Dr. Joseph Esherick Monthly Blog – February 2012
Are you a hospitalist who would like to incorporate procedures into your practice but don’t feel competent or confident in your skills? Are you a hospitalist who does procedures so infrequently that you feel more comfortable referring your patients to a specialist for such procedures? Are you a hospitalist who believes that you can get better reimbursement seeing more inpatients rather than incorporating hospital procedures into your practice? Are you a hospitalist who believes that doing procedures will decrease your job satisfaction? These are a few of many scenarios and myths that prevent hospitalists from performing bedside procedures.
Hospitalists who perform procedures enjoy their jobs more than those who do not. In one Canadian study of over 19,000 physicians, the degree of job satisfaction was directly linked to the range of procedures performed by the physician.
Additionally, patients feel better when the bedside procedures are performed by their primary physician with whom they have developed a rapport. There are a few reasons for this. Frequently, procedures performed by a specialist, especially an interventional radiologist, require that the patient has long waits, is taken away from their room, their nurse, and their family. Furthermore, patients have often developed a relationship and trust with their primary inpatient physician and feel more comfort when they are performing the procedure rather than a complete stranger.