E 100 Physician Assistants, Contracts, Race and Staff Dr. Johnathan Ledet MD Round 2

A Doctor's Perspective Podcast

Dr. Johnathan Ledet, MD Dermatologist talks to Dr. Justin Trosclair, DC for round 2 on A Doctor's Perspective Dermatologist discusses contract negotiations, physician assistants hiring and training: newbie vs experienced, hospital managers and disputes, Advanced Practice Provider relations, and racial conflicts with patients and family. Dr. Johnathan Ledet, MD What have you learned about training staff? Do the office managers help? Contract negotiation tips? What do you do when you hospital system starts changing contracts and you start getting paid less? Stick with the conditions and skills you have that you are Great at, not Good at. How to know when you should just refer out something that you could technically do but you know another person is better at? Should u hire a Physician Assistant: Any drawbacks, perks, compensation, and training? Is it better to hire a physician assistant who has no experience in your field or to fine tune someone who has been it in for a while? What and when are some of the best way to train your Advanced Practice Providers, physician assistant and staff? Dr. Ledet goes over the different pay structures of a physician assistant (advanced practice providers) and is it worth hiring them or just another doctor in your same field? He likes one topic, once a week and not on weekends so you can have more time with family. Why is documentation for yourself and Advanced Practice Providers so important. Even though nurses don’t directly bill the bottom line of the hospital, what effect do they have on care and the office? Why is the consultation before doing any procedures on a patient vitally important? How does location depend on how much room for negotiation you can request for a salary? You have to know what you bring to the table and what your value is worth… how do you estimate that? Private practice vs hospital system: does private practice actually allow you to make more revenue or does it have hidden costs that may not have been factored in before leaving a good hospital career? Why is it that hospital can negotiate contracts with insurance companies but individual practices usually have to take what the insurance gives them? Why is the average physician on their second job within 5 years? What are the 2 main attributes he is looking for when hiring staff… interviewed 48 to fill 6 positions? Also a couple of what not to do examples. Everything you tell a patient before XYZ is education, everything you say after XYZ is an excuse in the patients eyes. When you have a 7 week waiting list to get in, and you have to cancel appointments because of the doctors own family illness, how to you present that to the patient as well as getting them rescheduled? When working as a hospital system doctor, when you have clashes and disagreements with your team, can you discipline or does it have to be channeled with managers? Being an African American male doctor, how do you handle patients when they mistake you for the “help” or say things like, “oh are you the doctor?” He gives a couple of good examples of handling and diffusing the situation without getting upset. Has he ever had to fire a patient for being racist? What is being an Uncle Tom or acting white mean and have you experienced it from your own family? How can you or someone else diffuse that situation if they find their friends and family mention it often? Should you give “less fortunate” family members money and if not what can you do to support them? Show notes can be found at www.adoctorsperspective.net/100 here you can also find links to things mentioned and the full transcript. Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Justin Trosclair 0:06 Episode 100 position assistance contracts race and staff. I’m your host, Dr. Justin trust there. And today we have Dr. Jonathan lead. That’s perspective. So in 2017, and 2018 podcast Awards Nominated host as we get behind the curtain looked at all t...