On September 4, 2013, Ann Wendel and I hosted our latest #socialortho tweetchat. This month we discussed the duty to respond to calls and questions from patients after hours and on weekends.
For those of you unfamiliar with tweetchats, people answer questions posed by the moderator and comment on other tweets using the hashtag specified – in this case #socialortho.
If you enjoy fast-paced discussions about important sports medicine, healthcare, and social media topics, join us for future #socialortho tweetchats. We usually hold these chats on the first Wednesday of each month. The next #socialortho tweetchat will take place on Wednesday, October 2 at 9 PM ET.
Sarah @BubblyHeart
@DrDavidGeier @PranaPT Jeeze, no. You guys should have lives too, you’re not lawyers. On call is still a thing if it’s emergency.
Dr. David Geier @DrDavidGeier
@BubblyHeart @PranaPT Exactly what we’re talking about in a few. And we all know that lawyers usually charge for calls, emails. #socialortho
Sarah @BubblyHeart
@DrDavidGeier @PranaPT Husbands a lawyer. Know it well. 6 min increments.
Ann Wendel @PranaPT
Welcome back to #socialortho
We hope everyone had a great summer! We’re looking forward to catching up with everyone tonight.
Mike Hopper @mnhopper1s
@PranaPT good evening Ann! Can’t wait for another great #socialortho chat!
Ann Wendel @PranaPT
@mnhopper1s Hi Mike! How’s preseason going? #socialortho
Mike Hopper @mnhopper1s
@PranaPT #socialortho Our football is 1-0! 🙂 Preseason is over 😉
Dr. David Geier @DrDavidGeier
@PranaPT Hey everyone! #socialortho
Ann Wendel @PranaPT
Tonight’s #socialortho chat is going to focus on patient/provider communication outside of the office.
Ann Wendel @PranaPT
@mnhopper1s So, does the team look good this year? #socialortho
Mike Hopper @mnhopper1s
@DrDavidGeier @PranaPT How’s Charleston this evening? #socialortho
Mike Hopper @mnhopper1s
@PranaPT We’ll be alright.. not great but not awful either. #socialortho
Dr. David Geier @DrDavidGeier
@mnhopper1s @PranaPT Not too bad. Love fall and spring here! #socialortho
Mike Hopper @mnhopper1s
@DrDavidGeier @PranaPT Several underclass injuries, but varsity is pretty healthy. Cheerleading is keeping me busy! #socialortho #AT4ALL
Ann Wendel @PranaPT
We’ll give everyone a moment to check in and then get started.Please remember to use the #socialortho in every tweet.Otherwise,I get cranky.
Mike Hopper @mnhopper1s
@PranaPT I’ve never seen it.. #socialortho
Ann Wendel @PranaPT
@mnhopper1s @DrDavidGeier Cheerleading is no joke! #socialortho
Steven Kleinman @StevenRKleinman
Hello everyone, excited to start up again #socialortho
Ann Wendel @PranaPT
@mnhopper1s That’s b/c David usually keeps me in line 🙂 #socialortho
Mike Hopper @mnhopper1s
@PranaPT @DrDavidGeier definitely not. Did you see my tweet the other night about cheerleading articles in PubMed? #socialortho
Ann Wendel @PranaPT
@StevenRKleinman Hey, Steve! How are you? #socialortho
Steven Kleinman @StevenRKleinman
@PranaPT #socialortho. Good thanks and yourself?
Ann Wendel @PranaPT
@mnhopper1s @DrDavidGeier Yes, can’t remember numbers,but significantly lower than other sports. #thesis #socialortho
Dr. David Geier @DrDavidGeier
@StevenRKleinman Hi Steve! Glad you’re back joining us for the chats too! Have a good summer in NJ? #socialortho
Ann Wendel @PranaPT
@StevenRKleinman Doing well! Getting back into the swing of the school year! #socialortho
Mike Hopper @mnhopper1s
@PranaPT @DrDavidGeier 67 for cheer; over 6k for football #socialortho
Wellpepper @Wellpepper
Excited for this chat—it’s right up our alley #socialortho
Ann Wendel @PranaPT
@Wellpepper Welcome! Good to see you here! #socialortho
Dr. David Geier @DrDavidGeier
@mnhopper1s @PranaPT Sorry I missed it. Email it to me if you get a chance. Like Ann, I’ve backed off of Twitter a little #socialortho
Steven Kleinman @StevenRKleinman
@DrDavidGeier #socialortho. Always something “exciting” happening here lol
Dr. David Geier @DrDavidGeier
@Wellpepper Very glad to have you. Can’t wait to hear people’s thoughts on patient boundaries! #socialortho
Ann Wendel @PranaPT
RT @PranaPT: So, here we go:
Q1: How accessible are you to your patients, during work and after hours? #socialortho
Mike Hopper @mnhopper1s
@PranaPT From AT standpoint, I’m available most of the time.. #socialortho cell phone is almost always on.
Ann Wendel @PranaPT
@mnhopper1s Day, night, weekends, holidays? #socialortho
Dr. David Geier @DrDavidGeier
@PranaPT @mnhopper1s She’s feisty, but she is a fun, great host. I don’t have to rein her in much! #socialortho
Steven Kleinman @StevenRKleinman
@PranaPT #socialortho. Email or phone office during work hours. Email anytime is best but my once I leave no phone
Mike Hopper @mnhopper1s
@PranaPT #socialortho As early at 5:30AM during the week and until 10PM. Weekends vary. Occasionally turn off ringer for “me time”
Dr. David Geier @DrDavidGeier
@mnhopper1s @PranaPT Interesting Mike. Bet you & other ATs have different perspective because 24/7 access seems normal for you #socialortho
Ann Wendel @PranaPT
@StevenRKleinman Do you stop answering emails at a certain time of day/night? #socialortho
Ann Wendel @PranaPT
@mnhopper1s Do you have an assistant AT, or are you “it”? #socialortho
Steven Kleinman @StevenRKleinman
@PranaPT ill answer email as long as I’m awake or infront of phone also depends in importance #socialortho
Dr. David Geier @DrDavidGeier
@PranaPT I don’t answer my work email once I leave office or OR. Realized I was answering emails close to midnight frequently
Mike Hopper @mnhopper1s
@PranaPT my assistant? HA! 911 😉 #socialortho
Ann Wendel @PranaPT
@StevenRKleinman So,this gets to the heart of the topic: we are in front of the phone more and more,therefore “available” more. #socialortho
Steven Kleinman @StevenRKleinman
@PranaPT #socialortho. I don’t give out my personal phone or personal email. Need some boundaries when u live near where u work
Ann Wendel @PranaPT
@mnhopper1s Dang, dude! #socialortho
Mike Hopper @mnhopper1s
@mgill52 @PranaPT I’m not sure how much it really changes.. #socialortho Expectations are high at HS level too..
Ann Wendel @PranaPT
@DrDavidGeier Midnight?! We need to talk about this! #socialortho
Wellpepper @Wellpepper
@StevenRKleinman is this your personal email or work #socialortho
Dr. David Geier @DrDavidGeier
@StevenRKleinman Steve, can patients reach you or your office by phone at night or on weekends? #socialortho
Steven Kleinman @StevenRKleinman
@PranaPT yes but I also can choose importance of answer at midnight or wait til morning. I am honest with patients #socialortho
Ann Wendel @PranaPT
RT @mgill52: @mnhopper1s @PranaPT having been at the college level, it was on call 24/7. Transitioning to high school now #socialortho
Mike Hopper @mnhopper1s
@StevenRKleinman #socialortho yea unfortunately I’m about to give out my personal cell # because my work phone isn’t working correctly..
Dr. David Geier @DrDavidGeier
@Wellpepper @StevenRKleinman Do any healthcare providers give patients their personal email? Should they? #socialortho
Steven Kleinman @StevenRKleinman
@PranaPT just told a 10yr old to email me if a problem and mom was happybut told mom I won’t check on Jewish holiday tomorrow #socialortho
Ann Wendel @PranaPT
@StevenRKleinman But,my point is,it’s not healthy to be at the computer or phone at midnight! #socialortho
Wellpepper @Wellpepper
@DrDavidGeier @StevenRKleinman we don’t think so—HIPAA risk #socialortho
Steven Kleinman @StevenRKleinman
@DrDavidGeier #socialortho. No no phone on wknd, my time…email me
Ann Wendel @PranaPT
@StevenRKleinman @DrDavidGeier But do you answer the emails on the weekend? #socialortho
Steven Kleinman @StevenRKleinman
@PranaPT #socialortho. I’m on phone checking personal email, fantasy baseball anyway so I don’t mind the email cause I choose when to answer
Ann Wendel @PranaPT
With a small,cash based practice,I provide a high level of customer service…yet,I have had to turn off phone/email at night. #socialortho
Wellpepper @Wellpepper
More frequent interactions can improve patient engagement/compliance but need to be manageable and secure for provider #socialortho
Steven Kleinman @StevenRKleinman
#socialortho I work right near where I love and I won’t tell people what street I live but they know the town….need private life too
Mike Hopper @mnhopper1s
@StevenRKleinman #socialortho I live 1/2 mile from my office.. and occasionally see athletes walking down my street; they know where we live
Steven Kleinman @StevenRKleinman
@PranaPT people should be reasonable and understanding of our outside work life #socialortho
Mike Hopper @mnhopper1s
@DrDavidGeier I shot you an email.. #socialortho
Ann Wendel @PranaPT
@StevenRKleinman Agreed. We “teach” our patients our rules. #socialortho
Dr. David Geier @DrDavidGeier
A1 Sounds like many of you respond to patient emails at night.Does that set expectations & almost require you to keep doing it? #socialortho
Steven Kleinman @StevenRKleinman
#socialortho can’t avoid them everywhere but still should respect us enough to have an outside life and family etc
Ann Wendel @PranaPT
@mnhopper1s @StevenRKleinman Anyone ever knock on the door?! #socialortho
Dr. David Geier @DrDavidGeier
@mnhopper1s I’ll check it when we’re done. It’s not patient email… #socialortho
Mike Hopper @mnhopper1s
@PranaPT LOL #socialortho I don’t know if any athletes have yet 😉
Ann Wendel @PranaPT
@DrDavidGeier Great question. I believe it does. If you answer at 11pm once,why not every time? #socialortho
Steven Kleinman @StevenRKleinman
@PranaPT @mnhopper1s #socialortho. No lol. I wouldn’t stand for it and am good about setting boundries
Howard Luks MD @hjluks
Hard to shut it off completely. Emergencies occur. Most patients respect night/weekend time off #socialortho
Ann Wendel @PranaPT
@mnhopper1s Just colleagues? Haha #socialortho
Howard Luks MD @hjluks
But I do get occasional call to confirm Mon appt on Sunday night 🙁 #socialortho
Dr. David Geier @DrDavidGeier
@StevenRKleinman @PranaPT I think better communication w them in clinic might prevent many of the questions. What do you think? #socialortho
Howard Luks MD @hjluks
@DrDavidGeier @StevenRKleinman @PranaPT we have an email policy we like to review w people re: expectations
Mike Hopper @mnhopper1s
@PranaPT #socialortho problem is I sometimes get called to deal with problems in office “since I’m close.” 5:30AM calls are great!
Ann Wendel @PranaPT
@hjluks Hi Howard. Do you rotate call in your office? #socialortho
Steven Kleinman @StevenRKleinman
#socialortho I flat out tell people I chek atleast once a day and I will get back to you ASAP. I’m open and honest with patients….
Ann Wendel @PranaPT
@StevenRKleinman Yes, I have a 24 hour rule for non emergencies. #socialortho
Steven Kleinman @StevenRKleinman
#socialortho most know if I’m out with family or away for a weekend cause I tell them hey if u need me ill be around or not.
Dr. Monique J Caruth @mjcDPT
@PranaPT #socialortho A1. If you’re business owner u want to accessible/available to clients & employees as that’s a “selling” point.
Ann Wendel @PranaPT
@DrDavidGeier @StevenRKleinman Yes, that and having FAQ on your website. #socialortho
Wellpepper @Wellpepper
@DrDavidGeier @StevenRKleinman @PranaPT also better information to take home #socialortho
Dr. David Geier @DrDavidGeier
@hjluks Agree Howard. I’ve had to set up more rigid boundaries too. Any patients get upset when you did? #socialortho
Howard Luks MD @hjluks
@PranaPT no.. I take call for my patients #socialortho
Ann Wendel @PranaPT
@mjcDPT Hi Monique! True…but, some boundaries are necessary, right? #socialortho
Steven Kleinman @StevenRKleinman
#socialortho. Openness and honesty. Ad setting boundaries….most respect them.
Ann Wendel @PranaPT
Q2: Do you see or treat patients during evening hours or on weekends? #socialortho
Wellpepper @Wellpepper
@StevenRKleinman @PranaPT setting expectations is important and then occasionally exceeding them #socialortho
Howard Luks MD @hjluks
@DrDavidGeier rarely.. I try to make it clear that emergencies should b a call to the svc #socialortho
Dr. David Geier @DrDavidGeier
@hjluks @StevenRKleinman @PranaPT Email, phone policies sound like a great idea. Give patients idea of what to expect up front #socialortho
Howard Luks MD @hjluks
@DrDavidGeier @StevenRKleinman @PranaPT yep.. I use Twistle -HIPAA cmplnt. First email they get is a welcome 2nd is the policy.
Mike Hopper @mnhopper1s
@PranaPT #socialortho Saturday injury clinic, obviously evening hours when at school.
Rachel Blakeman @RachelATC
@DrDavidGeier @mnhopper1s @PranaPT He’s not the only 1. My rugby players know they can get hold of me 24/7/365. Never really have off season
Dr. David Geier @DrDavidGeier
@RachelATC @mnhopper1s @PranaPT Every athletic trainer I know gets calls at all times and on weekends. Does it wear on you? #socialortho
Rachel Blakeman @RachelATC
@DrDavidGeier @mnhopper1s @PranaPT If it’s a legit injury, I’d rather know about it sooner rather than later so I can refer them…
Rachel Blakeman @RachelATC
@DrDavidGeier @mnhopper1s @PranaPT …or get them started on rehab.
Rachel Blakeman @RachelATC
@DrDavidGeier @mnhopper1s @PranaPT Had 1 ath who was doing her jr yr study abroad in England. She didn’t factor in time change…
Rachel Blakeman @RachelATC
@DrDavidGeier @mnhopper1s @PranaPT …called me at 2am my time abt a knee injury. They also know I sleep very little! LOL
Ann Wendel @PranaPT
@TuneInToGoonan What type of setting are you in? Outpatient ortho? #socialortho
Mike Hopper @mnhopper1s
@PranaPT #socialortho Boss sees patients late 2x week during school year in order to see athletes for me.. til 8PM
Steven Kleinman @StevenRKleinman
@PranaPT #socialortho. Til 7:30 at night, no weekend unless special case known ahead of time
Ann Wendel @PranaPT
@StevenRKleinman What time do you start if you finish at 7:30pm? #socialortho
Dr. Monique J Caruth @mjcDPT
@PranaPT hi sorry for late start #socialortho yes boundaries needed because can become tiring, frustrating & kinda abusive of personal time
Mike Hopper @mnhopper1s
@DrDavidGeier @RachelATC @PranaPT #socialortho it does. Sometimes I allow it to go to VM and then call back if it’s important..
Brad Morgan MEd AT @PirateATC
#socialortho I have contracts with several youth groups that I am “on call” for. I have little choice but to answer the phone when it rings.
Ann Wendel @PranaPT
A2: I do 7-3 M,W,F and 12-7 on T/Th. No weekends. #socialortho
Dr. David Geier @DrDavidGeier
@StevenRKleinman @PranaPT I try to make patient calls & check work email right before I leave. Then none at home. Works ok #socialortho
Steven Kleinman @StevenRKleinman
@PranaPT 9am #socialortho. 9-7:30 3x/wk. 9-1 one day and 3:30-7:30 another dy
Ann Wendel @PranaPT
What is the most frequent issue a patient is calling/emailing about after hours? Could it be handled differently? #socialortho
Mike Hopper @mnhopper1s
@DrDavidGeier @PranaPT Some days he comes in at noon so it’s not terrible. But he works all day since he’s the owner 😉 #socialortho
Steven Kleinman @StevenRKleinman
@DrDavidGeier @mnhopper1s @PranaPT most orthos near me are closed by 5pm some 6pm #socialortho
Dr. David Geier @DrDavidGeier
@PranaPT For me, MRI results. I like calling pts w results to free appts for new pts but much time wasted playing phone tag #socialortho
Dr. David Geier @DrDavidGeier
@StevenRKleinman @mnhopper1s @PranaPT I start at 7 AM too. Get young adults in for appts early so they aren’t late for work. #socialortho
Ann Wendel @PranaPT
@DrDavidGeier Could you schedule “MRI result consult” times in your day? Have patients on the schedule? #socialortho
Mike Hopper @mnhopper1s
@PranaPT calls from parents regarding their kid’s injury. #socialortho I could eliminate some if I would call them right away, but no time
Wellpepper @Wellpepper
We have found increased outside clinic communication in first few weeks of treatment keeps patients on track with home exercise #socialortho
Ann Wendel @PranaPT
@mnhopper1s That is tricky…probably no time to write out a quick note or anything on the spot? #socialortho
Dr. David Geier @DrDavidGeier
@PranaPT Might work. Getting people to answer phone is bigger problem than it should be. Trying diff approach in new practice #socialortho
Ann Wendel @PranaPT
@DrDavidGeier Maybe they get scheduled like an office visit,but for a phone consult… #socialortho
Dr. Monique J Caruth @mjcDPT
@PranaPT #socialortho home health patients calling fearing they’ve developed a DVT, drainage from incision, chest pain, Shortness of breath
Mike Hopper @mnhopper1s
@PranaPT No I do write out note, but tell kids to have them call/text with ?s Cell # goes on every form I fill out.. #socialortho
Ann Wendel @PranaPT
@mjcDPT Do you rotate calls with all of the therapists answering? #socialortho
Dr. David Geier @DrDavidGeier
@BubblyHeart Pediatrician friend of mine charges annual fee to family for right to get phone call responses on nights/weekends #socialortho
Dr. Monique J Caruth @mjcDPT
@PranaPT #socialortho made me implement thorough patient education on DVT, PEs, abnormal drainage etc. Calls have reduced since.
Ann Wendel @PranaPT
@DrDavidGeier @BubblyHeart Our pediatrician charges $20.00 to return a phone call after hours. #socialortho
Ann Wendel @PranaPT
@mjcDPT That was going to be my question! Pt ed can take the fear away and decrease calls. #socialortho
Dr. Monique J Caruth @mjcDPT
@PranaPT #socialortho we try not to have therapists/nurses suffer from burn out so directors/coordinators rotate on call duties
Sarah @BubblyHeart
@DrDavidGeier @PranaPT Skipping the chat- just freaked myself out by plucking a vicryl suture nearly 6 months post op… But on topic. (1/2)
Sarah @BubblyHeart
@DrDavidGeier @PranaPT (2/2) I emailed my Doc and he got back to me right away tonight. 🙂
Dr. David Geier @DrDavidGeier
@BubblyHeart @PranaPT Well then. An example of no boundaries. Maybe I’m in minority. But I do a lot outside of my practice too #socialortho
Wellpepper @Wellpepper
@PranaPT have you paid? #socialortho
Ann Wendel @PranaPT
Q3: So, what does everyone think about charging a fee for answering calls/emails after hours? #socialortho
Ann Wendel @PranaPT
@Wellpepper Only once 😉
#socialortho
Dr. Monique J Caruth @mjcDPT
@PranaPT #socialortho we advise clinicians to avoid giving out personal cell#/emails so if after hours office on call person takes call
Dr. David Geier @DrDavidGeier
@PranaPT @BubblyHeart Think my friend charges families $125/yr. Calls returned by their MD during day, on call MD night/weekend #socialortho
Dr. Monique J Caruth @mjcDPT
@PranaPT #socialortho it does for the most part, but some clients are very anxious and call no matter what.
Dr. David Geier @DrDavidGeier
@PranaPT What about mid-level providers returning calls? Or dividing up the nights among your partners? #socialortho
Ann Wendel @PranaPT
So,between patient care,and unpaid time for patient notes and patient questions…not much time left in the day… #socialortho
Dr. Monique J Caruth @mjcDPT
@PranaPT #socialortho was approached by someone today with MDPlus a 24/7 service for patients to contact clinicians
Dr. David Geier @DrDavidGeier
@mjcDPT @PranaPT Great advice! Do you do that through longer talks in person or also have information on website, pamphlets? #socialortho
Ann Wendel @PranaPT
@mjcDPT How does that work? #socialortho
Dr. David Geier @DrDavidGeier
@PranaPT Have to think that through, but it is a definitely a better option that what I was doing #socialortho
Dr. Monique J Caruth @mjcDPT
@DrDavidGeier @PranaPT #socialortho longer talks at evaluation. Nurses have developed handout with signs/symptoms of infection
Ann Wendel @PranaPT
@DrDavidGeier That’s why you keep me around…brilliant ideas… #socialortho
Steven Kleinman @StevenRKleinman
#socialortho biggest theme is patients want to know we care and have access to us. We just need to know what we are mad arent ok with
Dr. David Geier @DrDavidGeier
@PranaPT Might ask for dedicated cell phone from practice & tell patients I’ll call from that number to prevent screened calls #socialortho
Dr. Monique J Caruth @mjcDPT
@PranaPT #socialortho clients pay a monthly fee & have access to MD, psych, PT, NP for consults 24/7.
Ann Wendel @PranaPT
@StevenRKleinman I agree-spending time during appt to ask if any Q’s and really talk through stuff can cut down on calls. #socialortho
Ann Wendel @PranaPT
@mjcDPT So,not necessarily your own provider from your practice,but just from a “call center?” #socialortho
Dr. David Geier @DrDavidGeier
@mjcDPT @PranaPT I know providers wo have created a fairly extensive FAQ page on practice websites. Seems like a good idea #socialortho
Ann Wendel @PranaPT
@DrDavidGeier @mjcDPT Yes, also short videos on popular topics which can answer common questions. #socialortho
Dr. David Geier @DrDavidGeier
@mjcDPT @PranaPT I’m interested in the fee for call/email returns. Patients don’t mind paying? #socialortho
Dr. Monique J Caruth @mjcDPT
@PranaPT #socialortho yes from a call center but you can register your practice as one of the providers.
Joe Sabbatini @5ATXHSATC
If you are paid hourly, you can put that on for pay as “on the clock” time working. employers might not be ok with that #socialortho
Ann Wendel @PranaPT
@mjcDPT @DrDavidGeier Hmmm,but what if the on call provider gives different advice than what you would? #socialortho
Lisa Grant DPT/ATC @LisG20
I’m very late to this party but its a very interesting idea/topic. I think there is a place w/a fee #socialortho
Dr. Monique J Caruth @mjcDPT
@DrDavidGeier @PranaPT #socialortho I like that idea. Few patients on Coumadin don’t know what not to eat & throws off PT INR levels
Ann Wendel @PranaPT
@mjcDPT @DrDavidGeier Yes, things like that, that often get missed, until it’s an after hours issue! #socialortho
Dr. Monique J Caruth @mjcDPT
@PranaPT @DrDavidGeier #socialortho hmm didn’t ask him that question, see why I love twitter.
Ann Wendel @PranaPT
In a nutshell:prepare to work long days/nights in healthcare,have a FAQ page on website,possibly charge for after hours calls. #socialortho
Dr. Monique J Caruth @mjcDPT
@DrDavidGeier @PranaPT #socialortho he said they’ve enrolled a lot of people. It seems like having a MD/PT on retainer basically
Mike Hopper @mnhopper1s
@PranaPT healthcare can join the athletic training world! 😉 #socialortho LOL
Dr. Monique J Caruth @mjcDPT
@PranaPT @DrDavidGeier #socialortho oh boy tell me about it…sometimes I get so upset at the botched discharges from hospitals
Ann Wendel @PranaPT
@mnhopper1s AGGGHHH! I thought I was moving away from 24/7 when I got out of the AT room! 😉
#socialortho
Dr. David Geier @DrDavidGeier
@LisG20 Me too. Seems to be mixed thoughts on fees. Lisa, do you get a lot of after hours patient calls or emails? #socialortho
Lisa Grant DPT/ATC @LisG20
@DrDavidGeier I answer too many emails after hours
Ann Wendel @PranaPT
@mjcDPT @DrDavidGeier Things that make you go…hmmmmmmm.
#socialortho
Ann Wendel @PranaPT
I got it. Charge ten billion dollars… #socialortho
Lisa Grant DPT/ATC @LisG20
RT @LisG20: @DrDavidGeier I get emails or text messages, the ones I’m worried about get Cell# or if its a big case #socialortho
Dr. David Geier @DrDavidGeier
@LisG20 Ever had issues giving your cell number? Could you call them to check on them but use other number? #socialortho
Ann Wendel @PranaPT
Thanks, everyone for another fun #socialortho
Let’s keep discussing this idea-maybe we can help each other! See you on Oct.2nd!
Goodnight!
Dr. Monique J Caruth @mjcDPT
@PranaPT @DrDavidGeier #socialortho limits must be established especially if one has children and is married. For our own well-being
Lisa Grant DPT/ATC @LisG20
@DrDavidGeier I’ve had personal MD offer their Cell# & I turned it down but then called after hours# & never got a return call #socialortho
Dr. David Geier @DrDavidGeier
@LisG20 That’s how chat started. Many said they answer patient emails at night. I stopped a year ago. Hasn’t been a problem yet #socialortho
Lisa Grant DPT/ATC @LisG20
@mjcDPT @PranaPT @DrDavidGeier oh def limits need to be set #socialortho
Wellpepper @Wellpepper
@PranaPT thanks for hosting. Conversation spurred some ideas for us. #socialortho
Lisa Grant DPT/ATC @LisG20
@DrDavidGeier I have med issues & would pay extra fee for after hours contact (text/call/email) #socialortho
Dr. David Geier @DrDavidGeier
@5ATXHSATC If you look at accessible hours (for ATs – 24/7), then they are definitely underpaid. Not that they aren’t anyway #socialortho
Dr. David Geier @DrDavidGeier
@LisG20 I worry pts will resent idea of a fee. Honestly I don’t know that I want to do it. I like practice/personal boundaries #socialortho
Lisa Grant DPT/ATC @LisG20
@DrDavidGeier yea some will but you def can’t keep 100% people happy 100% time, esp in america
Dr. David Geier @DrDavidGeier
@Wellpepper @PranaPT Glad you liked it! Join us next month! #socialortho
Joe Sabbatini @5ATXHSATC
I work in a school district that pays by the hour, 40 hours per week for each AT. If I wanted to be a stickler, I could. #socialortho
Dr. David Geier @DrDavidGeier
@BubblyHeart I wasn’t being critical at all. Your MD obviously does respond at night. I set boundaries to do my other work #socialortho
Lisa Grant DPT/ATC @LisG20
@BubblyHeart @DrDavidGeier that sounds like a great doc Sarah!
Sarah @BubblyHeart
@DrDavidGeier He’s academic type- probably doing work at that time anyway. But I do feel bad, I resent when firm pings husband late ya know?
Tracy Sher MPT, CSCS @PelvicGuru1
@PranaPT That is still my Achilles- questions, notes, doc correspondence- unpaid but important #takestime #socialortho
Dr. David Geier @DrDavidGeier
@PranaPT I agree. Everyone keep discussing this issue throughout the next few weeks. I love hearing these ideas! #socialortho
Steven Kleinman @StevenRKleinman
@PranaPT @DrDavidGeier thanks to some great hosts for leading the conversation #socialortho
Dr. David Geier @DrDavidGeier
@StevenRKleinman @PranaPT Thanks for that! We like hearing ideas from all of you. Makes it fun for us! #socialortho
Ann Wendel @PranaPT
@mjcDPT @DrDavidGeier Interesting concept.Can see how it can work well for many common ?’s/symptoms (sinus infection,etc)… #socialortho
Dr. Monique J Caruth @mjcDPT
@PranaPT @DrDavidGeier #socialortho indeed. Curious the ROI for participating providers to get clients into clinic for paid visits.
Ann Wendel @PranaPT
@mjcDPT @DrDavidGeier Yes,but you could do it yourself,w/in your practice,more of the $ stays w you.Its worth considering.Charge per call… #socialortho
Remember to join the #socialortho tweetchat every month. We hold them the first Wednesday of each month at 9 PM ET unless we announce a change. Follow me on Twitter, and follow co-moderator Ann Wendel, for more information!
