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    Physician Assistant

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  1. As an Army graduate of IPAP with friends still in the program and a coworker who just graduated, I can assure you that there is no required rotation through an LGBTQ clinic. How on earth could you believe this? I have never even seen a “LGBTQ practice” on a base. Never heard of it. What base was this on? At what MTF and in what department? There may be a single lecture or presentation about some of these issues but that would be the most of it. Also, what kind of an asshole would leave a job educating people that will be serving in war zones overseas because of some LGBTQ
  2. Working for a Military Entrance Processing Station seems amazingly chill. You just do basic physicals to determine if people are medically qualified to join the military.
  3. 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.
  4. 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.
  5. 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
  6. 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.
  7. 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.
  8. 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.
  9. 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.
  10. 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.
  11. 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 jus
  12. 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'
  13. 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.
  14. 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.
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