FAQ
The following represent the most common questions: 1. What is my role as a Relief Doctor? 2. What are my liabilities as a Relief Doctor? 3. What can a Relief Doctor reasonably expect?
1. The primary role of the Relief
Doctor is to follow the current treatment plan of the established
patient, and to facilitate the continued availability of the office to initiate
new patient relationships. 2.
The liabilites of the Relief Doctor are generally the same as
with any Doctor. However, the Relief Doctor must be more vigilent
and prepared to error on the side of caution as there is often less
familiarity with the case history of each patient. Relief Doctors
become equally liable, as the prescribing Doctor, for treatments
rendered under their supervision. As such, the Relief Doctor
should modify the treatment plans to defer portions of the treament
plans that contradict better judgment of the moment (i.e the existing
treatment plan is not a substitution for proper medical decision making
at a given moment). The Treating
Doctor can decide to continue deferred portions of the treatment plan
upon return. Following an existing treatment plan of another
provider does not negate liability or offer a valid defense in the case
of a lawsuit.
3.
The Relief Doctor can reasonably expect to be treated with the
dignity and respect warranted by licensure. A Relief Doctor is
not a "office sitter" under the direction and control of the permanent
office staff. Only a licensed doctor may examine, diagnose,
prescribe, and alter a treatment plan. Any existing treatment
plan is still
subject to the discretion of the attending clinician at the time of
treatment. It is not reasonable to expect to use the license of
the Relief Doctor to simply continue the treatment plan without
question, while contraindications may exist, on a case-by-case basis,
when the patient presents for care on a given day (i.e. new trauma, new
complaints, new symptoms, etc.). It is reasonable to expect that
the Relief Doctors are free and trusted to make clinical decisions
based upon their qualified judgement as the attending Doctor. It
is not reasonable that such clincial decisions, and liability for the
clinical decisions, remain the purview of unlicensed and unqualified
support staff of the absent Doctor.
A
Relief Doctor can reasonably expect fair and
"objective" compensation for availability. "Objective"
compensation should be based upon anticipated patient volume (PV),
versus simply by the day. Only PV provides "true objective
measure" of anticipated services, regardless of the hours worked.
Hours, alone, do not confer any "true objective measure" of anticipated services and is "not" a WIN/WIN scenario.
Relief
Doctors can reasonably expect to have their licensed professional
services valued based upon "availability" for coverage. The value
of the Relief Doctor is not depreciated if the office fails to maximize
the use of "availability" due to a lack of scheduling or poor patient
compliancy. The fee of the Relief Doctor has a basis upon
availability, and, as such, has a minimal base value, regardless of
deficient PV. It is reasonable to expect that exceptional PV will
require an increase in compensation, beyond this base, in a linear
fashion.
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