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About PA-C

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    Physician Assistant

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  1. So, collaboration agreements are still required, but do not have to be filed with the state? Does this mean collaboration agreements are actually optional (tbd at the practice level)? I’m just wondering if they’re required, but don’t have to be filed with the state, who checks up to make sure they exist in the first place?
  2. My point is that you said I gave the OP advice that would cost them a bunch of money when i didn’t advise the OP to do anything. I never said I wanted to read anything bad about NPs. I was just wondering what you’re trying to accomplish on this website because until this last comment the overarching tone of your posts has been negative towards PAs. I am here to share in the wisdom and camaraderie offered by my fellow PAs and to try to stay up to date with current events affecting our profession.
  3. 1.) You never mentioned anything about “financials” in your initial comment, so I don’t think any of us knew we were supposed to “stick to them.” Sorry. The nature of this entire post was not about money. It was about the OP trying to figure out which professional track would best prepare him or her to practice in different ways. 2.) I didn’t give the OP advice. I shared my personal experience dealing with a similar situation and wished the OP well with his/her decision. I said whether he or she chooses PA or NP I think it will be a positive outcome. 3.) The correct legal term in my state and in many other states is collaboration, not supervision. Regardless, the notion of supervision really only exists on paper at this point. In many practice settings across many specialties PAs are independent thinkers who manage their own patients without direct supervision or input from physicians. PAs are trained to handle as much as we can on our own and ask for help when needed, AKA COLLABORATE. Collaboration really is the premise of practicing good medicine for all providers, physicians included. Medicine is a team sport. What is the point of you being on this forum? All I’ve seen from your posts is you heavily pushing your NP agenda and criticizing anyone who says anything positive about being a PA.
  4. I had the same debate myself. I was accepted to both a direct-entry NP program and a PA program in the same application cycle and ultimately decided to go to PA school. The NP program to which I was accepted would have allowed me to stay in the state I was living in at the time and would have allowed me to graduate in 18 months total, whereas choosing the PA program meant that I would have to move out of state and be in school for 28 months. Although it was more inconvenient to move out of state, be in school longer, and spend more $$ on tuition, I felt that the medical model provided by PA school would better prepare me for clinical practice and have no regrets at this point. I function independently in my day-to-day care and consult my physician colleagues as needed. I am generally well respected by my patients and fellow providers and I am well-compensated for the work I do at this point in my career. I had no difficulty finding a job after graduation and the practice that I work at actually happens to have more PAs than NPs on staff. So, based on my personal experience, I don’t think PAs have a lesser job outlook than NPs. I am optimistic that OTP will continue to pass in other states. It will take time, but I think this next generation of PAs is committed to making that happen. Good luck with your decision. Either way I think you will find yourself in a fulfilling career and in a good position to make a positive impact on the health of others!
  5. Are you inferring that the OP hasn’t researched the professions? Seems a bit passive aggressive for you to say. It sounds to me like the OP has done at least some research and is now seeking input from those in the workforce.
  6. PAs in North Dakota can open their own practice after a certain number of years in practice (I think 2 years?) thanks to the OTP legislation that was passed there
  7. To more experienced PAs: Roughly how many years of experience as a practicing PA do you think negates the need for a residency in order to be a competitive job applicant? Obviously other factors (skills you’ve honed within your specific job, staying in the same specialty vs. changing specialties etc.) impact the competitiveness of an applicant as well, but at what point does years in practice trump residency experience? (does it ever?)
  8. When I graduated, I also moved directly to an area that I did not go to school in or live in before school. I applied to several jobs through Indeed, Glassdoor, etc. but I also started googling clinics and sending my cover letters and resume directly to the clinics regardless of whether their websites had job postings. I ended up being hired by a practice that wasn’t even technically hiring at that point. As others have already said, you may need to start “cold-calling” via email and/or in person rather than using the traditional avenues for job-hunting. I think it will probably be easier to do this with private practices or clinic-based practices rather than hospitals simply because hospital HR offices are so large, odds are your resume will end up in the hands of someone who doesn’t really have the authority (or direct access to authority figures) to push it forward. Don’t give up!
  9. Derm! Sorry forgot that bit of info in my first post
  10. New grad practicing in the Midwest. I just ended my second year in practice and made 180k. I work 36 hr/week 3 weeks per month; 42 hr/week 1 week per month. Average benefits (health insurance, CME, etc).
  11. Interesting and suspicious for sure! Unfortunately it seems most politicians/policy makers on all levels know very little about healthcare and medicine in general, regardless of their credentials. It’s disconcerting that these are the people who are ultimately in charge of making decisions that will alter the course for our entire profession.
  12. Good work! I am planning to write back with a similar rebuttal.
  13. I wrote and received this in the mail:
  14. Who told patients it’s ok to bring up 5 other problems in addition to the one chief complaint they called to make a 10 minute appointment for?
  15. I and another co-worker who graduated 3 months after me drove down together a couple years ago and had our paperwork processed right then and there when we showed up and explained our situation.
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