Hi everyone, I am a mbbs doctor from India. I am tired of trying to crack neet pg. I don't have resources to invest in a huge hospital. I did my medicine from a good medical college and was doing freelance work as medical officer in a few software companies while studying for neetpg. The exam is crap and has zero use in daily clinical practice and unless you are okay with mindlessly mugging up mcqs, the chances of getting into a decent field is very small.
So after wasting 4 years, I decided to start a clinic. 100% self managed in a poor area. I didn't do mbbs to get rich, I can live by if I can get bare minimum provided there is some scope for growth. So here are the questions I have right now.
- Is it possible to manage a clinic solely by yourself? I am thinking to buy medications wholesale from pharma rep and give them to the patient directly(everything included in my consultation fee). Is there an upper limit on the total amount of medications a doctor can have at a time?
- I want to charge the patient based on the disease they have upfront on the first visit, which includes the blood tests and medication. Subsequent visits would be free and the patient will just have to pay just for extra medications they receive the next time, or else they can even purchase them outside also as I will be writing generic medications mostly. Would this help decrease financial load on the patient?
- Should I keep a tie-up with a lab or invest in my own lab and get a lab technician involved? Diagnostics are unnecessarily costly and I would love to cut the middle men especially for basic investigations. Will this be a viable option since most of my work would be primary care and basic investigations like cbp, platelet count, cue, grbs?
- The market is flooded with the RMP scum, the rural medical practitioners who are supposed to work in villages have Monopoly at the primary level even in urban cities. Most of these people survive on fee splitting with bigger hospitals by referring patients to them. They take a percentage of the bill paid by the patient to the bigger hospital. How can I effectively get this money back to the patient without taking my cut or acting like a whistleblower?
Please let me know if you have any queries or suggestions. I just want to give back to the society for making me a good doctor. I love reading clinical medicine and treating patients. I feel it would be a great injustice to this Noble field if I wasted my time not practicing medicine or become a puppet for the corporate overlords. Please give me your suggestions on this. Thanks.
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