clinical discussions/consultation fee

[Guest guest]

Todd et al,

 

A question of crass financial importance has been on my mind. I agree

that a supervisor, especially one who has worked with a student

before, can advise on a case herbally without actually seeing the

patient.

 

I've been contemplating various means to make my solo practice a good

one when I graduate. I plan on servicing a rural area close to Austin

and hope to strongly promote herbal medicine and have some

interesting cases.

 

I had thought about formally asking one of my supervisors to consult

with me when I have a challenging case or someone who is not

responding to the herbs. Does anyone know what the usual fees are for

such an arrangement?

 

Thanks. It's a tangent, but still somewhat herbal in nature.

 

PS Of course I'd be inclined to post here too, but he would be more

likely to know what questions I had forgotten to ask since he's seen

me work for a couple of years.

 

said

> As for looking at the patient, that is not the necessarily the most

> important part of the process of case analysis. It is essential,

> but it also can be delegated to a competent student. In fact, this

> is how clinical supervision functions in all forms of medical

> education. Senior practitioners typically look at chart notes, lab

> tests, etc and give guidance to the student. But they do not

> ALWAYS see the patient

[Guest guest]

Gabriele,

My limited experience in such consultations is that the

'supervisor' has charged their usual rate for a clinical hour, which around

here would be somewhere around $65.

Frances

gabriellemathieu wrote:

Todd et al,

A question of crass financial importance has been

on my mind. I agree

that a supervisor, especially one who has worked

with a student

before, can advise on a case herbally without actually

seeing the

patient.

I've been contemplating various means to make my solo

practice a good

one when I graduate. I plan on servicing a rural

area close to Austin

and hope to strongly promote herbal medicine and

have some

interesting cases.

I had thought about formally asking one of my supervisors

to consult

with me when I have a challenging case or someone

who is not

responding to the herbs. Does anyone know what the

usual fees are for

such an arrangement?

Thanks. It's a tangent, but still somewhat herbal

in nature.

PS Of course I'd be inclined to post here too, but

he would be more

likely to know what questions I had forgotten to

ask since he's seen

me work for a couple of years.

said

> As for looking at the patient, that is not the

necessarily the most

> important part of the process of case analysis.

It is essential,

> but it also can be delegated to a competent student.

In fact, this

> is how clinical supervision functions in all forms

of medical

> education. Senior practitioners typically

look at chart notes, lab

> tests, etc and give guidance to the student.

But they do not

> ALWAYS see the patient

 

 

Chinese Herbal Medicine, a voluntary organization

of licensed healthcare practitioners, matriculated students and postgraduate

academics specializing in Chinese Herbal Medicine, provides a variety of

professional services, including board approved online continuing education.

 

 

[Guest guest]

, Frances Gander <

fgander@c...> wrote:

> Gabriele,

> My limited experience in such consultations is that the

'supervisor' has

> charged their usual rate for a clinical hour, which around here

would be

> somewhere around $65.

 

 

I am glad this question was asked. Sometimes grads assume

they can have your unlimited time for free after they graduate. I

agree that an hour is an hour, so I would charge my customary

rate. Since this would probably be a half hour, then $25-30

would be fair. And this charge should somehow be passed on

to the patient. It is like referring to a consultant. Medical

consultants will charge to look at x-rays and assess, for

example. And this is then added to the patient bill. It is, after all,

a service being provided to the patient. Some herb companies

offer free expert medical advice designed to sell their products.

This advice can range from excellent to worthless. for example, I

always get good advice from ITM or Crane or Springwind.

 

[Guest guest]

Yes, I thought I'd include it on an explanation of my billing

structure. I don't think that an rea that hasn't been exposed to TCM

can appreciate how valuable input can be from a senior practioner, but

I think an additional charge might make that clear. And it certainly

wouldn't be for a routine case.

 

BTW, interesting commentary on the use of chai hu vs he haun pi in a

patient with manic tendencies. Do you think it's becuase the chai hu

is too dispersing and ascending? Shouldn't the mu li balance it?

 

And this charge should somehow be passed on

> to the patient. It is like referring to a consultant. Medical

> consultants will charge to look at x-rays and assess, for

> example. And this is then added to the patient bill.

>

[Guest guest]

, " gabriellemathieu " <

gabriellemathieu> wrote:

 

>

> BTW, interesting commentary on the use of chai hu vs he haun

pi in a

> patient with manic tendencies. Do you think it's becuase the

chai hu

> is too dispersing and ascending?

 

mainly ascending is the issue. that's my thought

 

 

Shouldn't the mu li balance it?

 

perhaps, assuming one used mu li. however, I don't use mu li

when the patient is mostly depressive or fatigued or both. I find it

quite sedating. As for Simon's disappointment with he huan pi, I

am surprised. There are three of us at PCOM who make regular

use of he huan pi as sub for chai hu. As for other chai hu subs,

see the chapter 3 in the CL's new Comparisons and

Characteristics of Chinese Herbs. Admittedly, it does seem

more quieting than dispersing, but it is adequate, IMO.