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TPA16

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Everything posted by TPA16

  1. Thank you in advance. Hired in an urgent care and they would like me to train as soon as I can
  2. The training is pretty much shadowing/training I was told. I definitely dont know a lot as a new grad and would like training so I feel like this is fair.
  3. New grad offer urgent care near NYC (dream location and dream specialty) $40/hr training for 2 months + 1 month training 65/hr (sounds perfect to me) $65/hr full time 40 hr week malpractice full coverage NO paid time off however, 6 sick days 1wk unpaid time off (they said that they would be flexible if I needed a day here and there off additionally) all jewish holidays off (theres 10 of them, and im jewish) 3/6 legal holidays off NO HEALTH INSURANCE Licensing and DEA covered, CME will most likely be covered ----- The PTO was non negotiable unfortunately and so was the health insurance either way, I think I am happy with the offer MY ONLY CONCERN: I just emailed them to confirm this because someone on another forum raised a good point.. "sounds like a contractor 1099 job which can result in higher taxes on your end since they're not offering you any benefits" Their basically offering me 125k a year which is definitely very very nice. I am willing to forego the PTO for the first year and pay for my own health insurance with this nice salary however, if its a 1099 I think I may be being bamboozled
  4. how is 40 an hour solid..? thats 77k assuming a standard work week... new grad pa's should start at like 85 minimum
  5. its 40/hr for 30/hr week. thats 57,600 a year... almost half of what a PA salary should be. doesn't seem bad? The place is also an hour away. but I do agree with your logic. I feel like even if I asked for 45/hr during training and got it, I would still be losing out majorly.. that would equal out 64,800/yr salary working only 30 hr a week
  6. I agree with your vision. He seemed like a nice guy but looks could be deceiving. I will keep it on the back burner I guess. and words of that high salary are just.. words without a contract aren't they
  7. low income area in one of the five boroughs (NY). the office is in a residential apartment complex w/ a tiny sign that says dermatology Doctor admitted this is purely derm, no cosmetics, lots of poor patients. "if you're looking to make the big bucks, it won't be here" 40/hr 30hr/week training for 6-8 months. "I follow doc wherever he goes, don't see any patients on my own until after" Upon asking what compensation would be like after the training period, he had to really think about it and couldn't give me a straight answer "anywhere from 75-100/hr" he "doesn't like to explain benefits/cme/pto until after training is over" He doesn't do contracts because "he doesn't believe in one party holding another against their will" "I would be making an investment in you by doing this in hopes that you would stay for years, Im looking for someone to become part of this practice as I phase out. we would either know if this is a right fit within the first 2-3 months" What do you guys think?.. I know derm is hard to get foot in the door, I know the no contract thing is a little sketchy but apparently a few of my PA friends including my current derm preceptor don't have a contract and their fine. He was also willing to start me training the day after I take boards before my official licensure so I see that as one of the only true plus's
  8. Graduating Jan 1st, Currently on my derm rotation so ive picked up basics but obviously have a lot more to learn. I have read the warning threads so im feeling skeptical going in tomorrow because.. 1) I have heard from my current derm preceptor that she knows this job to have a relatively known PA turn over rate 2) the secretary for the doc I spoke with on phone says that there is a training period where I will be "scribe/follow" 3) the commute is an hour away I have heard that it is hard to get your foot in door with derm so I am going just incase... but I don't have a great feeling about things already. ------------------------------------------- Questions to all: What is the minimum training salary you would accept for a derm office? Should I ask what the salary post training is? or is that pretentious also, Is it pretentious to ask for a training contract in writing that states "after x amount of months, I will be making this much" Thanks a lot, and of course I will keep posted with the offer
  9. I am feeling slightly down after finishing my rotation in SICU. My preceptor said Im a hard worker but I have a lot of learning to do. it almost sounded like I should have known more by my 7th rotation. I will admit, my rotations have all been shit and basically free labor and not so much learning. I will say upfront that i understand the learning curve is huge and I am not on the level of a seasoned ICU PA but I still feel embarrassed because I was on the verge of applying for a job at this ICU and the attending basically said I'm not ready. During PA School we were taught slim to nothing about critical care. in 5 weeks i went from - not even understanding how to use an EMR, to being able to easily chart out a patients round presentations, trend relevant lab values and understand the utility. explain to a patient why this lab matters - not really understanding CXRs/CTs to being able to point out to you most lung pathology with confidence and if they have been trending better or worse including vascular congestion, Pleural effusions, atelectasis, PTXs, PNAs, - not even knowing there was more than one pressor to knowing the nuances between most of them and indications/surviving sepsis protocol - not even knowing about intubation/ventilators to knowing the protocols and how to adjust vent settings due to acid/base disorders i also learned how to assess perfusion and volume status given net I/O's, weight changes, urine outputs, Flotrac, IVC diameter, fluid challenges I could make more bullets but you get the idea. Basically what I'm trying to say is... I learned a lot. a whole lot. I am pretty impressed with how much i learned and internalized in 3 weeks (short rotation) I will also admit that my presentation skills during rounds have been disorganized here and there in that I don't always remember the details of patients/aometimes go over irrellevant issues/miss out key events (missing from the notes) I don't know if either: the attending right and I didn't learn as much as i should have and that I'm not ready, or I just haven't been able to express what I've learned and with more time could have proved myself. any responses would be appreciated thank you
  10. Hey everyone, I will be 24 years old when I graduate PA school and be ~130k in debt at rates 5-6% govt loans Ive approached my debt situation with conservative logic my whole pa student career.. thinking that I'd live at home and pay off the debt 30k/year at a time and live pretty comfortably and modest... but now as the days get closer I am starting to realize how mundane that sounds. hell, especially when my parents are now talking of moving out of the house to downscale (financial hardship). one of the big points of choosing pa over md for me was to establish my financial independence early... I have heard talk of hospitals or some sorts of underserved areas offering to re-imburse student debt with a decent salary but was always confused how that sort of thing worked and wether it was worth it financially I could be interested in moving to a cool city/state like Colorado/cali or even Hawaii.. are there such situations where Im able to move, experience a cool new perspective on life, and get someone to pay off my loans while paying me a pretty good salary? >/=90k My interests are ICU/EM Thanks!
  11. http://imgur.com/a/dxfTk This is me. @adam_roze Second year PA Student here. If I could have a conversation with my pre-PA self, there are a TON of things I would have done differently to improve my chances of getting into school, study habits in school, and general mindset on western medicine, personal mistakes made, the roles of MDs, DOs, Nurses, AAs, and PAs. Although I have much to learn, I definitely can provide good insight. Feel free to follow me on Instagram: _adamroze and message me with questions about anything regarding PA student life questions posted on here will not be answered as quickly as notifications are turned off.
  12. http://imgur.com/a/dxfTk This is me. @adam_roze Second year PA Student here. If I could have a conversation with my pre-PA self, there are a TON of things I would have done differently to improve my chances of getting into school, study habits in school, and general mindset on western medicine, the roles of MDs, DOs, Nurses, AAs, and PAs Feel free to follow me on Instagram: _adamroze and message me with questions about anything regarding PA student life questions posted on here will not be answered as quickly so i suggest DMing me on insta!
  13. from a knowledge perspective, its great. id love to be able to connect to patients on a deeper level. And I know that DOs can bill for it. Can PAs bill for it as well? would like to make my future employer happy
  14. on my peds rotations, and I have a very nice MD from nigeria(now DO resident) who is offering to teach me OMM. its pretty cool Was wondering if its worth knowing as a PA, particularly in an urgent care setting
  15. I never said I wouldn't do a good job!, its just that... bleh, i don't even know how to express this. maybe I'm just in a funk for a bit. thank you for the discussion
  16. I guess you are right. I will have to reflect inward. it does seem cheesy... when i get to know a doc well, they usually talk about the $$ to me "oh do this, do that, thats where the money is". docs talk about their money, hell its all i hear my med school friends/pa school friends talk about. lets be real here. I am not saying i am completely in this for the money.. of course not, I do appreciate and love the science behind it. but it seems like we are just employees generating income
  17. PA student on 6/9th rotation I would like to express my thoughts and possibly get some feed back,corrective train of thought or agreement.. I went into medicine with self admittedly rose covered glasses of what it would be. Over the years i've primed myself knowing it wouldn't be nearly as glamorous as what i thought but somehow the inner vibe stayed with me. its weird, only one rotation ago I was considering working ICU after an intense rotation there, but now that I had a very relaxed primary care office rotation, I realized... I don't think I want to stress myself out in a hospital setting. although I'm extremely social, I don't resonate with "hospital life" like i thought i would. what I see is a lot of doctors who like their egos stroked and PAs being talked about by docs as "just grab one of em PAs to do this! and that!" Also as i delve further into nutrition and fitness (a lifelong hobby of mine, almost competed in bodybuilding) it pains me more to see how much of a disconnect there is between health and medicine.. Like today, I ate breakfast with my doctor and PA preceptors who all ate typical western diet foods i.e. bacon/eggs/whitebread.. something about this just seemed funny in abstract as they wore their white coats. "we treat symptoms, we don't prevent illness" Why are we still giving cardiac diets full of carbohydrates to DM pts!?? I realized that the medical model is a business model more than a healing one. I feel like I am either surrounded by idiots who fail to see the bigger picture who are fooled by the system they are part of, or they too have long ago accepted that we're in the business of patching holes and not curing disease, either way its not a humbling feeling. I also realized something about myself, I don't think I care about managing chronic life long issues. whether its because I am selfish or I have a short attention span, I feel like I want to work in a field where there is a sense of more instant gratification from my work At this point I see myself going into specialties that are purely lucrative, or more of a visual/physical component As of now, I am looking forward to my dermatology rotation. in my naive pre-rotation opinion, its a field where I don't have to feel guilty about treating someone with drugs that don't necessarily cure their chronic and lethal issue, its usually shorter appointments per patient, and its usually more of a visual (or if i go into cosmetics, aesthetic field) I am looking forward to responses of any kind, I feel like I need to discuss this with people
  18. Hi everyone, I am a motivated and passionate 23 year old male PA student attending school on Long Island and I am seeking a Dermatology rotation because i am thinking of it as my career field. I would love to contribute my time and work to a dermatology practice somewhere in the long island area Touro does not offer a dermatology rotation at this time so I am reaching out where I can! I am looking for a rotation in the next 5 months or so. What I will provide to you: - My full attention to learning and working with you and your staff (I carry around at least 3 reference books on me wherever I am, even to sleep) - A positive experience to all patients - A box of dunkin' donuts munchkins of your variety every Friday. What I would like to be provided with: - A kind mentor willing to provide with me their experienced insight into the science, logistics, and skills of being a great dermatologist/PA Thanks in advance
  19. 23 YO male PA student here. Experienced PAs: some words of wisdom, please. how does a PA establish themselves as someone to be respected by staff? in class, the professors and students joke around about how PAs are stigmatized by doctors and even nurses - how some doctors/pharmacists won't even speak to PAs. "whats the difference between a piece of gum and a PA student?" "you dont step on the piece of gum" haha.. perhaps a silly question, interested in real advice. I've been thinking about all the work put in school and how much harder i will have to work throughout life to practice good medicine. it makes me a little uneasy lately thinking about how doctors/nurses may just look down on me just because of my title while I will be working just as hard, and with the same intellectual capacity, responsibility as they will be once in the work force I feel like the joke "a PA is assumed stupid until opening his mouth while a doctor is assumed smart until opening his" holds some merit to the question i am asking disclaimer: yes i knew what i was getting into with the PA path, but as rotations are coming up in a few weeks, I've been reflecting on this topic more. Thank you in advance
  20. I am starting my first rotation (in internal med) and feel an overwhelming sense of excitement yet anxiety. I have a 14 day break before rotations and would like to really get lost in some good reads on internal medicine to further and deepen my understanding of patho, causation of sx, treatment, ddx,, not just some mnemonics and tricks (although they could help) thank you in advance
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