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PAMEDIC

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About PAMEDIC

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    Physician Assistant

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  1. When I worked UC, if we had a case like this to where they were roomed but we were completely unable to help them, we never charged them for the visit. I would quit and find other employment if I was told to "capture the charge" even if no service or care was rendered.
  2. Also, if you go to a civilian PA program and still want to serve in the NG, you can sign up for a 6 year hitch. They will pay $75k ($25k a year) towards your student loans for the first 3 years and then another $25k a year for the next 3 years. That's $150k! Most of the NG PAs I know went this route instead of IPAP.
  3. I would argue that it is far easier to get accepted into IPAP through the NG than it would be through the regular Army or even the reserves. The NG gets 30 seats a year divided over 3 classes (10 seats per class). They also designate alternates in case any of the selected don't get to go. For the class I was in, 26 people were boarded for 10 slots. Both alternates were picked up (one selectee failed the APFT upon arrival and was sent packing ). Those are great odds. I would always recommend people thinking about going this route to enlist as a 68W - medic. The biggest problems with applying through the NG are: 1) Your state has to fund it. If your state has enough PAs, they may not need to pay to send you. 2) If you enlist, you have to serve for around 3 years before you can apply (in general, you should be approaching SGT and have gone to BLC). The good news is that your basic an AIT apply towards this. 3) If you join now with the expectation of going in 3 years, you have no way of knowing what your state's training budget and needs will be at the time you would want to apply to IPAP. But while serving as enlisted, you can use the GI Bill, any bonus, and Tuition Assistance to finish your prerequisites... all while gaining excellent experience as a medic that will help you on not only your IPAP application, but any application to civilian schools and on your resume. 4) If you apply to IPAP and get accepted but your state does not want to fund it, you can do an Interstate Transfer to a state that needs a PA and agrees to pay for it. You will then owe that state 6 years of drilling. I would say it is still worth it. I would also emphasize that 6 years of drilling is a ridiculously easy payback for a masters and PA education. You get school completely paid for and get a decent salary while going. I came out of PA school with no debt and an increased savings account
  4. I get paid a flat hourly rate for my labor whether it is in the clinic or at home. If I chart at home, I get paid for that time.
  5. FMLA paperwork annoys me, but it is what it is. I am surprised about reluctance to write work/doctor's notes. I am more than happy to write those. People have shit jobs and often need a break for whatever reason. I think it is crap that many employers actually require them. Maybe they were legitimately sick. Maybe not. What I do know is that if my little note can keep them employed and provide a small bit of relief from the brutal grind that many on the lower end of the socio-economic spectrum endure, that I am doing my job well.
  6. The NG gets (or at least used to) 10 seats per class. That is 30 seats per year. I'd be surprised if there were 100 packets that get boarded for selection. For my class, there were 21 submitted packets for 10 selected slots. You'll never find better odds anywhere else.
  7. FWIW,... Since graduating from school, I've never actually assisted a physician. In fact, the overwhelming majority of the last 3 years, I didn't even have a physician in the same building.
  8. I have been trying to get on at my local VA since I got out of school but have been told they prefer NPs. I think I have seen maybe one opening in the last 3 years.
  9. Another would be my "medicalized" patients. An example would be a patient that years ago had a provider who thought they may have RA and are now convinced they have it. I have to explain that it was probably on their differential and it was tested for but that doesn't mean they have it. The smoking and obesity are more likely culprits but they don't want to hear that. So many patients seem to desperately cling to their perceived medical diagnoses to justify their unhappy unsuccessful lives. I'm not saying it is Munchausen syndrome because they often do have some issues. It is just that their whole identity seems to be wrapped up in a very tentative diagnosis and doing anything to actually redirect the issues and fix the problem is often met with stiff resistance.
  10. My biggest problem patients (apart from the ones already mentioned) are the scammers. The ones seeking secondary gains and oddball advantages through me. For example, I had one patient who wanted me to write a note for them that said they couldn't work for the next year due to a little rib pain. The note was to get out of a job's training and return to work program being offered by the state. They were furious when I said I wouldn't/couldn't do that. In the end, I gave them the Social Security contact information and instructed them to apply for disability. Patients asking for doctor's notes for companion animals. If there is a legitimate reason, sure. The problem is that I have never seen a legitimate case. It is usually people just trying to bring a pet into an apartment.
  11. I've been looking at these websites and am thinking about trying work for Medcor or Remote Medicine. Unfortunately, none of these say how well they pay. If any of you have any experience or any second hand knowledge of what the range they offer, I would love to hear it.
  12. Seems like a great gig for when my kids leave the house. Not a lot to do on that island. Would be fun for a time though.
  13. Meh. Like many things in medical bureaucracies, it was the Dx and code that was able to get the patient the care they needed/requested.
  14. It can be. Gender Dysphoria [F64.9] This was the Dx and ICD code I used to refer a patient to a gender reassignment clinic, which BTW is covered under medicaid.
  15. I don't mean to go off on a rant here, but... To be fair, patients don't usually call to make a "10 minute appointment." In fact, many/most have no idea how long the appointment is supposed to last. I know as a patient, I have never had the scheduler tell me the length of an appointment. Not only that, but patients often explicitly state they have multiple things to talk about and would love to be scheduled more time but are prevented from doing so by clinic practices. I personally hate making a patient schedule 5 separate appointments when one longer appointment can answer most questions.
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