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PAinPenna

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PAinPenna last won the day on January 24

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About PAinPenna

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    Physician Assistant

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  1. C'mon Pennsylvania PA's - let's do this See you at the Capitol l 9/24! From the PSPA It is vital that we get as many of our members to Harrisburg as possible. Just as a reminder, we will be lobbying to support the modernization of our practice. Our legislation includes the following provisions: Place a Physician Assistant on the Medical Board and Osteopathic Board with a permanent seat. Remove the requirement of a physician countersignature on 100% of patient files. Allows a written agreement to be "filed" instead of "approved" by the Medical and Osteopathic Boards. This will allow Physician Assistants to immediately begin working instead of waiting 120 days or longer for the Medical Boards. Outlines what supervision means, to ensure laws and regulations do not hinder the Physician, Physician Assistant, Patient relationship.
  2. I did - when I worked in Primary Care . Now that I'm in Addiction Medicine I literally love going to work every day.
  3. I was 48 when I graduated from PA school. Doubled my salary from my previous career. No regrets at all. Do it.
  4. I actually agree with a lot of your posts. . Was just curious what brought you here.
  5. I have also wondered why you are so active on a PA forum when you are not a PA??
  6. The craziest part is my only Press Ganey complaints from patients were that I was "too rushed" . I wanted to bang my head off a wall when I saw those.
  7. Ideally she should have been confronted, without judgement, about her past and current substance use, and if opioid addicted, referred to a medicated assisted treatment (MAT) program and offered Bupenorphine , a partial agonist, while in a mild state of withdrawal .
  8. On the pricing list they misspelled "qualitative"
  9. I heard somewhere recently that increasing access to care does not improve overall population health. This is evident in the corporate primary care office I have recently resigned from. Here, we have central schedulers at some call center (none of us even know where it is) just popping patients into any empty holes in the schedule, resulting in us full to the gills by that first screen refresh at 8:08 am or so. So , here you have first come first serve, 25 yo 2 day URI's that close out the schedule so we end up overbooking the fluid overloaded CHF-er that walks in SOB. In fact, all our oldest and sickest tend to walk in because they do not like to talk to a call center, so we end up having to accommodate them. Our front office and nurses are exhausted, and our providers are fried. I miss the connections I have made in my years in Family Medicine, but will never go back.
  10. Wow- I could not imagine loudly scolding or verbally threatening a patient who comes to me seeking help to recover from addiction. Addiction is not a moral failing- it's a disease. Sure, bad choices play into it- but don't all of our greatest health problems in the U,S. ie DM2, CAD and HTN? Medication Assisted Treatment (MAT) using medications like Suboxone and Vivitrol can turn lives around, and we see it every day. It appears to me you may have been involved in more of a "pill mill" situation than a true recovery model. I'm sure you are well-qualified for Family Medicine, however choose very wisely, as the burnout is real. Read the boards here. And best of luck with whatever you choose . It will get better for you.
  11. I agree with UGo Long- A hospitalist position may be a good fit for you. Lots of walking around, social interaction, variety in your day. You are not crazy for wanting to see daylight in your workday. I'd be insane if I couldn't. And hospitals have lots of windows! I have to tell you I was feeling the same way, and posted something similar a few months ago. I transitioned into Addiction Medicine. While it's certainly not for everyone, these patients WANT to get better, and there is true reward in seeing a patient go from rock bottom to functioning well in a job, marriage is better, etc. And hey- you flunk your drug screen 3 times you're out. It's great to have "rules" to back me up, so there's no room for the back and forth bs we see with chronic narc users. AND- no "list" of complaints. We are there to get them off opioids or ETOH and that's it. Other issues go back to PCP. Of course we help facilitate as needed, but there's an office RN for that. It's invigorating to practice medicine the way I imagined. I highly recommend to those of you who are considering it!
  12. I agree to seriously think very hard about this before you make the switch. Primary care in the US is a holy mess, particularly if you are employed by a hospital and/ or corporation. Call centers managing your schedule - not you. Pressure to schedule more and more patients per day- and then overbook on top of that. 15 or 20 minute slots to deal with acute exacerbation of increasingly complex medical issues . Endless documentation , lab and imaging follow ups. The EHR work never ends Not trying to scare you away, just want you to go into this with your eyes wide open. Now- if you are lucky enough to have hooked up with an independent doc who runs his own show, maybe that'd be ok, but those jobs are few and far between.
  13. Please consider a specialty. You sound like a very bright and caring person. Primary care- whether it's FM, IM or UC is horrible these days, and you are not alone at all in your experience. You will be ok.
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