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clitoral Doppler Flow studies for sexual dysfunctionFrom: Terry J DuBose (tjdubose@juno.com)Thu Jan 4 08:01:37 2001
Folks, the following is from a thread of discussion from another ListServ. I am not familiar with this Doppler study. Anyone here who could elaborate on the procedure? I have removed the individual identifying information. Thanks, Terry J. DuBose, M.S., RDMS Little Rock, Arkansas USA <SNIP> Dear Colleges: I need some input. We have a female sonographer that comes into our office every other Thursday to do clitoral Doppler Flow studies for sexual dysfunction. Currently she is paid $ 50 per exam. The problem is that when she comes to do the exams, many of the patients do not show up. There are usually 4-5 patients scheduled. The sonographer is asking that she be paid at least $ 150 for showing up even if no patients show up, otherwise she is wasting her time. She has other opportunities with some kind of guaranteed salary or pay. I was asked by administration what the industry "standard" was. I told them I thought that seemed fair to me but I would ask around, to get other opinions. Thanks in advance for your help. <SNIP> The office does call all patients scheduled for the next day. I think there is quite a bit of embarrassment and apprehension when the exam is explained to them. Thanks. <SNIP> I dont know how long these exams take but if its something like 30 min. - one idea would be to schedule patients close together say every 15 min. (knowing many will not show) then you could have 4 pts scheduled in one hour and set the minimum compensation at $100 (which seems fair to me) If they all show on a given day she makes her $200 but she might be backed up a little -- that's a chance you/she take. It depends a little on 1) the skill level of the sonographer and the potential to get a replacement for her (should she decide to pass on this arrangement), and 2) how often all scheduled pt.s show up--- but creative scheduling and appointment confirmation calls (maybe with a monetary penalty for no shows??) should be able to help in this situation. <SNIP> The exam takes at least an hour. You cannot rush these exams. There is a lot of skill and technical difficulty to the exam. The arteries are very small and are not well seen in the pre-stimulation phase. The patient is then scheduled to meet with the psychologist and the nurse practitioner to go over the results and prescribe a treatment plan, (that same day).
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