Our multidisciplinary falls clinic started a few weeks ago. There have been a few challenges. My partner, a nurse, and I have had a few "discussions" about note-writing. I go for brevity and directness using the SBAR method. She is more of the old-school, "If it isn't as long as a Victor Hugo novel then we must have forgotten something." She is a brilliant nurse and once we negotiate our priorities on some issues, I think we'll work well together. The facilities are spacious... very spacious, particularly when our EKG machine goes missing to another clinic or the examination bed is claimed by another consultant.
Many of our patients are given transportation into the clinic. That's a really good thing, until the transportation runs late and we get the 9:00, 10:00 and 11:00 appointments all at 10:15 and the driver says he has to leave by 11:20.
Monday was the first full day of seeing patients. Up to this point we had been doing half-days to get over our learning curve and get a sense for how theory would become reality. We did OK. I was running around like a headless chicken for parts of the day, but everyone got seen. The notes all got written and letters to the doctors, referrals to other clinicians, and the medical team consultations all got sorted out. We were exhausted by the end of it.
Our capacity level is increasing, our very own examination bed and EKG are on order, and management is attending to the transportation issues. My colleagues are slowly getting over the shock of my East Coast directness and push for efficiency. I'm trying to recognize that nobody likes change and that I'm an outsider tasked with bringing about very rapid change. That will not endear me to many. That's OK, so long as it benefits the patients in the end.