Jump to content

PACdan

Members
  • Content Count

    870
  • Joined

  • Last visited

  • Days Won

    26

PACdan last won the day on February 9 2016

PACdan had the most liked content!

Community Reputation

708 Excellent

About PACdan

  • Rank
    PA-C

Profile

  • Profession
    Physician Assistant

Recent Profile Visitors

854 profile views
  1. Unless you are doing only sports physicals or immunization visits all day long (and even then) this is wholly unsafe and unsustainable. Why would you subject yourself to this breed of medicine? 45-55 a day? 10 minute appointments? What is being accomplished besides more billing and revenue for some business owners... The sad part is some admin or clinic director will come upon this and think "wow, what a great idea to make more money, I'll have our PAs do this" and they'll use it as proof positive "see, others are doing it". Anything over 3 an hour avg in primary care is pushing the revelance of the primary care in the first place. No wonder there is such widespread burn out. We should oppose any group or business that tries to push this insane scheduling. It only enriches them and does both the provider and patient a disservice.
  2. Watch "How to Die in Oregon" It's a 2011 documentary on the subject of physician assisted death that explores the subject through the lens of patients going through the medical aid in dying process.
  3. Finally earned the PA-C

  4. Ah. I hear that Florida is quite saturated due to the number of PA programs in the state. This drives down salary averages as well.
  5. Definitely turning some places off with this question. But I assume those are places I don't want to begin my career at...
  6. 10 days PTO seems criminal. Are you in an area with a low cost of living? What area of the country? I hate the idea of bonuses. And your base salary is ~5k below the national average. I'm currently applying in Family Med. Lowest offer for a new grad so far has been $85k + incentive pay. Several offers at 95-100k. Lowest vacation/PTO has been 14 days. Averaging 21 days, plus major holidays. Some have call or rotating Saturdays, most do not though.
  7. 50 people need you in a given day. 100 people. Probably more. Realistically there is an upper limit to the number of people you can see and treat in a given day while still providing safe and appropriate care. A few walk-ins on top of an already full schedule, split among available providers? Sure that sounds reasonable. But you seem to be dealing with new/younger providers. How new are they? Are they reluctant to take on the increased patient load for other reasons that may not being addressed? Do they feel unsafe at that volume? Are they stressed beyond what they feel is achievable for them? Certainly a veteran provider will feel more comfortable at a faster pace. For those of us that haven't honed our clinical acumen that sharp, I can see a concern. I am much like Rev, in that I know I cannot see 25-30 patients a day in family medicine and provide the quality of care I believe they deserve. It would stress me too far and be doing my patients, and myself, a disservice. I'm being upfront with that during job interviews, and I'm sure it has/will cost me offers. That is fine. I will take less pay to see patients at a pace which provides them my best service and skill. Especially in the first few years out of school. I'm sure as I gain experience I'll grow more comfortable and be able to see more patients per day. But this will be a gradual process, not something achieved in 4 weeks. There is certainly a sense of duty. Primary care providers should be the first stop for most patients. We need more PCPs, but it remains a less attractive field for many. Yet no two providers are the same. And I believe that providers need to be honest with themselves and employers and establish expectations BEFORE starting a job. For new grads, this is even more important.
  8. Sorry but this is terrible. 80% of my rotations were within 5 miles of my school, a couple were 15-40 miles away. We have a few "out of area" sites (>100 miles), but housing IS provided. IMO, that's how it should be. It blows my mind that some schools are taking 70, 80, or 90k for tuition and then asking students to find sites AND pay for site housing. It simply should not be allowed. Maybe ARC-PA needs to stop accrediting programs that cannot secure adequate numbers of rotations sites. edit: PA Programs should be associated with medical schools OR academic/large medical centers. Every Joe-Bob College is trying to open a PA program now it seems, because it looks great for them and is a guaranteed revenue generator. Seems like the resources are lacking.
  9. Pretty sure that all of us who have or are going through PA school, and commenting here, have a larger sample size of what PA students actually do. And most of your "forum posts" examples are new students or admits asking IF they should work. PA programs discourage employment during school owing to the intensity and dedication to the curriculum required. SOME students do work. Most work no more than 1 shift per week. No where near the 40 hours or more that NP students work while in school. Your trying to equate a few "PRN" shifts a month with full-time work is laughable. 3/40 in my class work (and that has been the average for many classes), and none of them work more than one shift per week. I know you love to blindly defend the NP position while expecting us to never, ever point out disturbing trends we see. But the rise of the online FNP, with students whom can work full-time and graduate with ~700 clinical hours does not inspire confidence.
  10. Hmm. Maybe it varies by State and with State laws. Because the Technology Security Officer and hospital admins told us that we are specially allowed to access our own charts via the EMR (if we have them) when we started clinicals. And this is another major hospital system in the same state. Your chart is your medical record. It cannot be withheld or censored from you in any way. You are always legally entitled to full and complete access of your records. And you always have a clinical purpose to review your own health information if you have any interest or investment in your own health or medical records. I don't see the difference between having them print every single page and document for your and accessing it all electronically. Either way, you cannot make any changes. But both ways you are legally allowed to view every piece of information entered under your record. One just wastes less paper. Maybe they're saying don't access your own chart in case you ever want to sue one of the providers who has seen you? Their lawyers will try to say you accessing it negates something??? I don't know... But if you're ever involved in a malpractice case you're bringing, you are going to access your entire chart anyway.
  11. Students who were scribes and especially those that scribed using the same EMR in place at our hospital system have had a much easier transition to documenting. Some had 2-3 years using the system, whereas it was a completely different EMR than I had used before. It took me a couple months to get down all the nuances. Charting/billing is a huge part of medical practice. The only real negative I have seen is that some students who were only scribes before PA school were not comfortable with hands on techniques or simple procedures they had never performed before. But honestly, all the IVs, blood draws, EKGs, and foleys I did before PA school are performed by nurses or techs in clinical practice. So while those skills will go largely disused by myself, the EMR/documenting/billing the scribe did will be very useful. However; all the H&Ps in EMS were beneficial and put me at an advantage over some who had never examined a pt themselves. I think it all equals out in the PA school wash though...
  12. Interestingly, a hospital I worked at sent out an employee email saying not to access your own chart. Less than 24 hours later a redaction was sent. Apparently it's a big no-no to tell a patient, even if they are also an employee, that they cannot view their medical records. Of course you may only view your own chart, and you not make any entries or modifications.
  13. Well, consenting sentient adults who want to marry are a tad different than people who want to marry kids or animals, both in numbers and reason. Kids and animals are not capable of that consent, and it's an absurd false equivalency. Judeo-Christian marriage has evolved over the centuries too. We no longer (in most places) let 12 year old girls get married off to a guy for 20 silver pieces. So what constitutes allowable marriage has changed over time. We didn't let interracial couples marry for a long time too, and that was wrong. Regardless, in the United States of America, marriage confers legal rights and benefits, and it was those legal rights that same-sex adults, in committed relationships desired. There was no good alternative put forth (just like the PA name change) without rewriting lots of laws, to allow our fellow gay citizens to enjoy the same benefits. Regardless of your religious views, gays are serving openly in our Armed Forces for 5 years now (and many were serving with distinction long before), and it didn't cause our military to collapse... Gay adults can now marry across the country and life goes on, the US is still here. I feel we, as a country, despite the polarizing news media and 24-hour nonstop cycle of garbage, are stronger then ever before. Edit: That's all I can say on it. Thank you Reality Check for trying to stabilize the thread, but I think the pt has expired!
  14. So, back on the AAPA. I get that some people aren't members for various issues they have with the organization. To me, it seems like cutting off your nose to spite your face. The AAPA leadership and organization is not static, and it seems that if "we" want to see them act in different ways, joining and participating would be the most logical way to steer them.
  15. I don't want to derail this thread talking about Ben Carson, because he shouldn't be the focus on which we hang our hat for developing the future of the PA profession. And while he didn't say that gay = pedophile = bestiality; let's not delude ourselves into thinking it's not a political tactic of mentioning bad things alongside something we oppose in order to associate them. All sides, all politicians do this. You wouldn't like it if a someone said "No person, be they Boatswain, be they a rapist, be they a murder, should be able to do XYZ." Of course that's not saying you are a rapist or a murder by definitions of the English language, but come on, it's a tactic to mention all of them in the same breath. And it's shitty. I've met the man, I've heard he was a great surgeon; but his views on LGBT don't line up with the medical community's or now the rest of the country. And if for whatever reason he did become some figure in our government, I would hope that he's not petty enough to be punitive against PAs because he was disinvited to accept some award or against Johns Hopkins.
×
×
  • Create New...

Important Information

Welcome to the Physician Assistant Forum! This website uses cookies to ensure you get the best experience on our website. Learn More