beattie228

Solo Urgent care as a new graduate should be an absolute hard stop for you in my opinion. There are too many variables to begin your career in a solo Urgent Care shop. You need to see enough patients to gain better insight into the sick vs not sick crowds. I've worked Urgent Care for most of my career, solo now, and I can say with absolute certainty that my current position is NOT for a new grad. In terms of your original question, the 18 month contract and non-complete clause are areas of concern.

Offer is pretty mediocre. Base: 47/hr 3 13hr shifts a week. No OT differential. I plan on working 4 shifts a week. 6 mo of training with another provider. Always have an on call provider as well. [Base pay is on the lower side for the area depending on where in MD. No OT differential is ridiculous. There should be incentive pay built in for hours you pick up outside of your clinical requirement] 401k 4% match vested after one year [Pretty standard] 80 hours PTO, 40 of which can roll over into the next year [Low, even for shift work. I'd counter for at minimum another 40 hours for a total of 120] $1k/yr CME/licensing [On the lower side but there's often not much wiggle room. Paid days off for CME? What good is the funds if you can't go to conference? Standard is 2-3 days paid] Malpractice with tail insurance provided Health insurance is decent Two year noncompete with any other urgent care or emergency medicine facility within 10 miles of any of their locations. [Biggest no-no of your offer. What happens if the shop is a dumpster fire? Or you decide you want to see higher acuity patients in an ER. I'd fight this tooth and nail. If no budging, consider finding another shop. UC gigs are abundant in the DMV area]

I'd hold off on dropping money on those courses as long as you have the required certifications for the positions you're applying for. If you're not getting bites on your applications, then maybe consider beefing up your credentials otherwise I'd recommend waiting for your CME funds for your upcoming job to help cushion the blow. Most hospitals conduct that training throughout the year at either no cost to FT providers or at a significant discount that you can tap into your CME money for. If you're bored/antsy to do one of the ones you mentioned, I'd recommend doing ATLS. Outstanding course.

It's a skill you can learn just like many other skills. Often, learning the 'why' helps in terms of staying on task. Check-lists and prep work ahead of time goes a long way. Working for a detail oriented doctor can be helpful for you to observe what skill-sets they bring to the table and adopting them. Anticipating what comes next is a big area for being detail oriented, both in life as well as in medicine. I wouldn't throw in the towel on your desire career path from the statement of one background actor in the movie that is your life.

Was there a sign-on bonus? If so, you'll likely need to have that on hand to pay back. If it were me, I'd first try by meeting with the SP to discuss the issue with the commute and see if you can leave amicably. If there's push back, consult legal guidance as to how enforceable the contract is given the change in offer with your grueling commute.

My advice to you is to be absolutely stellar on the rotation without crossing the line of annoying. Be well-read on the cases and be Johnny/Jennie on the spot in terms of making the Doc see how adding a PA could be beneficial. If it doesn't come up organically during the rotation, I'd hold off until one of your last days to broach the subject. If that group isn't necessarily looking but you come across as someone they'd want to work with, they may have a colleague in mind to reach out to when you're finishing up with PA school. Hardest part of trying to get a gig while in training is you don't really know your timeline. There's very much an out of sight/out of mind aspect once you're no longer on rotation although not as applicable to you since you've worked for them previously as a MA.

You don't want to keep typing the full words Physician Assistant. Character count is valuable and you don't want to waste it on unnecessary words. Just introduce it as Physician Assistant (PA) the first time and then use PA from then on out. Some would argue you don't even need to introduce what the term PA stands for as your audience will all be PA faculty but writing it as I outlined above is what most do. Best of luck.

I think you answered your own question in my opinion. Let the program that recently accepted you know you want to gain clinical experience for the next year but look forward to applying again in the next admissions cycle. Of course a bird in hand is worth two in the bush and an acceptance this year doesn't guarantee acceptance next year but your stats look great pending your patient contact hours, LORs and personal statement. That said, internet strangers won't be able to weigh in much in terms of what is your best choice.

I'd set up an appt with your school's registrar. They'll be transfer credits, for CASPA you'd follow the same directions for CLEP courses on CASPA but you need your current school to accept the credits and have them on your college's transcript. Then through CASPA, you'd list them under your current school (University of XX instead of JST). No grade gets assigned.

It's been a few years since I applied so this might be dated info. I ended up transferring those military transcripts to my 4 year college. I went back and forth with CASPA and there was no way to upload it directly. Once my 4 yr college accepted the credits, it was on my official college transcript.

I did an IR rotation, currently work IR as a PRN PA one day a week. The two books I listed below are top notch, but I'd only recommend buying them if you really see yourself going into IR. Otherwise, you won't be expected to know much of the content as a student on rotation and can hold on to your money. Biggest pieces of advice: read up on pertinent anatomy as well as technique for the procedures. It's helpful to have an understanding of the step-by-step process. You'll hear of the Seldinger technique often. That's bread & butter vascular access technique and one you should definitely read up on. Befriend the scrub techs. Let them guide you and hand hold you your first week so that you look like a stud on your last 1/2 of the rotation. Actually being scrubbed in and getting your hands dirty is the best way to learn Day 1, be sure to find out which lead you should wear (docs can be territorial about them) and always remember to wear your thyroid shield and eye shields. That will be provided by the practice. Otherwise IR is a really nice rotation for PA students because it's definitely a "see 3, assist on 3, do 1 before the end of your rotation" if your preceptor trusts you and you show genuine interest. https://shop.lww.com/Handbook-of-Interventional-Radiologic-Procedures/p/9781496302076?promocode=WJ03LCZZ&cid=pe-sitewide-lww-paidsearch-wj03lczz-seer_main_pla_shopping_r&promocode=wj03lczz&pid=pe-sitewide-lww-paidsearch-wj03lczz-seer_main_pla_shopping_r&gclid=CjwKCAjwh9_bBRA_EiwApObaOCuTTVyd7ZU58jOcFg8Iw4dvMPtFpgIc7jNotQeukKV7S3xHzF9hwxoCgAEQAvD_BwE https://www.abebooks.com/Vascular-Interventional-Radiology-Requisites-John-Kaufman/14619608290/bd?cm_mmc=gmc-_-used-_-PLA-_-v01

I'm always of the mindset of keep all of your credentials up to date because you never know if you'll need them in the future. If anything, it counts as Cat 1 CME so it's still fruitful for you.

In order to time the market, you have to be right on two separate occasions: the time you decided to hop in as well as the time you decide to leave. As you might imagine, that is nearly impossible and almost every professional trader gets this wrong. Do what makes you feel comfortable, but logic says to dollar cost average by investing a certain amount every two weeks regardless of what the markets are doing. You have to set up an allocation percentage based on what makes you comfortable and stick with that allocation. The market is volatile at all times. The nature of that beast is it goes up and down but overall, it historically goes up over the long run. Helps me to remind myself it's a long marathon and not a short sprint. Makes no difference if the Dow drops 250 points on some Wednesday in 2018 when I don't plan to use that money for decades. Jump on in, water's warm.

Hey hey: I'll take a stab at a few of your questions. 1.) The amount of money invested versus in a high-interest savings account (Emergency Fund or EF) is really dependent on you. Some say 3 months, others 6 and some even 12 months of expenses. The real answer is what number do you need in liquid assets that helps you sleep at night. For me that answer is 4-6 because I'm married to a PA and live in a PA friendly part of the country so I'm confident I could find a new gig and float along using my EF and not run into any real trouble. I also have short term/long term disability as my livelihood is dependent on me being of sound mind and body to earn my living. 2.) Percentage wise, my current savings rate is about 60%. Others may tell you this is too much/not feasible. I beg to differ. PAs are highly compensated compared to most fields so we're able to live comfortably and also put money away. After a few months, it becomes habit and you don't even miss it. My goal is Financial Independence (FI) with the option to retire early (RE). There are a lot of resources about what that entails and how to go about it. I truly believe in freedom through financial independence. Freedom to work where I want for how long I want. Without having a sound investment plan, that's just not feasible. 3.) What/where my money is invested: Savings: Ally online (1.65% APR, no minimum/maximum) Investments: Vanguard. 401k - Vanguard 2065 Target Fund Maxed at $18.5k Roth IRA - VLXVX (Vanguard 2065 Target Fund) Taxable - VTSAX (Vanguard Total Stock) 80% Allocation Taxable - VGTSX (Vanguard Total International Stock) 20% Allocation 4.) Suggested readings if this is of interest to you JH Collins https://www.amazon.com/Simple-Path-Wealth-financial-independence/dp/1533667926 http://jlcollinsnh.com/ Mr Money Mustache https://www.mrmoneymustache.com/ Bogleheads Guide To Investing https://www.bogleheads.org/wiki/Bogleheads'_Guide_To_Investing 5.) I don't have little ones so I don't have any advice about 529/college savings. Be happy to chat through PMs if interested. I enjoy talking personal finance and have done a lot of reading on it.

I think you handled it very well. My go to canned response has been "The DEA has been enforcing strict rules regarding how prescription narcotics are written due to the recent number of deaths related to them. We've been encouraged to have our patients see Pain Management for any oral narcotics that fall outside of established parameters. I would be happy to offer you non-narcotic medications for your symptoms but you will need to see Pain Management for (insert narcotic being asked for by name) ". Works about 85-90% of the time. For the other 10-15%, they're going to be unreasonable to me regardless of what script I'm reciting from. I brush it off and move on to the next case. Dealing with these types of patients does get easier with time. Stick to your guns, you're doing the right thing.