The Truth About Working Locums: Is It Worth It? #455 Part 2
Docs Outside The Box
Dr. Nii Darko
4.9 • 516 Ratings
🗓️ 4 April 2025
⏱️ 16 minutes
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| 0:00.0 | Well, we are talking about the way that we work. Part of the reason that we work the way that we work is because we enjoy that setting. I enjoy being there for deliveries. I enjoy doing emergency surgeries. I enjoy kind of the unknown. Like, okay, I don't know what the heck is coming through the door. It can be very scary for people, a really big source of stress for people. They're like, I don't like running to the danger. |
| 0:22.9 | I'm okay preventing the danger, but I don't want to run to it. Here's some concerns that I think |
| 0:28.1 | some folks don't think about if you embrace this type of lifestyle is there's always the question |
| 0:34.7 | of continuity of care. Because you're not seeing folks in a clinic fashion, |
| 0:38.4 | because you're seeing folks in acute care fashion, you're taking care of emergencies. I took care of |
| 0:43.3 | this emergency. And for the most part, I may not see you again. Or because it's shift work, I may not be on the next day. |
| 0:51.3 | Right. Right. So the care of the patient, some people think could be, could be a little |
| 0:56.1 | bit disjointed. I hear that a lot. I'd like to answer that. So one of the ways that I get around it |
| 1:01.5 | is I don't take like shifts for just like one day and then I'm gone for like two weeks or |
| 1:06.9 | something like that. I do like seven days in a row and then, you know, I take a break. And the reason I do that is just for that reason, which is the continuity of care thing. I'd like to be really involved in someone's care over several days, formulate a plan. And then right when you get to the point where it's like, you know what, it's time to take a break. I let the patients know, I let the patient's family know that, hey, I'm going off shift, but, you know, we have this sign out process where I talk to my partners. They'll take care of you over the next couple of days, several days. And we talk about, you know, what's the best way to take care of you and stuff. But yeah, I think that, you know, there's a concern that, okay, I have surgeon A on Monday, |
| 1:44.7 | surgeon B on Monday, |
| 1:44.7 | surgeon B on Tuesday, surgeon C on Wednesday. |
| 1:48.8 | Are they all on the same page? |
| 1:50.3 | That could be a concern. |
| 1:51.0 | Is that a concern with OBB hospitals? |
| 1:55.4 | Not so much, only because I think now patients are kind of sort of used to not necessarily seeing their doctor or the same doctor come on. |
| 2:10.3 | Um, you know, I think patients are getting used to like maybe starting the delivery or starting the labor process with a doctor and then potentially ending up with another doctor who actually delivers them, depending on how long that process is, right? |
| 2:31.0 | Especially in induction who might start out. |
| 2:34.1 | I mean, you can tell people |
| 2:35.4 | are used to that when it makes it on TV. Because you remember, what's the movie where the guy |
| 2:40.0 | knocked up that girl? Was it called knocked up? Catherine Hegel. Yeah, was it Seth Rogen and |
| 2:45.1 | Catherine Hegel? Remember? I never saw that movie, but yeah, I've heard about it. Yeah, but basically |
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