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Dr. Neil Gailmard On Practice Growth And Delegation

By Jerry Hayes OD | in
  • article discussions
| 10/14/2009 - 5:15 pm

Dear Jerry,

I have been reading the comments from other ODs about when I should take in an associate and think there are many very valid points.

Delegating certain portions of the exam is something I have a hard time with. I am adding more tests to the tech’s pretest routine to cut my chair time back. That should allow me to see possibly 2-3 more patients per day.

I need to find the right balance between efficiency and appropriate face time with my patient.


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Conway Cox OD's picture

Jerry, Thank you as always

Conway Cox OD - 07/21/2009 - 12:23 pm

Jerry,

Thank you as always for this forum. Gross revenue is frequently discussed on your blog site, generally without any qualifying information (such as patient care hours / geographic location / insurance saturation). I try to gauge my practice, but is difficult with just the gross revenue. It would be helpful to know the setting / hours / insurance saturation that was involved in producing that number. Dr. Gailmard writes above about a single optiometrist practice grossing $1.2 million annually. Assuming 5 day /week and allowing 1 week vacation and 1 week travel for CE, that would be 250 practice days, requiring an average daily gross of $4800 to reach the goal. Using his maximum number of 25 exams per day, you would need to gross on average $192/patient. Is this truly realistic? I would like to know also if the above scenario has the optometrist performing or delegating refraction.

Conway Cox OD.

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