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IMGtoPA

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About IMGtoPA

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    Physician Assistant

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  1. Anyone else find drug reps annoying? I mean, I know they have to promote their product. Sometimes, they catch in the hall and tie up my time and I end up running late on seeing a patient. I like the free lunches and all but a lot of times, it's just not worth it; I'd rather spend the time on my own catching up on notes or just being by myself and taking a social/mental break for lunch.
  2. I have a DEA license and have been trying to e-scribe 1-month supply of things like Adderall and Ritalin but these past couple of weeks, I've been getting rejections from pharmacies stating that PA-C's can only prescribe 7-days worth. This was not an issue a few months back and I have been prescribing them no problem. I know there was an HB21 bill that was passed by Rick Scott this summer limiting Schedule II OPIOIDs but I didn't think it would affect stimulants. Anyone else have the same issues?
  3. Would you all be willing to uproot your families and move to a new location for an opportunity at the VA? My spouse and I were talking about if this opportunity presents itself after the interview, is it worth it to sell our house and move. Just giving you background: partner is also a medical provider, we have a house and a 2 yr old in daycare. We have a local VA hospital but no response about job applications to that hospital.
  4. That is funny because pretty much everyone I have spoken to says the workload is WAY LESS than the private sector. I guess it depends on the facility and the specialty. My mom's an OR nurse and the amount of cases are MUCH less than when she was at the private hospital down the road. VA in her city seems like it is where you go when you want to retire and slow down. All of the nurses and surgeons from her previous hospital made the move over to the VA to cash in on the better pension, slower pace, and nation-wide annual pay increases. The position I got an interview for is for Psychiatry. They did mention that it is a position that is Mon-Fri from 8-4:30pm, with possible inpatient coverage (we will discuss more at the interview).
  5. My mother is a RN who has worked in the VA hospital system for the past 5 years. She's been saying I should try to get in ASAP and get the benefits, along with other perks. I have a lot of in-laws that work at the VA (non-provider roles) and they all agree. They say it's not as organized as the private sector roles but all agree that the benefits outweigh the annoyances. I applied for a job on a whim, not thinking anything of it and I actually got a message on their website stating I was "not selected". But an HR rep called me last week to set up an appointment for an interview, which I have... classic example of how disorganized their HR department is. Anyone have any experience working with them that could share their thoughts?
  6. I applied to a post for a PMHNP (mental health trained) ARNP. I got the job, it's my current job. Some practices (like mine) just have never employed a PA before.
  7. I currently work in a psychiatry practice, they told me that it was hard finding ARNP's to fill the role because they look for PMHNP certification in particular. ARNP's are a dime a dozen but PMHNP are not. My 1st job out of PA school was with a Primary Care practice and there was an ARNP that was on her way out. She told me she took a job in psychiatry. So I wasn't sure if she was PMHNP certified because she was already working 1 year with us (the primary care practice).
  8. I called an accountant referred from a friend (who does not work in the medical field) and the CPA quoted me at ~700/month!! Wayy too much for my blood. Is this the going rate for having a good CPA on board? I've been working as a 1099 independent contractor over the past year and would like to have an accountant on board to help maximize my deductions. Anyone with tips to find someone/something more affordable?
  9. The administration part of the job is the worst, by far. It contributes to the burnout. There's so much shit that they don't even educate you about in school that is the annoying part of primary care. It's almost like you have to be a social worker. Gotta learn how to refer to a Social Worker if the patient has financial difficulties getting meds, setting up referrals for Durable Medical Equipment if they need a specialized wheelchair or motorized wheelchair, filling out the forms properly to get these things approved by insurance, filling out forms for handicap permits. Then there's the annoying part such as if your practice cranks out controlled substances. Towards the end of my tenure in primary care, my practice was starting to crack down on controlled substances and would require Urine Testing, but doing the pee test on top of seeing the patient would often run past the allotted 15 min time slot, so you are constantly running behind and patients are getting pissed off about waiting. I loved learning general medicine while I practiced, but primary care is the dumping ground for all kinds of sketchy characters; this is unavoidable and I don't know many PA's that stay in primary care for long, especially since we can move to different specialties.
  10. Can someone explain what these visits entail? I'm about to start a new job and my SP states the practice is starting to increase their Worker's Comp visits because "they pay well and they pay on time". What exactly is Worker's Comp? How is it different than insurance that a company provides for its employees? What does it mean for a practice (i.e.- is it way more work for them to do the visit, more paperwork?) I drive by some practices in my local area that "specialize" in Worker's Comp visits.
  11. I'm in Florida and the job is a Psych outpatient setting. Not sure which combo would work best for me (e.g. 1M/3M)? And anyone know if FL is tort friendly? I think it is
  12. I've accepted a job but they stated they will pay for malpractice insurance once I find it. Ive never had to shop around with other jobs for malpractice. What are some malpractice companies for us? And what does the whole 100,000/300,00 mean?
  13. True. If I was single and didnt have kids, I would totally move and be willing to move anywhere, (i.e. overseas, military, underserved area). But I'm not in that situation so it is what it is. My goal was to finish 1 year of general medicine and get into a specialty, as many have suggested-- easier said than done with a job market saturated. Again, I'm even applying to rural areas in my state (FL). I have friends in South Florida (one of the most saturated areas in the country) making less than me, so I guess things could be worse.
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