10/31/2023 0 Comments National average packrat score 2021I do not support the blanket self referral to specialist that is rampant in this country. My SARCASM font wasn't activated during my post. So the point it is - let the PCP drive the bus. She stated "the patient is not complaining of chest pain so we do not recommend a cath" At my insistence he was evaluated at a different out of area hospital by a CARDS MD and got cath's soon after showing restenosis (the NP hung her hat on a 3 yr old stent) of a 3 yr old stent - LAD - widowmaker in a 63 yr old.ġ) someone needs to look at patients with a blank Ddx - and burn brain cells and then (only if needed) refer to a specialist.Ģ) with everything being driven by $$$ the specialists are hiring lots of inexperienced providers (in my local area seemingly NP by my unofficial count) whom are not on a level that they should be practicing independently in a subspeciality. I recently got into a disagreement on a nuclear stress test on a patient that was clearly worse then the same test 3 years ago on same patient and was read as a non-negative test(just under 1mm ST and sig diminish exercise tolerance but no chest pain). I have also seen the specialist hiring more and more (NP in my area) who really are not clinically strong. If you don't know what is wrong and go to a specialist you have already eliminated 90% of the Ddx as you (the patient) self selected to a specialist. Who are we to have the temerity to attempt to inflict our opinions upon them? The "Suits" understand that making patients happy is the primary focus of medicine!! Patients have "the right" to decide what care they seek or receive. They decide how many patients you need to see in a day to turn a profit, to maintain the salaries of superfluous middle managers. More often than not, hospital administrators with no clinical background or experience dictate how these practices are run. ![]() The reality is that in corporatized medicine, the physicians don’t make the rules. Patients actually accuse salaried primary care physicians of being greedy, “that’s why you don’t spend enough time” during those seven-minute visits. ![]() Who do you think bears the brunt of patient frustration and public misconception? The PCP. Now that corporations buy out hospitals and private practices in an almost predatory fashion, the priority is turning a profit for the corporation at the expense of not only patient health but also the health and well-being of the primary care physician. The primary care physician is supposed to be your go-to doctor, your advocate, the coordinator of your health care. National comparative data are based on the performance of a reference population of student test-takers.The corporatization of medicine has destroyed primary care as a specialty. The data on this page include the mean and standard deviation (SD) for the current forms. National comparative data are available from the first day of administration. We know that having solid national comparative data is a top priority for PAEA member programs using the PAEA End of Rotation exams. Included in the Historical Statistics reports are details on means, standard deviations (SD), reliabilities, and standard errors of measurement (SEM) for all retired exams forms. The historical national exam statistics for End of Rotation exams can be found on our Assessment Resources page.
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