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EMSGuy1982 last won the day on January 11 2017

EMSGuy1982 had the most liked content!

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About EMSGuy1982

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    Physician Assistant

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  1. In my area there were people attempting to call clinics posing as pharmacy employees asking for NPI/DEA license numbers by our nursing staff. Thankfully our information was not given out although our NPI’s are public. Another incident involved someone calling multiple pharmacies posing as an MA/LPN/RN from a “clinic” attempting to call in a prescription for a controlled substance using a fellow colleagues DEA/NPI information half way across the state. Unfortunately I don’t think this is a rarity. Protect your information as best as you can. I’m even wary that my DEA number is printed on Rx paper when I do prescribe. I did have one person at my previous job who took a script I gave him and tried to alter the amount. I was sent a copy and it was painfully obvious that they tried to tack on a few zeros. It was laughable but definitely shocking. To the OP; if your colleague in fact is innocent time will tell. It sounds like it should work itself out though I’m sure the whole ordeal is taxing on them.
  2. https://www.google.com/amp/s/www.washingtonpost.com/amphtml/world/national-security/doctors-in-five-states-charged-with-prescribing-pain-killers-for-cash-sex/2019/04/17/7670d20e-607e-11e9-9ff2-abc984dc9eec_story.html It doesn’t mention our profession specifically, mostly MD’s surgeons and NP’s, the amount of pills prescribed is staggering...
  3. What part of MI? curious as my wife is from Michigan and have pondered about moving back. Would 3 years UC experience gel with college health? Pretty sure it would since I currently see everything in UC.
  4. I’ve worked UC in WA state for 3 years now and have been at two places. First UC was with corporate medical group and was making 136k for 14 12-hour shifts/month. Happier where I am now with a 128k base salary and 12 shifts/month. Feel free to message me if you have any other questions about UC in WA as I am in WA state.
  5. I currently work at a site that is designated as a rural health clinic in a walk in clinic/urgent care and make 126k in base salary with full benefits. 70k isn’t worth the time. Loan repayment is nice and all but I know people who make 70k a year and don’t even have a quarter of the responsibility nor stress that you have as a provider. Don’t sell yourself short. You worked your ass off to get to where your at.
  6. I’ve petitioned to have this put in the rooms at the UC clinic I work at... Typically I like to educate on antibiotic resistance and it usually falls on deaf ears but some do respond and at least act like the understand it. I like to follow that up with “Now just because you don’t have a need for an antibiotic doesn’t mean we cant try to manage your symptoms while your body does its work” and it seems to work. Tessalon, atrovent nasal spray, coricidin, ect ect...
  7. You are not alone for sure. I’m a few years out now and still ask questions once in awhile. Much less than previously. I work in a rural urgent care clinic where people come in daily that are higher acuity than we can even handle simply because there is a lack of access out here. This definitely adds to increased stress. I had a boat load of HCE in EMS (13 years) and still struggled with imposter syndrome after graduation. The smartest thing looking back I did is get into a fellowship in urgent care. Sure, it was for a lower wage at first but it allowed me to practice in a controlled environment and was able to ask as many questions as I needed. Had a mentor who actually wanted to teach and would bend over backwards to offer advice on patient care or just offer reassurance. I am thankful for that time and now work solo often with minimal sleepless nights worrying about my patients. I echo all the advice above. Hold out until you get the job with a supportive environment that will allow you to grow as a clinician. It’s not always all about the Benjamin's.
  8. My thoughts exactly. I also work in a rural urgent care and am solo on weekends. All 4 of the providers in the clinic are PA’s. Our “ supervising physician” hasn’t communicated with me in about a year (chart review feedback). Most of the MD’s out here in the Primary care clinics are supportive of PA’s being independent. I imagine it’s partly to lessen their loads of doing chart reviews though.
  9. 49 patients in 10 hours is insane. I switched to rural medicine about a year ago because in the UC I was previously at would consistently see 110-120 in a 12 hour shift split between 3 providers. Left most nights 2+ hours after closing due to patients coming in last minute or getting documentation finished as I will not do work on my own time. Now see 40/day between two providers on a “busy” day. I do see higher acuity patients where I am now but would gladly trade high volume/low acuity for lower volume/ higher acuity any day. To the OP: Hopefully decreasing your hours/days will help. Has the topic of a “closing policy” come up with the higher up’s? Implementing something like if say you close at 8pm that if there are more than two patients per provider in the waiting room an hour and a half prior to closing that you can stop registering patients to be seen? Might be worth asking for your own sanity at least.
  10. EM RAP is solid and uptodate material and it’s relatively cheap (under 400). I purchased the Urgent care version and enjoy getting 3.5 CME hours after every full episode. Listen, take a quiz, and they keep all of your CME backed up on their site so you don’t have to print and file it away.
  11. https://m.youtube.com/watch?v=jjCu4nxOHlQ My favorite interpretation of patient satisfaction scores... I once told a patient I was not a kiosk like you find at McDonald’s. Their reply was “Not yet you aren’t.” (Facepalm)
  12. All day interview? Gives me flashbacks to my PA school interview. Is this more of an excuse for the docs to go out to a fancy meal on the company dime? I agree it would have been nice to have them confirm a date with you prior to tossing an itinerary to you.
  13. Also, I believe the recommendation is 6 weeks before imaging for non traumatic back pain. I’ll do a prednisone taper on folks with chronic lower back pain that are already on a boat load of narcotics + gabapentin ect ect.
  14. Pretty sure it was last month on UrgentCare RAP where they covered a case of a 60+ guy with lower back pain. Given muscle relaxers. Got worse. Went to ED and subsequently got admitted.(forget why. Perhaps INR. Pt was on anticoagulant). Hospitalist sees him and pt gets worse. End of the story, spontaneous retroperitoneal hemmorage. 3 providers missed. Anything can happen folks. Age 60+ With anticoagulation + back pain. Keep that differential wide open
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