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About cc56

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    Physician Assistant

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  1. That is interesting. The "called in" part was very interesting. What is call back time, or are you sleeping there?
  2. I did not start UC, but I used UC to "hop" over to ER. The UC I worked at was slow then got more and more busy. I came in 1 year after being open and within 1 more year we went from 14 pt a day to like 30's. I heard they are doing 40's now, solo provider. Given occasional procedures, complexity, required paperwork, that makes for a busy long 12 hour day. Basically don't expect the UC to stay slow and low volume. Around me the UC pays a lot less than ER. The hours were not that much better as I had to work every other weekend. Also the UC I worked at did workman's comp which I hated, everything else UC I didn't mind. We were also freestanding with only onsite x-ray, and no blood labs. To answer the question personally I don't want to go to UC again any time soon from ER. Then again some of these UC out there see basically 90% of the "fast track" patients from ER. You also have CT, blood labs, monitors in rooms, ability to direct admit. Maybe that would not be bad V.S. the UC that are like Walgreens Minute clinics.
  3. Not to bring back an old post, but I was hoping for the same information. I read a post from 2012 and 2013, any new information? It looks like it is now called Caliburn.
  4. Ortho was salary and I felt it was 100% in the favor of the company. Since that job I have been hourly and I don't intend to ever go back to salary. I suspect your salary jobs will all involve call. That is truly what drove me away and staying late for surgeries. The one day I got to leave early the manager told me I had to come to the office to do "something" or they were going to charge me vacation... even after being at the hospital the night before from 0700 - 2200 hours. .... That is when I knew it was time to GO! ER has been a hybrid of salary and hourly. I have to work 13 shifts and anything extra I work is paid hourly. It is straight time unless they are in a bad spot and they offer bonus money. Basically I get paid half of the hours for the contractual 13 shifts on the the 1st, then the 15th they pay all the extra I worked from the PREVIOUS month. I am working a lot more than usual and some time and half shifts in Aug. I won't see it until Sep 15th. So far ortho - Salary Urgent care / ER- hourly
  5. I can only speak from about 7 years ago. At the time most classes were taken at the same time by the NP/PA students. There were a few classes the NP's had to take separately, there were a few classes the NP's did not have to take. I would say 95% of the time we were all in the same classes. To do both programs you have to be a bachelor RN already. If you do not have an RN license you can only sit for the PA test (PANCE). Again this is 7 or so year old information, when I went through it was not a masters program.
  6. I have not been a part of a union. My opinion is from the outside looking in and others experiences. I voted that I don't have a union and i would NOT join one. Often times I feel that unions should not be part of healthcare. My big example was the VA where my wife worked. They protected the most dangerous and incompetent people. The "can't be fired" mentality can be dangerous in healthcare. I also agree with mgriffiths, I find what the unions believe in don't always align with mine. I specifically don't like the political arena being the focus, along with certain "social" issues. You are there to represent workers not what the union brass thinks is important to them in social matters. Again this is my opinion looking from the outside in from my Mom being a teacher, my wife working for the VA with unions, and my father in law working with unions in the trades.
  7. I did it... I even tried to give good answers to the type in questions. Some parts were weird like ranking professions. As much as I wanted to rank PA #1 for everything, I give credit being an ER guy to the family doctors. Weird survey and took a bit to do. I wonder how many responses they will get back, and how many they sent out?
  8. I work ER, I am tested every day what I will do. I used to not write work notes for "missed" days of school and work. Now I do, if I think there was an illness, and within reason. No writing for 7 days missed work excuse. I don't write for ambien or "sleeping pills". I don't write for erectile dysfunction meds. I would not write for an emotional support animal. I don't do prior authorization for anything! I specifically say to the patient that we won't call the insurance company, if it is not covered then we can try to change meds/equipment or see your PCP.
  9. Coming in late to the conversation. I am earlier in my career. I would consider going to nursing school if I could challenge the NP boards and have independent practice. I used to be a member of CAPA but don't live in CA anymore. I have no idea who is at the helm and who are the people making the decisions on which direction to go. I am of the opinion that they should swing for the stars though..... I feel the Government does that. GOV says we are going to raise taxes 100%, the people get mad and complain. The GOV says "OK our bad" we will only raise 50% taxes. We the people cheer as if it is a victory and the GOV still got 50% raise in taxes. If we swing for the stars the AMA/CA MD's can complain and get some of it knocked down. They feel like they won but we still make a pretty big impact for our career field. Maybe CAPA has a good plan and truly thinks slow and steady will win the race, maybe they think they are swinging for the stars. I just wonder how long is this plan... 5 yrs, 10 yrs, 30 yrs? Like I said I don't know the people or keep up with CAPA anymore.
  10. I am going in cold to see what I know. I did not pre-study, but I do try to listen to EMrap/look stuff up at work often. So I am kinda studying all the time. As far as the test, somethings I just don't remember but I have it down to "A or C" and can look up quickly to confirm. There are questions I know the answer before reading the choices. I have done 16 or 25 so far, I did the 16 in one sitting. I will finish probably this weekend. I am continually putting down "low confidence" in my answers after the question. If I fail then I have 1 year to study for the PANRE. Then I will take the renewal course and get out the books. I will not cheat and will not discuss questions.... But I wonder if we are all getting the same questions or if they are randomly assigning an order to each person?
  11. From ER you may go urgent care. I was the only provider in the UC when I worked at certain locations. Some places will put you on a fixed schedule. You know you have every other weekend off and say Tues/Thur.... Not always exciting, but scheduled. Some have fixed hours like 8-8 and weekend 8-4 when you work. From my experience you have to like DOT physicals, school physical, sports physicals, Work comp, and cough/runny nose/sprains/cuts. I see it as an option, probably won't make as much, but might be easier work over all. A lot of UC want ER experience.
  12. I was an EMT, I got it at 18. I let it go, but miss having it for nostalgia reasons. If things were bad for me and I lost my PA-C, I would probably NOT go back to being an EMT. Bad pay, heavy lifting, bad hours, bad pay, and I am old now.
  13. Hold the line, don't give up. It should get easier the more you do it. Word gets out, and addicts talk to each other. People will know you are not the "candy man" and will stop seeing you. As your schedule opens up, better more receptive patients will fill the void. As you set the example, eventually some providers will see that you are not having XX% of visits for " narc refills". When they ask you about it, tell them what you are doing and why.
  14. Agree with Boatswain2PA. The best thing I ever did was go into the military! With that said I was young and wanted to go as far away from home as i could. So I went to Korea, are you ready to go to Korea with your family? Are you ready for living overseas for a few years? Are you ready to deploy by yourself and get attached to a group of people you may have never met? Is your family ready? If you say yes to this and want to serve then I think it is amazing! Amazing group of people, amazing experiences, pride in uniform, great benefits as a whole (VA loan, repayment of loans, Medical, pension...) On the flip side there will be tough times and frustrating times, you are in a contract and have to stay. I bring up the hardest things because that can happen. On this flip side you may end up at Travis in California outside of San Francisco and have a normal 9-5 job, never deploy, get good housing, and have a cushy job. Expect the worst, and hope for the best. As far as the VA I have not worked in one. My wife did it and was unhappy (she is a veteran and was a surgical scrub). Apparently it is VA to VA as to how things go. I did some rotations in a VA in school, seemed ok in California. I got a job offer in Phoenix for Ortho, there they had no residents so I guess I would have done the job/1st assist in surgery. I also got offered a job in Chicago in ER, there I would have been provider in triage only basically. I would be discharging basic stuff, residents get everything else. (FYI I did not proof read, forgive mistakes)
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