Follow Up, Part 1
Clinic days! I mentioned yesterday that my clinical days are currently M / T / Friday and next year they will be M / W / F.
I totally get the appeal of ‘batching’ them more, as in a Wed-Fri or Mon-Wed schedule.
But I don’t think it will work for me. 2 (and a half) reasons:
1- Patient messages and lab results. What I do is very . . . longitudinal. Yes, I see a patient on a given day. But I have to follow up results on said patient, and that usually does not involve bringing them in for a follow up visit — it involves a patient message over the portal or sometimes a phone call for a more detailed result. (Note: I have started to use telehealth visits as a way to actually get ‘credit’ for more involved conversations. But the way our templates are structured so far out, it’s not as easy as you might think to fit this in.)
The idea of arriving every Monday (or Wednesday) to ~5 days of accumulated results (and patients nervously waiting for answers to their questions!) gives me hives. I just don’t want to practice that way! And patients these days expect a faster response time than 5 days. IF I had a dedicated NP or PA to manage this, it would be amazing. But I don’t see that happening any time soon!
2- Rest. Working in the clinic is such a different energy that I LOVE the idea of having podcast work days as ‘rest’ between the clinic schedule. I want to at least experience this for a while before deciding it’s worth giving up!
1/2 – (this is 1/2, because it might be more malleable than I think, but I haven’t delved into it) — I don’t really have complete control over the days – it is partially based on when there is space and staff in the office, as we have multiple providers there on different days. I work out of one office and don’t currently go to satellites but a lot of others do. (Of note, I am not against going to satellites but my patient panel is based at the main office and I don’t know how a move would go over). Monday and Friday are usually quieter days from the perspective of who else is there, so it’s good to do patient care those days.
Follow Up, Part 2
One listener suggested I plan out PL days wayyyyy in advance. Yes! I love this idea, and I do actually do it (I’ve already submitted through most of 2023). However, what I have generally submitted are the days I know I will want to be off — the kids’ spring break, a booked trip, etc.
Sometimes you have an idea that doesn’t have 6 months of lead time though, and it can be hard to move patents that have appointments booked months in advance — for example, I have patients on my schedule for April + May already. Not b/c I am soooo popular but because I’m in a popular specialty in our area and there are not enough pediatric endocrinologists to meet the local demand. My colleagues’ schedules are similar.
Anyway, the answer occurred to me as a result of this comment – I need to add some random days in regular intervals, like once every 1-2 months at least. This way if something comes up, I can swap out the days and have a place to PUT the patents that would be moved. And if something doesn’t come up — well, why not use PL time if I have it?!
SOOOO, I did it – picked one random each day in May, June, and July! And I will keep doing this going forward until my cushion gets small enough that I don’t want to deplete it too much. But probably a 6-8 day cushion is all I need now that I am part time (48 – 64 hrs).
Follow Up, Part 3
Only tangentially related, but — I am having a good day today and am just happy I took the plunge I did, as much as I know there will be adjustment pains. I know it will take time to anchor down the ‘right’ new routines, and I am ready and willing to experiment!
1:1 kid dinner date #3/3 in the past month – this time to Sakura Ramen because A is obsessed with bubble tea. (Side note, I tasted it and OMGGGG how much sugar is in that? Actually I don’t want to know)
Fun surprise: thank you NYT!
What a huge thrill it was to receive a mention in this NYT article: 6 Podcasts to Get You Organized!!! It was a total surprise and seriously felt like such an honor. I was having an insanely busy clinic day and this was just such a crazy and unexpected boost! ALSO, huge thank you to those of you who alerted me — I actually had no idea until I clicked through!
Hopefully some more listeners will find BLP as a result, I truly enjoy doing both shows and the more interaction there is, the better! (So keep those Planner Peace and Planning-Adjacent Questions coming!)