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akjean's Achievements


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  1. I so appreciate this thread! Just had a practice admin want me to "call to put the touchy feel goods to it and just ask if there were any questions left unanswered" regarding a negative patient review. Nope. Nope. NOPE. Complete nonsense. If I did something clinically that the patient had questions or concern about, that's one thing. My review was that the patient just didn't get a good vibe from me. Go figure.
  2. Oh, I see 15-20 patients daily in clinic, regularly perform multiple procedures and injections, am involved in Opioid Stewardship Committee for our hospital, Outpatient Joint Replacement program, give US guided joint injections (something not all my colleagues do at our practice) and am now giving Iovera (cryoneurolysis) treatments. So, in terms of making myself valuable, THAT I am doing.
  3. Sorry, for more clarity, I have 6+ years experience as a PA, 3 in family practice, have been at current position since late 2014. Former sports medicine experience as an athletic trainer pre-PA school, so this bleeds into ortho very well. I am employed by HCA. I have asked for a raise more than once, and another ortho practice sought me out last year and offered more $. I then took that offer to my practice manager and basically said "make me feel better about turning this offer down." (Unfortunately the offer with more $ had dismal benefits, and it wasn't something I actually wanted to do, so I declined hoping for a raise when it came time for "yearly raises.") I did NOT get any more of a raise (2%, cost of living) than every other standard employee got, even though I have asked and had another practice recruiting me. Is this what I need to expect working for a large corporation? I feel like I'm basically expendable to them, but I don't feel that way with my SP - he values my contributions, but he doesn't control the money in the slightest. Nashville is quite saturated in terms of medical schools, NP schools, and now PA programs. And while TN is a low COL state, home prices in Nashville have doubled and tripled over the last 4-5 years. Fun times.
  4. I would love to be involved. I've been wanting to break into writing for a while now, and would love to know more about this. How do I get in touch?
  5. I really think the market is saturated, especially for new grads. And pay is not great, from what I've seen. I've worked in Nashville since 2011, and the pay continues to be sub-par from what the AAPA salary report shows is even within the 50th percentile for pay. It's making me second guess staying here, especially given the CRAZY rise in cost of living. Hope you found something!
  6. Okay, I need some perspective here. I live in Nashville, TN and work in orthopedics (no surgery, mostly seeing patients in outpatient setting with some inpatient rounding, etc). I work a solid 45-50hr/wk with dismal support in terms of clinic staff and management's purely theoretical support. I am paid $47/hr SALARIED (so I get paid X amount Q2wks, so matter how many hours I work). Looking at the posts I see on facebook PA groups, $47/hr is crap pay for someone working in orthopedics. Is that real life? Or are the only people who care to comment on salary threads the ones who "won't get out of bed for <$80/hr"?? I really just want to know if I'm being taken advantage of with my current level pay. I get decent benefits with 401k, medical/dental/vision, etc. so the benefits are a plus, but I still feel like I'm missing something here. Will someone help me know where this stands in reasonable pay? I have access to AAPA's salary report, and I see that my pay for my years of experience and specialty is a little on the low side, but geez - people are making $80/hr on the regular?
  7. Agree with living within your means, etc. We do that anyway. What I agree with but also struggle to implement is the "don't take a job that doesn't pay ____" (fill in the blank). I live in middle Tennessee. There are at least 2 medical schools, 2 (soon to be 3) PA programs, and at least 4 NP programs all within a 45 minute drive of each other. The pay for EVERY job I have ever interviewed for has been sub-par in my opinion. And when I HAVE been offered a decent salary (once), there have been zero benefits included with said decent salary. How do you say "no, I'm not working for that" when NO one is offering what is considered reasonable? I can't force an employer's hand. Do I look outside of the metropolitan area? More rural opportunities? Has anyone else dealt with the saturation of the job market in larger cities? Thoughts?
  8. That is literally almost double what I was offered re: salary in my current orthopedic position. Sounds amazing. I'd snap that offer up in a heartbeat. $600/day is great as well.
  9. I don't have any additional info, but I'm also interested in this! I do all the joint injections for my SP during his clinic, and I'd love to be able to say "okay I actually generate more RVUs than my clinics/appointments show"
  10. Thanks for all the replies and advice. Quick update: I did the math and spoke to health insurance rep for the new gig. The profit I would make with the base salary bump would 100% be eaten up by what health insurance buy-in would be and if I wanted to continue to contribute to my 401K. The new gig does not pay a dime toward health insurance and doesn't even offer 401k options. Lame. So the only reason I would be leaving is for potential bonus and more vacay days, with a broader scope of ortho practice. I did discuss with my SP, and he totally understood. He said he expects people to want his team (me, his nurse, etc) to work for them bc we are great at what we do, but at the same time really hopes we don't go anywhere! He encouraged me to talk to our practice manager (the one in charge of $$) and make my case of the other offer being more base salary, so I plan to do that tomorrow. Problem is, I'm technically employed by a huge health system corporation but work inside of a surgeon group practice, so sadly my SP probably has very little say over salary, raises, etc. I wish I had access to the AAPA Salary Report right about now because at least I could go in with that data to my manager. Any of you have the information on what the median hourly rate is for PA in orthopedics with 6 years experience??
  11. I'm in a little bit of a pickle, you guys. I currently practice in an orthopedic group doing mostly clinic work with the occasional call weekend and rounding when my SP is out. I get along great with my supervising surgeon, and he treats me and the rest of his staff very well. I don't feel that I have a lot of autonomy in my current position being that it is a sub-specialty (joint replacement) with very little management of things other than arthritis and perioperative patient optimization. I feel comfortable in my job and I know what to expect, but I definitely don't think I'm being used to my full potential. I'm not really allowed to problem solve in order to make processes or clinic flow better because of the corporate structure - there are so many boxes to check and things to track that we don't have much freedom in making our work flow better. Management "wants to hear from us," but when we do speak up, there isn't much of a response from management. Pretty frustrating to say the least. In summary - I really hit the jackpot working with the surgeon I work for now - he has my back and trusts me, and he knows my worth. But the actual practice/management/company? Not as thrilled about my interactions with them. Here's the dilemma... A few months ago one of my colleagues from PA school contacted me about a PA position at his practice - he thought I'd be perfect for the job. I met with them just to see what the opportunity was, and turns out, on paper it's sort of my dream job. Sports medicine/general orthopedics, mostly clinic but OR time available, lots of autonomy once the doctors trust you, some call (but MDs take majority of it), and high school/college athletics coverage as needed. My background is athletic training, so occasional game coverage definitely appeals to me. The practice was adding a few new surgeons to the practice, so a few months went by and I was contacted again to interview. I interviewed with the new surgeons, and a couple of weeks later they contacted me to tell me they wanted me on their team and wanted to make me an offer, so I met with their management again (which included dinner, which was nice) and they offered me the job. This new practice made me an offer that's MUCH better in terms of compensation than my current position. 15k more/year than I'm making now, PLUS bonus structure at the new position (my current job told me when I hired on there would be a bonus structure, but turns out they did away with it 6 months into my employment... I wasn't thrilled about that). It would be a 3yr contract then up for negotiations after that/yearly renewals. I would get more CME time than I currently do, and more time off than I currently do. Holidays are not taken out of PTO. Occasional call (no more than I have right now) and OR time when I want it. The offer to work for this new practice is clearly better on paper, but I wasn't looking for a new job. My dilemma is - do I leave a practice I know and (for the most part) enjoy for a place that's going to pay me more but I have no idea if I'll like the management/staff/physicians? It's a weird place to be. I feel fortunate to have options, but it's a stress to make a decision that I wasn't really expecting to have to make. Any thoughts?
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