I have been working as an FNP now, first job out of Grad school. It is a single physician Family Practice. I was shocked and horrified to see what he does. He schedules 3 patients for the same 15 minute slots, no matter what they're coming in for, lab results, sick visits, physicals, newborns or new patients, doesn't matter, 3 patients for the same 15 minute slots. Then, he has 5 exam rooms and 2 Medical Assistants. He expects me to run through these patients and order all the diagnostics I can on these patients. In my opinion, it's all a money making thing.
My first week in the practice he was mad at me because I wasn't seeing the patients fast enough. I have basically learned how to survive by being extremely respectful and kind to the MAs because they have been with him for yrs so they know the patients and how he functions, what diagnostics and labs he normally orders so they will either tell me what to order or they will do them for me before I even enter the room. I'm getting more proficient I guess because he is starting to leave me alone in the office while he goes to the hospital and Rehab to see patients. Yesterday he left me alone while he was at a conference and I saw 42 patients in 10 hrs.
I also learned to jot down the important info while in the room with the patient, the info that you know you won't remember and then you can fill in the other info at another time. My NPPR helps me out alot too, that has become my Bible. You have to work smart, not hard. And as I said before, make friends with the other associates, no matter who they are, you can learn from anyone.