Re: Switching patients

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Wed Aug 25 18:05:12 2004


Lynn:

A tough situation, as you're torn between trying to grant the patient autonomy (her right to choose) and potentially upsetting your colleagues.

In the long run, upsetting or alienating a colleague over a patient situation such as this is not good. The patient may be one for life, or move on, etc., but you still will want a good relationship with your call group.

On the other hand, it is difficult to tell a patient you don't want her to be in your practice (well, I can think of exceptions, as we all can).

FWIW:

I would consider discussing this discretely with the doctor from whom she wants to switch, stressing that you are in a tough spot and didn't at all solicit the patient. I would also say that the easiest thing to tell the woman is that a switch isn't possible for relationship/political reasons. I would not necessarily tell the other doctor the patient's name, though he may figure it out.

Alternatively, you might tell the patient that this is politically incorrect for you (I have used an example that I cannot favor a patient over my family, for instance), as patients may come and go, but you're "married" to your call group.

What have you thought about doing?

Garry

At Tue, 24 Aug 2004, Lynn D. Montgomery, M.D. wrote: >
>Separate practices, same call group.
>
>--
>Lynn D. Montgomery, M.D.
>Maternal-Fetal Medicine, OB/GYN
>Rocky Mountain Women's Health
>2835 Fort Missoula Rd., Suite 304
>Missoula, Montana, 59804
>406-549-0978
>fax 406-549-0987
>e-mail: apgar10@montanadsl.net
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry
>E. Siegel, M.D.
>Sent: Monday, August 23, 2004 5:20 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Switching patients
>
>Lynn:
>
>Do you mean different doctors in a call group (i.e. different
>practices) or different docs in the same group practice (i.e.
>associates and/or partners).
>
>Garry
>
>At Mon, 23 Aug 2004, Lynn D. Montgomery, M.D. wrote:
>>
>>How do those of you that participate in call groups handle patients
>>wanting to switch physicians to another within the call group? Lynn
>>
>>--
>>Lynn D. Montgomery, M.D.
>>Maternal-Fetal Medicine, OB/GYN
>>Rocky Mountain Women's Health
>>2835 Fort Missoula Rd., Suite 304
>>Missoula, Montana, 59804
>>406-549-0978
>>fax 406-549-0987
>>e-mail: apgar10@montanadsl.net
>>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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