Jenniijennjen Posted December 17, 2014 Share Posted December 17, 2014 Hi All!!! New grad here. What is rounding for cardio and GI patients like? Is this difficult for a new grad? I have interviewed for cardio and GI where this would be a part of my day. Also, I have interviewed for ER fast track-there are no benefits- well, you can pay $1500 for your insurance which to me is the same as no insurance. There is no PTO whatsoever, no time off for CME and no $$$ for licensing or CME whatsoever. Pay is $55/hr. Thoughts? Just trying to get my head around these choices. Please let me know why one might be better than the other regarding practice, life balance, experience, etc. I realized I don't have a lot of details to give you, but lets assume GI/Cardio pays well and has great benefits. Which would you pick out of the three choices and why? Link to comment Share on other sites More sharing options...
SoCalPA Posted December 17, 2014 Share Posted December 17, 2014 $55 without any benefits seems very low. No CME, No PTO, No Licensing means you are strictly a contractor. I think this should be at least $70/hr. Depending on the location they may be trying to take advantage of ya. I'm sure someone with ED experience will jump in soon. Link to comment Share on other sites More sharing options...
Jenniijennjen Posted December 17, 2014 Author Share Posted December 17, 2014 Thanks SoCalPA!!!! Those were my thoughts exactly!!!! Link to comment Share on other sites More sharing options...
Moderator ventana Posted December 17, 2014 Moderator Share Posted December 17, 2014 say no thanks and walk away Link to comment Share on other sites More sharing options...
BruceBanner Posted December 17, 2014 Share Posted December 17, 2014 Agree, pass on the $55/hr offer. They are just trying to take advantage of you. You'll find in your career that there are no shortage of employers out there who just want to use you for your license, prescriptive authority, or to turn a profit. As a general rule, if someone is paying you NO benefits whatsoever, your wage should be 25-50% higher than it would be for a benefited position. So, as a 1099: Conservatively add at least 33% to your required salary. Don't get used. As a non-benefited W2, you may add a little less because you aren't paying self-employment tax, but in my opinion you should never take a W2 position with no benefits. Link to comment Share on other sites More sharing options...
Jenniijennjen Posted December 17, 2014 Author Share Posted December 17, 2014 Thanks everyone!!! Seriously did not feel good about it and I will feel much better walking away with all of your good advice. :) I'll keep looking into other offers! Link to comment Share on other sites More sharing options...
UGoLong Posted December 17, 2014 Share Posted December 17, 2014 I round at several hospitals in cards. It goes like this: - Consult (first day we see) - check tele - Read the H&P and the order that called for you - see the patient to get HPI, cardiac background, physical exam (quick; much will be in the H&P) -Create the first part of the consult (HPI, PMHx, PSgHx, SHx, FHx, allergies, meds) -Examine labs, testing, vitals -Develop the assessment and Plan -Write orders -Get tests from outside hospitals - follow-up visits - Tele - Short patient visit - Review labs, tests, vitals -Write progress note - Write orders When you start out, it probably takes about 30-45 min for a consult and 15 minutes to do an established pt visit, including the note. This varies based on the severity of the patient and what's happened since you saw him or her last. You get faster with time. In the beginning, it might be helpful to write out your consult. As times goes by, you will get more comfortable dictating it as you do, which is faster but requires more organization on your part. The big issue for a new grad is access to someone who can help, be it your SP or a more experienced PA (or NP) than you are. In the beginning, you will have lots of questions. Less as you go along, but still something new will always come up. You need to know your antihypertensives, antiarrhythmics, and pressors well. Hope this helps. Link to comment Share on other sites More sharing options...
Jenniijennjen Posted December 17, 2014 Author Share Posted December 17, 2014 Thanks so much UGoLong! That is more help than I can express. The cardiologists are extremely nice, but of course, it is intimidating to ask about these things in the interview. I also prefer to get it from another PA that is actually doing the job anyway. Do you love cardiology? Is dictation a pain? Link to comment Share on other sites More sharing options...
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