Does anyone work in primary care and not have any administration time build in your schedule? I am considering leaving a job with 6 hrs a week of admin time for another job without admin time. I am wondering how providers function without having this time.

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I’m not an FNP, but we have no admin time… We are expected to just squeeze it in and it is a real PIA

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I work 4 days a week with an hour lunch. I do not have any scheduled admin time. In my experience there are providers that need it to avoid taking work home and those who do well without it. It will depend on your patient load, your time management, and your documentation. What I have done to minimize my stress includes working through my lunch most days to go through telephone encounters, labs, imaging that I received from the morning while I was in clinic. Typically range between 7-15 encounters, usually med refills or questions. I also use a lot of templates that I set up in my EMR (eClinicalWorks) and auto text phrases on my dragon. I have templates for nearly every acute complaint and routine visits such as age based well child checks, ADHD follow ups, OSA referrals, BP checks, etc. And I use my saved dictation phrases for common verbiage I repeat often such as diabetes management, HLD. management, etc. I make small adjustments here and there based on each patient. I finish my note before moving on to the next patient and I am able to stay on schedule. I try to do some admin work between patients or anytime I have a no show etc. Occasionally, I will fall behind for whatever reason (more talkative, pressing issue, emergent visit requiring EMS) and if that happens, I will skip documentation for that patient to get back on schedule. Then, at lunch or the end of the day I will go back to that note when I don’t have any patients left to see. I typically stay about 25 mins after my last patient to catch up on any admin work I have received since lunch and then I leave. On mists Sundays I do review my labs and any electronic pharmacy requests so that I can start Monday fresh with all my queues cleared, but I do this to benefit me and my peace of mind Monday morning. Hope this helps!

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If there is no admin time you will be spending weekends and after work hours catching up. It gets old since your not being paid for your time. It affects work life balance. Think very carefully about that.

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Most of my coworkers are charting late at night. We see an average of 22/ day.

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I work and family medicine and we don’t have any built an admin time as well it is really difficult to see a full load of patients 25 to 30 a day and still have to do labs an answer Patient messages

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I work in outpatient GI and do not have admin time. Technically it’s supposed to be “built in” with 30 min visits. It’s still hard to get the time to respond to messages, follow up on labs/imaging. I spend a lot of time in the evenings/weekends doing this so I can do with without distractions

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I don’t have any admin time. I rarely work at home but I work through lunch and get no breaks. But all my appts are 30 minutes. So I try to catch up when I have an easier appt that’s quick.

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