Valley Emergency Physicians Medical Group
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30+ days ago

Hospitalist - Physician

Valley Emergency Physicians Turlock, CA

care has 76 hours of physician coverage. As a hospitalist you will monitor and communicate with the primary care physician.… DocCafe

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Valley Emergency Physicians Medical Group Reviews

9 Reviews
9 Reviews
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Steve Maron, M.D.
6 Ratings

    Perversion of Emergency Medicine

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    Former Employee - Anonymous Employee
    Former Employee - Anonymous Employee

    I worked at Valley Emergency Physicians Medical Group as a contractor for more than 3 years


    Lax environment(to the extent you are more productive).


    Economics, however, overrides virtually all other concerns, including quality of patient care. In medical school, regardless of the specialty we eventually choose, we are taught that the H&P guides our evaluation of each chief complaint. With the intent of reducing "Doctor to patient" times metric, MLPs are placed in the position of initiating the patient evaluation. To minimize waiting times, as EDs are increasingly evaluating ever more patients, the MLP simply stamps his name on the chart, which stops the clock, and labs and imaging are ordered. All well and good, if a proper H&P were attempted, if the MLP were trained to obtain a reasonable H&P, which takes time and effort. At VEP sites, under pressure to reduce waiting times, % of LWBS, reduce complaints from patients, etc. no H&P is conducted prior to ordering labs, imaging, etc. Indeed, a fever noted in triage triggers "Levaquin" for the adult pt., to reduce that time to antibiotic administration for possible sepsis. Yet without an H&P, the ordering MLP has no basis to identify the source of the fever/sepsis, "but 1 dose of Levaquin can do no harm." Patients then return from Radiology(ordered by the MLP who has not conducted an H&P). As the MD, if a proper H&P is conducted, one realizes labs and the US to evaluate for the CC:7yo abdominal pain(and appendicitis which is on the Ddx), was absolutely unnecessary, since the CC was actually "sore throat," or H&P consistent with gastroenteritis, constipation, and other Dx which do not require labs or imaging. In the end, more patients are evaluated, many with unnecessary labs, imaging, Levaquin, generating additional revenue(though not necessarily for the MD). To the Co. there are fewer complaints, more revenue. To the uninsured patient, the cost of labs, US to evaluate possible appendicitis(all ordered by the MLP "upfront" can mean a cost of many hundreds of dollars(or more), reducing already limited disposable incomes. Metric madness, quantity at all cost(over quality) overrides any semblance of a "proper" medical practice. Should MD's even care anymore, as the practice is now determined exclusively by the Co's Board of the purported "democratic group?" who are driven to acquire ever more contracts, grow its "business/revenue/stock price," and with little regard for cost controls and quality. MD's have ceded all influence in how patients should be evaluated. Patients beware...MD's look carefully in the mirror...first do no harm.

    Doesn't Recommend
    Negative Outlook
    No opinion of CEO