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Medicalpractice版 - VA 系统的优缺点
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话题: va话题: hospitals话题: very话题: private话题: system
1 (共1页)
k********n
发帖数: 756
1
比如说工资,忙碌,福利等等。和大学医院附属的VA是不是和一般的VA不同?
听说如果想走ACADEMIC, 进大学医院的VA可以说是一个比较好的选择。
A*******s
发帖数: 9638
2
我的理解是VA是联邦机构,应该是独立的,与医学院不应该是附属关系。除非身份问题
,我建议大家不要先考虑VA。

★ 发自iPhone App: ChineseWeb 7.8

【在 k********n 的大作中提到】
: 比如说工资,忙碌,福利等等。和大学医院附属的VA是不是和一般的VA不同?
: 听说如果想走ACADEMIC, 进大学医院的VA可以说是一个比较好的选择。

k********n
发帖数: 756
3
下面是个简单总结,不知道准不准确
http://www.thoracic.org/assemblies/rcmb/career-talk-book/resour
A*******s
发帖数: 9638
4
觉得最准确的是最后一句。

【在 k********n 的大作中提到】
: 下面是个简单总结,不知道准不准确
: http://www.thoracic.org/assemblies/rcmb/career-talk-book/resour

u***e
发帖数: 611
5
工资不高,不忙,福利好,工作稳定。也是道听途说了。我觉得也是不错的选择。

【在 k********n 的大作中提到】
: 比如说工资,忙碌,福利等等。和大学医院附属的VA是不是和一般的VA不同?
: 听说如果想走ACADEMIC, 进大学医院的VA可以说是一个比较好的选择。

h********o
发帖数: 3320
6
VA非常好,尤其是对中国医生来说。
VA医生的工资现在来看不算太低,比如一般的内科工资大多数在15万到20万之间,
大部分在17或18万左右。虽然比不上有些私人诊所,但是和大学医院相差也不是太
多。而专科好点的能到20多万,超过30万的就相对少见了。所以总体来说大部分都是
接近20万或20万出头。VA的福利也不算太差。如果算收入和工作量的比值的话,VA
的医生其实收入不差。VA医生的收入根据不同专业有6个级别,工资范围在网络上可以
查到。
http://cryptome.org/0001/va080709.htm
注意看工资范围,一般不会给你接近低限的工资,大部分情况会给你靠近高限的工资,
但不会达到高限。但是VA的医生头十年内会逐年缓慢增长工资,所以过一些年后就达到
了高限或非常接近高限的工资,但是不会超过高限。所以VA医生的工资有个限制,你能
知道你最多拿多少工资,除非根据国家经济状况进行的通货膨胀的调整有时候大家一起
长点工资。
最关键的是VA工作不是太忙,工作环境非常好,没有压力,而且病人都非常好,很容易
相处,不用担心病人告你,一般也不会担心失业,VA的工作非常稳定。这些对于很多中
国医生来说非常重要。要说缺点,就是比较关僚一些,有时候你会觉得多付出了并没有
得到响应的回报。如果想做科研开实验室拿Norbel prize可能不如在大学里方便。
VA医院很多都是和当地的医学院合作,如果是VA的医生,很多可以挂名当地医学院的教
授职位,属于clinical track。我觉得clinical track比tenure track的职位要好,压
力小,除非你致力于做科研。
k********n
发帖数: 756
7
讲得有道理,不过所有的美国老头老太都说和大型教学医院联合的VA是对走clinician
scientist的小萝卜头的最佳选择,想进去还是有难度的。
福利好是指什么?

都是
VA

【在 h********o 的大作中提到】
: VA非常好,尤其是对中国医生来说。
: VA医生的工资现在来看不算太低,比如一般的内科工资大多数在15万到20万之间,
: 大部分在17或18万左右。虽然比不上有些私人诊所,但是和大学医院相差也不是太
: 多。而专科好点的能到20多万,超过30万的就相对少见了。所以总体来说大部分都是
: 接近20万或20万出头。VA的福利也不算太差。如果算收入和工作量的比值的话,VA
: 的医生其实收入不差。VA医生的收入根据不同专业有6个级别,工资范围在网络上可以
: 查到。
: http://cryptome.org/0001/va080709.htm
: 注意看工资范围,一般不会给你接近低限的工资,大部分情况会给你靠近高限的工资,
: 但不会达到高限。但是VA的医生头十年内会逐年缓慢增长工资,所以过一些年后就达到

S******9
发帖数: 2837
8
我们中心有一个physician-scientist就转到VA了,拿了一个R0
1,run lab,再发自己工资都有点困难,到VA,80%的工资是VA负担。她说
申请VA的课题,钱和R01差不多,还容易多了,这才过去2个多月,马上就要交新的
grant了。
VA和很多当地大学有挂靠的,两边兼职的很多,很多VA科研经费不能用于PI发自己工资
,是run lab用的。

clinician

【在 k********n 的大作中提到】
: 讲得有道理,不过所有的美国老头老太都说和大型教学医院联合的VA是对走clinician
: scientist的小萝卜头的最佳选择,想进去还是有难度的。
: 福利好是指什么?
:
: 都是
: VA

b*******e
发帖数: 15
9
What you said are very close and are in details. I felt many people do not
know VA very well is because there are not many Chinese CMGs employed by VA.
Differences to many academics and private practices include 1. VA system is
federal agency and is totally government funding and so the MD staff is
federal employee. 2. Many VAs are associated with University hospitals, so,
MD staff of VA often has academic titles, which are very good for education,
learning and research. 3. VA system has most complete and well equipped
electronic medical record system in US, which is far advanced than many
university hospitals. 4. VA hospitals can be very different in terms of
quality of care, some VA hospitals even attract top notch medical graduates
and are very hard to get in.
k********n
发帖数: 756
10
Thanks, which VA hospitals are considered top notched VA hospital?

VA.
is
,
education,
graduates

【在 b*******e 的大作中提到】
: What you said are very close and are in details. I felt many people do not
: know VA very well is because there are not many Chinese CMGs employed by VA.
: Differences to many academics and private practices include 1. VA system is
: federal agency and is totally government funding and so the MD staff is
: federal employee. 2. Many VAs are associated with University hospitals, so,
: MD staff of VA often has academic titles, which are very good for education,
: learning and research. 3. VA system has most complete and well equipped
: electronic medical record system in US, which is far advanced than many
: university hospitals. 4. VA hospitals can be very different in terms of
: quality of care, some VA hospitals even attract top notch medical graduates

相关主题
临床实践陷阱实在太多Foot drop after Phenagan/Toradol IM injection.
医学首先必须是科学。LLE weakness, numbness and tightness
【参加活动】难忘的一个病例。Funny story about OSH
h********o
发帖数: 3320
11
福利好就是指那些退休金,假期,工作环境等等,总体来说还算不错的。现在进VA确实
比以前要难了。

clinician

【在 k********n 的大作中提到】
: 讲得有道理,不过所有的美国老头老太都说和大型教学医院联合的VA是对走clinician
: scientist的小萝卜头的最佳选择,想进去还是有难度的。
: 福利好是指什么?
:
: 都是
: VA

A*******s
发帖数: 9638
12
Sorry I can't not agree with you.
I believe every resident in US has some experiences in VA. To me it is just
like hospitals in China. It is federal Government. Government means
bureaucracy, no other way around.
I was tired of the system, tired of the personnel, tired of those boring,
slowing and demanding nursing staff who seem to be always yawning from
morning to evening. Man, I could not understand how USA has such a
socialistic system. Of course we CMGs could work in a worse environment but
if there is a better opportunity, please do not consider VA.

VA.
is
,
education,
graduates

【在 b*******e 的大作中提到】
: What you said are very close and are in details. I felt many people do not
: know VA very well is because there are not many Chinese CMGs employed by VA.
: Differences to many academics and private practices include 1. VA system is
: federal agency and is totally government funding and so the MD staff is
: federal employee. 2. Many VAs are associated with University hospitals, so,
: MD staff of VA often has academic titles, which are very good for education,
: learning and research. 3. VA system has most complete and well equipped
: electronic medical record system in US, which is far advanced than many
: university hospitals. 4. VA hospitals can be very different in terms of
: quality of care, some VA hospitals even attract top notch medical graduates

k********n
发帖数: 756
13
People have different career development plans, life style preferences,
interests. Academic physicians always laugh at private physicians that they
don't understand the disease in depth and can not manage complicated
patients; private physicians always laugh at academicians that they live in
ivory towel and don't know the patients.
To some people who remains ignorant, private practice in USA is the lowest
tier of medicine practice that is even worse than the system in China.

just
but

【在 A*******s 的大作中提到】
: Sorry I can't not agree with you.
: I believe every resident in US has some experiences in VA. To me it is just
: like hospitals in China. It is federal Government. Government means
: bureaucracy, no other way around.
: I was tired of the system, tired of the personnel, tired of those boring,
: slowing and demanding nursing staff who seem to be always yawning from
: morning to evening. Man, I could not understand how USA has such a
: socialistic system. Of course we CMGs could work in a worse environment but
: if there is a better opportunity, please do not consider VA.
:

A*******s
发帖数: 9638
14
I would not use the word " Laugh". To me I respect all Docs who work in
Academic and VA simply because I could not do it.

they
in

【在 k********n 的大作中提到】
: People have different career development plans, life style preferences,
: interests. Academic physicians always laugh at private physicians that they
: don't understand the disease in depth and can not manage complicated
: patients; private physicians always laugh at academicians that they live in
: ivory towel and don't know the patients.
: To some people who remains ignorant, private practice in USA is the lowest
: tier of medicine practice that is even worse than the system in China.
:
: just
: but

b*******e
发帖数: 15
15
As I said, quality of care is very different between each VA hospital. There
maybe more than 150 VA hospitals in the nation. VA has their own ranking
system to rank all VA hospitals each year, based upon paitent satisfaction,
quality of care, empolyee's satisfactory, et, al. Such as one VA in NC is
very large, in which the facility and complexity of care are very competible
with any good university hospitals, and are also associated with Duke. One
VA in Hoston is also very good and have top class experts. One VA in Boston
is associated with HMS and one in San Francisco is associated with UCSF.
These kind of VA are very hard to get in. Of course there are ones like from
3rd world,in particularly those VA associated with states hospitals. Don't
summerize just based on few you see, there are good ones. It is just the
matter which one you belong. It is in common opinion that VA MDs are solid
middle class among physicians. As the above person said, it is just the
matter of choice, what kind of life you want. Be honest with you, those good
VAs are many people's dream to get in.
A*******s
发帖数: 9638
16
I totally agree with you on life style in VA. More holidays at least.
People are different. There is no universal rule. Just like high school
graduates, someone like Ivy league, others are happy with State Univ.

There
,
competible
One
Boston
from
t

【在 b*******e 的大作中提到】
: As I said, quality of care is very different between each VA hospital. There
: maybe more than 150 VA hospitals in the nation. VA has their own ranking
: system to rank all VA hospitals each year, based upon paitent satisfaction,
: quality of care, empolyee's satisfactory, et, al. Such as one VA in NC is
: very large, in which the facility and complexity of care are very competible
: with any good university hospitals, and are also associated with Duke. One
: VA in Hoston is also very good and have top class experts. One VA in Boston
: is associated with HMS and one in San Francisco is associated with UCSF.
: These kind of VA are very hard to get in. Of course there are ones like from
: 3rd world,in particularly those VA associated with states hospitals. Don't

s********e
发帖数: 1596
17
VA has less holidays and vacation days than UC system!

【在 A*******s 的大作中提到】
: I totally agree with you on life style in VA. More holidays at least.
: People are different. There is no universal rule. Just like high school
: graduates, someone like Ivy league, others are happy with State Univ.
:
: There
: ,
: competible
: One
: Boston
: from

C*****D
发帖数: 1299
18
你对va有些成见。
从经济上来说,va 从小不适开始,一直不停改善,工资比一般大学医院只高不低,福
利也好,工作没有指标,所以不用担心rvu太低。出去度假还可弄个goverment rate旅
馆。工作稳定是双刃剑,所以良友不起。
va 是pension 制,进去就出不来了,否则太吃亏。va病种单调,有钱的老兵都不上va
,要做学术就更扯远了。
但想混饭吃,va绝对是好去处,熬过3个月,国家就拿你没办法了。
va对兼职可能是最松的,所以在va弄个parttime,旱涝保守,也不错。
private 和 academic 互相不买账较常见,但对va态度差不多。
va医生就算挂个assistant professor,一般很难再往上升。
总而言之,想找稳定收入工作,va首选,想做学术,还得去正规大学医院,想挣钱多更
自由,private。

just
but

【在 A*******s 的大作中提到】
: Sorry I can't not agree with you.
: I believe every resident in US has some experiences in VA. To me it is just
: like hospitals in China. It is federal Government. Government means
: bureaucracy, no other way around.
: I was tired of the system, tired of the personnel, tired of those boring,
: slowing and demanding nursing staff who seem to be always yawning from
: morning to evening. Man, I could not understand how USA has such a
: socialistic system. Of course we CMGs could work in a worse environment but
: if there is a better opportunity, please do not consider VA.
:

h********o
发帖数: 3320
19
VA的医生挂名的assistant professor,能否往上升和你的VA职务没有任何关系,主要
还是看你的学术和教学是否够资格往上升,和当地医学院的晋升标准有关。很多VA的医
生没有往上升主要是对科研不感兴趣,因为没有压力,所以大不了就不升了,反正升不
升和自己的工资没有关系,就是个称号而已,有很多VA的医生不在乎。但是我也见过很
多科研做的非常好的VA医生,我刚转到了VA,当地的VA医院有两个人曾经当过全美专业
协会的主席,比隔壁的那个牛逼哄哄的医学院的同专业医生学术水平都高。现在VA的医
生工资因为调整过几次,确实不比一般大学医学院的低多少,有的还能稍微高一点。VA
的医疗服务确实有其特殊性,有好处也有坏处,在某些方面VA的医疗服务要好过一些
大学医院,有很多可借鉴的地方,也有很多有钱的老兵非常满意VA的服务。

va

【在 C*****D 的大作中提到】
: 你对va有些成见。
: 从经济上来说,va 从小不适开始,一直不停改善,工资比一般大学医院只高不低,福
: 利也好,工作没有指标,所以不用担心rvu太低。出去度假还可弄个goverment rate旅
: 馆。工作稳定是双刃剑,所以良友不起。
: va 是pension 制,进去就出不来了,否则太吃亏。va病种单调,有钱的老兵都不上va
: ,要做学术就更扯远了。
: 但想混饭吃,va绝对是好去处,熬过3个月,国家就拿你没办法了。
: va对兼职可能是最松的,所以在va弄个parttime,旱涝保守,也不错。
: private 和 academic 互相不买账较常见,但对va态度差不多。
: va医生就算挂个assistant professor,一般很难再往上升。

h********o
发帖数: 3320
20
怪不得加州要破产。

【在 s********e 的大作中提到】
: VA has less holidays and vacation days than UC system!
相关主题
Reimbursement cut in Neurology请教MOTOR NEURON DISEASE
Botox injection: Evidence based medicine or money basedfellowship vs hospitalist
国内朋友的孩子,19个月的时候忽然站不起来,不能走路偏头痛吗?我是不是有焦虑症
C*****D
发帖数: 1299
21
等你搞清clinical track 怎么晋升,就能明白va医生基本升不上去。因为升不上去,
所以就放弃了。但许多va挂靠大学,所以椅子大多要空降。va是铁饭碗,没退休限制,
年级大的当然往va跑。
va没有近忧必有远虑。当年买肯竞选总统就要关va。还有怎么sustain pension system。

VA

【在 h********o 的大作中提到】
: VA的医生挂名的assistant professor,能否往上升和你的VA职务没有任何关系,主要
: 还是看你的学术和教学是否够资格往上升,和当地医学院的晋升标准有关。很多VA的医
: 生没有往上升主要是对科研不感兴趣,因为没有压力,所以大不了就不升了,反正升不
: 升和自己的工资没有关系,就是个称号而已,有很多VA的医生不在乎。但是我也见过很
: 多科研做的非常好的VA医生,我刚转到了VA,当地的VA医院有两个人曾经当过全美专业
: 协会的主席,比隔壁的那个牛逼哄哄的医学院的同专业医生学术水平都高。现在VA的医
: 生工资因为调整过几次,确实不比一般大学医学院的低多少,有的还能稍微高一点。VA
: 的医疗服务确实有其特殊性,有好处也有坏处,在某些方面VA的医疗服务要好过一些
: 大学医院,有很多可借鉴的地方,也有很多有钱的老兵非常满意VA的服务。
:

h********o
发帖数: 3320
22
我说的那两个人可不是空降的,都是一开始就在VA工作,一个干了三十多年了,一个干
了二十年,所有的成就都是在VA干出来的。我现在就是clinical track挂名大学的
assistant professor。不过我对晋升基本不担心,他们给我说这个clinical track的
晋升不难,能发点文章就差不多了。咱不管怎么说也有个PHD,以前科研也做了一大堆
,发些文章对我来说还不是难事,另外VA的工作量不大,即使是全职临床也有时间搞
点科研。不过确实要了解一下这个clinical track如何晋升。你说的VA有可能要关门
倒是挺吓人的,看来我也不能太悠闲了,需要给自己找点后路。

system。

【在 C*****D 的大作中提到】
: 等你搞清clinical track 怎么晋升,就能明白va医生基本升不上去。因为升不上去,
: 所以就放弃了。但许多va挂靠大学,所以椅子大多要空降。va是铁饭碗,没退休限制,
: 年级大的当然往va跑。
: va没有近忧必有远虑。当年买肯竞选总统就要关va。还有怎么sustain pension system。
:
: VA

k********n
发帖数: 756
23
我观察到大部分做学术科研的都在两边挂职,具体操作不清楚。

va

【在 C*****D 的大作中提到】
: 你对va有些成见。
: 从经济上来说,va 从小不适开始,一直不停改善,工资比一般大学医院只高不低,福
: 利也好,工作没有指标,所以不用担心rvu太低。出去度假还可弄个goverment rate旅
: 馆。工作稳定是双刃剑,所以良友不起。
: va 是pension 制,进去就出不来了,否则太吃亏。va病种单调,有钱的老兵都不上va
: ,要做学术就更扯远了。
: 但想混饭吃,va绝对是好去处,熬过3个月,国家就拿你没办法了。
: va对兼职可能是最松的,所以在va弄个parttime,旱涝保守,也不错。
: private 和 academic 互相不买账较常见,但对va态度差不多。
: va医生就算挂个assistant professor,一般很难再往上升。

A*******s
发帖数: 9638
24
我还真支持VA关门,哥几个在VA的别拍我啊。
以前在NIH混过,当时老板雇了两种Technician,一种是Gov employee,另一种是
contract,都是美国人,前者上班时就是一杯咖啡一张报纸,4点一到就不见踪影。 后
者早去晚归,因为他们的合同每年都要renewal,项目没了就没饭碗。
我觉得VA应该改成contract, 或者让veteran拿类似medicare的保险比方说tricare到
非官方诊所看病,费用估计不会比拥有VA这个系统费钱。

【在 h********o 的大作中提到】
: 我说的那两个人可不是空降的,都是一开始就在VA工作,一个干了三十多年了,一个干
: 了二十年,所有的成就都是在VA干出来的。我现在就是clinical track挂名大学的
: assistant professor。不过我对晋升基本不担心,他们给我说这个clinical track的
: 晋升不难,能发点文章就差不多了。咱不管怎么说也有个PHD,以前科研也做了一大堆
: ,发些文章对我来说还不是难事,另外VA的工作量不大,即使是全职临床也有时间搞
: 点科研。不过确实要了解一下这个clinical track如何晋升。你说的VA有可能要关门
: 倒是挺吓人的,看来我也不能太悠闲了,需要给自己找点后路。
:
: system。

b*******e
发帖数: 15
25
这也许是一种多虑. 曾经问过一位VA高层干部一个问题, 在和平年代, 尤其是在经济衰
退的和平年代, 在资金短缺的情况下, VA能生存下去吗? 回答是: 只要地球上还有能源
的竞争, 只要美国还需要支配和拥有大量的能源, 就会有VA的存在. 我们也许更需要了
解的是美国的政治而不是为VA杞人忧天.

【在 A*******s 的大作中提到】
: 我还真支持VA关门,哥几个在VA的别拍我啊。
: 以前在NIH混过,当时老板雇了两种Technician,一种是Gov employee,另一种是
: contract,都是美国人,前者上班时就是一杯咖啡一张报纸,4点一到就不见踪影。 后
: 者早去晚归,因为他们的合同每年都要renewal,项目没了就没饭碗。
: 我觉得VA应该改成contract, 或者让veteran拿类似medicare的保险比方说tricare到
: 非官方诊所看病,费用估计不会比拥有VA这个系统费钱。

h********o
发帖数: 3320
26
你说VA更费钱,这个我还真不大赞同。因为有人做过调查,VA的医疗服务,和大部分医
疗比起来更 cost effective。因为很多私人诊所,把医疗服务当成一种生意来做,过
度医疗,过度浪费比比皆是。虽然你说他们效率高,非常勤奋, 但是每项服务都是要
挣钱的,其实从某种角度看浪费严重,效率不见得高。虽然VA有其劣势,但是也有很多
值得借鉴的地方。

【在 A*******s 的大作中提到】
: 我还真支持VA关门,哥几个在VA的别拍我啊。
: 以前在NIH混过,当时老板雇了两种Technician,一种是Gov employee,另一种是
: contract,都是美国人,前者上班时就是一杯咖啡一张报纸,4点一到就不见踪影。 后
: 者早去晚归,因为他们的合同每年都要renewal,项目没了就没饭碗。
: 我觉得VA应该改成contract, 或者让veteran拿类似medicare的保险比方说tricare到
: 非官方诊所看病,费用估计不会比拥有VA这个系统费钱。

h********o
发帖数: 3320
27
其实要论哪种医疗模式比较好,如果仅从花费的角度来说,我觉得美国这种私人诊所,
商业医疗保险是最费钱,效率也比较低的一种模式。美国现在节节攀升的医疗支出也从
侧面反映了这个现实,如果一直这么发展下去,整个国家都快撑不住了。所以现在要医
疗改革。从整体上看,以后的私人诊所会越来越难干,长期趋势是更过的医生会受雇于
医院。具体的医疗服务质量暂且不说,仅从花费上来说,这个趋势还是对的。
k********n
发帖数: 756
28
You are absolutely right. It is a default order set in private clinic to
order MRI, EEG and EMG for a migraine patient and this kind of practice is
often claimed to provide higher tier of health care.

【在 h********o 的大作中提到】
: 其实要论哪种医疗模式比较好,如果仅从花费的角度来说,我觉得美国这种私人诊所,
: 商业医疗保险是最费钱,效率也比较低的一种模式。美国现在节节攀升的医疗支出也从
: 侧面反映了这个现实,如果一直这么发展下去,整个国家都快撑不住了。所以现在要医
: 疗改革。从整体上看,以后的私人诊所会越来越难干,长期趋势是更过的医生会受雇于
: 医院。具体的医疗服务质量暂且不说,仅从花费上来说,这个趋势还是对的。

A*******s
发帖数: 9638
29
You are sick, buddy.
你见过几个neurologist给migraine病人order EMG的? migraine有时可以出现stroke
症状或者seizure, migraine与中风和癫痫的关系你应该很清楚, 某些病人需要MRI和
EEG, 但绝对不是常规。
退一万步讲,即使你没有职业道德做一些不该做的检查,不说保险公司给不给
reimbursement,referring美国医生也不是傻瓜,病人也不是傻子,几次下来,名声坏
了,你还想不想混了?
当然这在VA肯定不是问题。 :)

【在 k********n 的大作中提到】
: You are absolutely right. It is a default order set in private clinic to
: order MRI, EEG and EMG for a migraine patient and this kind of practice is
: often claimed to provide higher tier of health care.

A*******s
发帖数: 9638
30
我没有说VA更费钱,客观情况是可能比私人医院省钱,但统计有它的局限性:
http://www.rand.org/blog/2012/08/socialized-or-not-we-can-learn
现实是,只要有private保险的VA病人,都是到private诊所看病,然后到VA拿药,不知
道这算不算浪费? 这个简单而普遍的现象只说明一个问题,VA病人不相信VA, 所以我
说VA需要改革。

【在 h********o 的大作中提到】
: 你说VA更费钱,这个我还真不大赞同。因为有人做过调查,VA的医疗服务,和大部分医
: 疗比起来更 cost effective。因为很多私人诊所,把医疗服务当成一种生意来做,过
: 度医疗,过度浪费比比皆是。虽然你说他们效率高,非常勤奋, 但是每项服务都是要
: 挣钱的,其实从某种角度看浪费严重,效率不见得高。虽然VA有其劣势,但是也有很多
: 值得借鉴的地方。

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k********n
发帖数: 756
31
don't be panic and I am not talking about you. So you don't need to attack
me.
I read Lancet and then made my statistic conclusion.
I know many private practitioners and know exactly how they
operate from inside out to sustain the practice and make profits.

stroke

【在 A*******s 的大作中提到】
: You are sick, buddy.
: 你见过几个neurologist给migraine病人order EMG的? migraine有时可以出现stroke
: 症状或者seizure, migraine与中风和癫痫的关系你应该很清楚, 某些病人需要MRI和
: EEG, 但绝对不是常规。
: 退一万步讲,即使你没有职业道德做一些不该做的检查,不说保险公司给不给
: reimbursement,referring美国医生也不是傻瓜,病人也不是傻子,几次下来,名声坏
: 了,你还想不想混了?
: 当然这在VA肯定不是问题。 :)

a**********2
发帖数: 3726
32
I think it depends on your personality. To me, a good lifestyle, low stress
level, laidback attitude are the most important things.

just
but

【在 A*******s 的大作中提到】
: Sorry I can't not agree with you.
: I believe every resident in US has some experiences in VA. To me it is just
: like hospitals in China. It is federal Government. Government means
: bureaucracy, no other way around.
: I was tired of the system, tired of the personnel, tired of those boring,
: slowing and demanding nursing staff who seem to be always yawning from
: morning to evening. Man, I could not understand how USA has such a
: socialistic system. Of course we CMGs could work in a worse environment but
: if there is a better opportunity, please do not consider VA.
:

f**********n
发帖数: 246
33
VA's EMR is the best EMR sysytem that I have used
and VA is keeping doing research and prctice for medical quality and patient
safety. The care VAs provide sometime is not the most advanced ,
sophisticated, however is more holistic and prevention focused.
1 (共1页)
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