Sean Combs there for some reason.

Thanks,
Kevin

3 Anonymous March 12, 2007 at 6:37 pm

Go to the blog and check out some of the comments. It’s a good read.

I’ve said it before and I’ll say it again – I would never, ever, trust the primary care of my children to a NP.

4 JP March 13, 2007 at 7:57 am

Hi Kevin
As a family nurse practitioner, I have been w/Minute Clinic for about 8 months. As the guidelines state, viral episodes are treated that way, rest, chicken soup and OTCs. Some patients come in asking for an antibiotic, and their disappointment if not given leads them to their PCP where, under pressure it is given, not because it is indicated.
Some MDs act to please a patient more than using good clinical judgement; they are to be criticized as well.

thanks, Kevin JP

5 Anonymous March 14, 2007 at 7:44 am

I have been an internist for 5 1/2 years and have never given an antibiotic for a viral infection. It has cost me more than 2-3 dozen patients. I think you are mistaken when you assume all doctors give in to their patient’s demands and all minute clinics follow the guidelines correctly. Wait until the person who owns your clinic tells you your satisfaction rating is 4.5/5 instead of 4.6/5. You will cave in and try your best to please every patient.

The reason the above poster would prefer a physician is the superior training and experience. That doesn’t mean there isn’t a place for NP/PAs, it just means they shouldn’t operate independently. I think you realize that logic, it just runs counter to the situation you are in.
b

Comments on this entry are closed.

Previous post: Organ donation for freedom

Next post: Kidney donations and universal health care

Site Meter