The Accredited Cosmetic Facial Surgery Office: A Paradigm Shift in Oral and Maxillofacial Surgery

Autor: Joseph Niamtu
Rok vydání: 2009
Předmět:
Zdroj: Journal of Oral and Maxillofacial Surgery. 67:2072-2079
ISSN: 0278-2391
DOI: 10.1016/j.joms.2009.05.432
Popis: In the recent past, it was not unusual to admit elective surgery patients the day before their surgery to obtain the laboratory assessment, history, and physical examination and to “settle them in” to the hospital routine. Today, outpatient surgery is the norm, and the surgeon must justify any hospital stay. Also, surgical reimbursement is much lower than in the past, and efficiency in care is needed. My personal story illustrates the issues faced today in ambulatory major surgery. I began private practice in 1983 similar to all enthusiastic residents ready to “hit the private practice pavement running.” I hired 2 staff members and opened a 1,200 square-foot office. The practice quickly took off, and we have not slowed down since. We now have a group practice of 8 surgeons in 6 offices with 75 employees. I did as much major surgery as a practitioner could do, and, with the help of my competent partners, our business has continued to grow and prosper.
Databáze: OpenAIRE