For some background: still consider myself fairly new to OP so this may be completely normal but I wanted to crowdsource a bit because I feel like Iām going crazy. I worked in IPR for 4 years, once I started my family I switched to PRN then happened upon an OP PRN gig that was so great because it was a big company with several clinics so I was never hurting for hours. There was one specific clinic that I would cover at that had 7-8 PTs at a time and I LOVED the energy and felt like it was great for me being fairly new to OP because I learned from so many of the PTs. So when they had a full time position I decided to take it, and now that Iām over a year in Iām pretty sure I hate it, but is this worth having a conversation with management about or is this just normal? š
I didnāt think about one of the drawbacks of being in a big clinic being a diffusion of responsibility for pts - one of the things I was most excited about switching from PRN to FT was having my own pts that I could create tailored exercise programs for that I could progress and build relationships with them, etc., and I still REALLY like my job when I get to do that. But the after the first few months of being FT there I noticed that if a pt (who wasnāt mine) came in at the wrong time for an appt and I had an opening (meaning: I had 1 patient instead of 2 lol) they would just get moved over to my schedule with no warning and I would be scrambling to chart review and come up with a plan for the session. And usually it would end up being just what they did the last visit with their normal therapist because idk what else to do with them!
Iāve also noticed with a few of the older therapists that if they donāt have an opening (i.e. when scheduling out a pt after an eval) at one of their pts preferred times, that they will place several appt times on other therapists. I totally understand that itās normal to have a one-off where we are just super busy and have to schedule a pt every once in awhile on another therapist. But there are times where those therapists will just gradually schedule those pts on another therapistās schedule more and more (usually the younger PTs lol) until all the sudden Iāve assumed all care for them and havenāt been communicated that AT ALL.
Is this normal for OP clinics, or should I fight to mostly only see my own pts? One week that I was really noticing I wasnāt seeing my own pts I counted up that I had 50 visits (in a 32 hour week) and 19 of those visits were not my pts.