Although OP may have been trolling us...you guys really helped me realize that the physician that I just let go....it was all them and not me.
They were on track to make about 230k a year averaging 13-14 patients a day plus with benefits.
Its hard cutting a physician but somehow, this really helped me not feel guilty about it.
Basically they just kept getting tons of negative feedback and were not a team player. I kept trying to give them more and more time to correct issues. Lots of feedback about how to correct deficiencies but it seemed to never get rectified.
He never checked any uploaded documents from consultants.
When they covered my patients....they never helped me out. They may have done 4 face to face visits since I last saw a patient and highlighted in my last note was things like NEXT VISIT PT NEEDS TO HAVE PSA CHECKED TO FOLLOW ELEVATED PSA TREND. and it never got checked....he just seemed to ignore our notes and reminders and just billed quick level 4 visits and would put things like below this point pcp to follow up....like bro....you are a ****ing pcp now not an urgent care.
He started to cherry pick his patients.....Only wanted to do the quick level 4 visits and started to cancel "complicated visits" such as walking out on a patient who told him that he was there for chronic fatigue. I get it, its a ****ty visit but you just can't cherry pick the easy visits.
Started to get loose with the meds. Oh new patient that we have never bet before, here is 90 days worth of Adderall....
Tons and tons of negative feedback about how rude he was, didn't seem to care, or just referred out for everything. One patient literally came back the next day to see me instead of him and reading his note it was clear he was checked out.
hand pain -referral to ortho
reports of neck nodule ---referral to ent
pt reports abnormal mole ---derm referral
diarrhea ---GI referral
SOB - sending to pulm for PFTs
I really tried to make it work for him and lost my ass off of him being there. I lost probably about $100,000 hiring him which is my biggest financial mistake to date in the clinic.
Despite often having 20% less patients on his schedule his no show rate was 3.5 times the other doctors in the practice. Huge sign that his patients just didn't like him.
Nice guy, just not meant to be in outpatient medicine and hes going back to hospitalist. I wish him the best.