I am in a 3 surgeon private practice now. I am the clinical coordinator, no PAs or NPs. I came from orthopedic surgery, running the department of orthopedics and still scrubbing and circulating, and taking trauma call. I was given an offer I couldn't refuse. So,I started in the clinic in July of 2011. It has been going on 9 months. There are 2 nurses, including me, the other nurse only works 3 days and 2 rad techs. The rad techs take xrays and room the patients. The nurses schedule surgeries and answer the never ending phone calls. We try to see as many pateints as we can in the clinic, but we are bogged down with paperwork. The ideal situation would be, the rad techs taking x-rays and rooming patients, then the nurse follows with the doctor 1 on 1 and tag teams the patients all day, while their dictation is completed in the room with the patient. But, we don't have surgery schedulers and the nurses do casting. Plus, I had to make some changes in the way that phone calls were being handled. I went from 50-75 phone calls per day, to no more than 20 phone calls in a day. I just created new policies within the office and calls are routed differently. Plus, I changed my voicemail, even though it's lengthy, to indicate the types of messages allowed. I hope this helps. If I could help in any other way, let me know.