Comments on: Colonoscopy by primary care doctors, is it time to start joining the proceduralists? http://www.kevinmd.com/blog/2009/01/colonoscopy-by-primary-care-doctors-is.html medical blog Sun, 22 Nov 2009 22:50:49 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2009/01/colonoscopy-by-primary-care-doctors-is.html/comment-page-1#comment-113698 Anonymous Mon, 12 Oct 2009 00:53:11 +0000 http://clients.emmense.com/kevinmd/2009/01/colonoscopy-by-primary-care-doctors-is-it-time-to-start-joining-the-proceduralists.html#comment-113698 "No problem as long as you can deal with your own complications, which is why if I had to have a colonoscopy done, I’d go to a general surgeon and not a GI doc" Funny how quickly the general surgeon will dump on the GI doc when they can't treat the findings of the colonoscopy (besides routine CRC screening), which is I would prefer to have the GI doc perform the colonoscopy “No problem as long as you can deal with your own complications, which is why if I had to have a colonoscopy done, I’d go to a general surgeon and not a GI doc”

Funny how quickly the general surgeon will dump on the GI doc when they can’t treat the findings of the colonoscopy (besides routine CRC screening), which is I would prefer to have the GI doc perform the colonoscopy

]]> By: Anonymous http://www.kevinmd.com/blog/2009/01/colonoscopy-by-primary-care-doctors-is.html/comment-page-1#comment-89314 Anonymous Mon, 19 Jan 2009 22:25:00 +0000 http://clients.emmense.com/kevinmd/2009/01/colonoscopy-by-primary-care-doctors-is-it-time-to-start-joining-the-proceduralists.html#comment-89314 Anonymous at 9:21 -<br/>Exactly!<br/>How many of us FP's wouldn't love to spend the day doing scopes, lesion biopsies, stress tests, joint injections, etc. Things we were TRAINED TO DO but unable to continue once we were pushed onto the hamster wheel of 7-minute visits, prior authorizations and disability?<br/>Watch how complacent we are when these "menial"tasks are outsourced to "cheaper providers." We'll be coming for you! Anonymous at 9:21 -
Exactly!
How many of us FP’s wouldn’t love to spend the day doing scopes, lesion biopsies, stress tests, joint injections, etc. Things we were TRAINED TO DO but unable to continue once we were pushed onto the hamster wheel of 7-minute visits, prior authorizations and disability?
Watch how complacent we are when these “menial”tasks are outsourced to “cheaper providers.” We’ll be coming for you!

]]> By: Anonymous http://www.kevinmd.com/blog/2009/01/colonoscopy-by-primary-care-doctors-is.html/comment-page-1#comment-89299 Anonymous Mon, 19 Jan 2009 14:21:00 +0000 http://clients.emmense.com/kevinmd/2009/01/colonoscopy-by-primary-care-doctors-is-it-time-to-start-joining-the-proceduralists.html#comment-89299 This is why gastroeneterologists need to really care about what happens to primary care doctors. There are big shots saying that primary care can be done by midlevels. Once that happens, they're going to say, "Gee look at all the money we saved. Why don't we train midlevels to do other things, such as colonoscopies?"<br/><br/>In other words, they're going to come for you next.<br/><br/>A family practitioner This is why gastroeneterologists need to really care about what happens to primary care doctors. There are big shots saying that primary care can be done by midlevels. Once that happens, they’re going to say, “Gee look at all the money we saved. Why don’t we train midlevels to do other things, such as colonoscopies?”

In other words, they’re going to come for you next.

A family practitioner

]]> By: Anonymous http://www.kevinmd.com/blog/2009/01/colonoscopy-by-primary-care-doctors-is.html/comment-page-1#comment-89294 Anonymous Mon, 19 Jan 2009 11:29:00 +0000 http://clients.emmense.com/kevinmd/2009/01/colonoscopy-by-primary-care-doctors-is-it-time-to-start-joining-the-proceduralists.html#comment-89294 Two words: perforated colon<br/><br/>One word: malpractice Two words: perforated colon

One word: malpractice

]]> By: Anonymous http://www.kevinmd.com/blog/2009/01/colonoscopy-by-primary-care-doctors-is.html/comment-page-1#comment-89293 Anonymous Mon, 19 Jan 2009 06:50:00 +0000 http://clients.emmense.com/kevinmd/2009/01/colonoscopy-by-primary-care-doctors-is-it-time-to-start-joining-the-proceduralists.html#comment-89293 No problem as long as you can deal with your own complications, which is why if I had to have a colonoscopy done, I'd go to a general surgeon and not a GI doc. No problem as long as you can deal with your own complications, which is why if I had to have a colonoscopy done, I’d go to a general surgeon and not a GI doc.

]]> By: Anonymous http://www.kevinmd.com/blog/2009/01/colonoscopy-by-primary-care-doctors-is.html/comment-page-1#comment-89292 Anonymous Mon, 19 Jan 2009 04:58:00 +0000 http://clients.emmense.com/kevinmd/2009/01/colonoscopy-by-primary-care-doctors-is-it-time-to-start-joining-the-proceduralists.html#comment-89292 Colonoscopy by primary care doctors?<br/><br/>What, did they stop paying for colonoscopies or something? Colonoscopy by primary care doctors?

What, did they stop paying for colonoscopies or something?

]]> By: Anonymous http://www.kevinmd.com/blog/2009/01/colonoscopy-by-primary-care-doctors-is.html/comment-page-1#comment-89287 Anonymous Sun, 18 Jan 2009 21:45:00 +0000 http://clients.emmense.com/kevinmd/2009/01/colonoscopy-by-primary-care-doctors-is-it-time-to-start-joining-the-proceduralists.html#comment-89287 Why not (as long as we pts can still have anesthesia)?<br/><br/>All kidding aside, I would feel more comfortable with my PCP doing a colonoscopy rather than a gastroenterologist I don't know. Why not (as long as we pts can still have anesthesia)?

All kidding aside, I would feel more comfortable with my PCP doing a colonoscopy rather than a gastroenterologist I don’t know.

]]> By: The Happy Hospitalist http://www.kevinmd.com/blog/2009/01/colonoscopy-by-primary-care-doctors-is.html/comment-page-1#comment-89286 The Happy Hospitalist Sun, 18 Jan 2009 20:07:00 +0000 http://clients.emmense.com/kevinmd/2009/01/colonoscopy-by-primary-care-doctors-is-it-time-to-start-joining-the-proceduralists.html#comment-89286 When I was a resident doing a rural rotation, the internist started every morning with one or two screening colonscopies at the local hospital. $400 for an hour of work. Then back to the clinical grind.<br/><br/>It doesn't get any easier than that. When I was a resident doing a rural rotation, the internist started every morning with one or two screening colonscopies at the local hospital. $400 for an hour of work. Then back to the clinical grind.

It doesn’t get any easier than that.

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