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electric130 last won the day on September 1 2019

electric130 had the most liked content!

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About electric130

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    Physician Assistant

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  1. I am still making 30 percent less of my former salary, however without hours cut or reduction in my workload. I never would have thought I would be here for 4 months. I am employed in a group, but each Physician makes decisions about their own staff pay. I do not think this is going on group wide, from what I have heard most people had hours and pay reinstated in June. I confronted the Physician I work for about it 2 weeks ago and was told he woul keep me updated but they could not reinstate my pay right now. I am considering going to the CFO of the company and asking what the deal is. Not that he has control over what each Physician pays their staff, but just to get a feel for what is going on. We had planned on moving a few months ago and have pretty much decided against this, my net pay is 2k less a month right now, not a small amount of money. Has been an eye opener as far as job stability. Thankfully we live so far below our means we have been fine, we are even still maxing both of our 401ks. I am glad to hear most of you are getting back to normal, I think it was a stressful time for most of us.
  2. Thanks everyone for sharing. It does help to see where everyone is at, seems like some of us were not affected at all, to completely losing your job, to cut hours, or cut hours and pay. I honestly would not have minded having my hours cut, I still have teenagers at home and would have enjoyed those extra days with them. The pay cut especially such a big one for doing the same thing I have been doing is the frustration. I also am not sure why my company did not apply for the CARES act paycheck protection program. I think it was only for companies up to 500 people, so we must not qualify. The NP I work with did confront one of the doctors about when our pay should go back to normal. He said he would look into it. She told him that Family Medicine practioner's pay in our group went back 1st of June, so I hope that lights a fire that they need to go ahead and fix this soon.
  3. Thanks for all the replies, helps to know what is going on at other practicies. I am in GI as well, I think because they rely on scopes so much that has been a factor. My volume is down a bit, but not tremendously. I am still seeing in person or doing video consults on 15-18 per day. I also have a hard time with the fact that I know other GI practices in the area that have not cut their PAs at all. I am going to wait it out until at least July. I know if I discuss the topic now it will not go well. I am really hoping by the end of the summer another opportunity will be available.
  4. Wow, 50 percent, that's crazy. Do you mind me asking what type of group your work for, is it a specialty, are you hospital employee? I know this is not happening everywhere, I have some colleagues in the same type of specialty that have not had a pay cut or hours cut. It is just wrong on so many levels. They know we don't have any options right now though, although eventually that will change and how we were treated will be remembered. I think at least two of us will leave when we are able.
  5. Ya, that's what I would love to do. I wouldn't mind taking an extra day off a week, that's exactly what I am not getting paid for at a 30 percent cut. I would feel a lot better if it was just a reduction in hours, I would get that. But, cutting your pay, when you are doing the same job and same hours is just insulting. I have been with this group, (but with a different Physician) for 18 years. I honestly think I have a target on my back right now because I am way up there on the pay scale. I negotiated that though and they had no problem paying it to me before. I am in a very procedure heavy specialty and I think because they did not do procedures much for over a month they are trying to "make up for it" by paying all of us less. It's terrible.
  6. Wanted to see where some of you were at as far as salary. I know alot of us were furloughed or had hours or salary cut. I did mostly telehealth visits up until the last couple weeks but still kept my same hours. However, my hourly rate was decreased 30 percent in April. I feel like most PAs that were furloughed are probably back in some capacity, and I know at least one of the PAs in our organization her pay is back to previous levels. I have heard nothing from the two doctor's I work for. No timeline to when my pay will go back, nothing. I am getting more frustrated by the minute, but I also know there are limited opportunities right now and I feel like I need to time it right before I ask. I also do medical reviews on the side and that doctor is so great to work for, I have asked if he has more work, but nothing right now, he has been slow also, but has not cut our pay at all. I will probably go back to doing that and completely leave this practice once he has something to offer, but for now I am stuck. So anyone still working same amount of hours, but making 30 percent less money? It's getting really bad for my mental health. Any advice is appreciated.
  7. I totally agree, it does make it really hard if you count on your benefits. I know I am super fortunate that my spouse is military and we have Tricare. I really wish there were better options for everyone. I am 1099 for one position and W2 for the other, and I think the thing I enjoy the most is that I call the shots completely on my schedule and I don't feel like I am "owned" by any one employer. It has taken me 15 years to get to this place though.
  8. Many of us have felt as you do, I have struggled with burnout for at least the last few years, if not more. A couple things that can help I think if you can manage to find this type of position and afford to take these measures. Cut back to part time Find a lower acuity clinical position Now I am working one day a week in clinic and doing insurance reviews from home. Unfortunately the insurance review position is dependent on the doc I am helping. I help him organize the reviews, I do not actually have the final say. This is not something that PAs can do on their own, and most companies will only hire MDs and RNs. So, essentially this was just something I lucked into finding, but definately not mainstream. I can say this has pretty much fixed my burnout, I actually really enjoy my one day of clinic work and can tolerate the aggravations knowing I am only there one day. Insurance work is not super fulfilling either, but I am home for my kids every day and it is super flexible. Really we are limited to teaching at a PA program, medical device or pharmaceutical sales or medical science laison. I am sure others have branched into other things, but there is really a high barrier to doing anything else without further education or training. The sales and laison positions are ruled out for me as I have kids at home and a husband that travels, so those options were out. The medical science laison seems really interesting, I know a very good PA that accepted a laison position, I think she was tired of clinical work also. pharmaceutical sales can be cut throat and there is pressure to make numbers, so to me it is just swapping one pressure for another, also would not be fulfilling for me at all. Teaching was ruled out for me due to not having a Masters and not having the desire to spend the money at this point, but may be an option for you? I would strongly encourage you to save money like mad and try to live simply. We are on track to be out of the rat race completely if we want to at age 50. If you are 30 and miserable then you definately need to re think what else you want to do, but if you are 40 to 50ish it may make more sense to just grind through as a PA and try to put away as much as possible and then find lower paying, more enjoyable work. There is a recent article on whitecoatinvestor.com about burnout, it is really good. I have learned a ton about investing/finance and really enjoy the blog among a few others. Best of luck to you,
  9. We have definately had the advantage of geographic arbitrage. Above average pay on my end, husband is a Major in the Air National Guard with 15 years time in service. LCOL area, bought custom built brick home (2300 sq ft) on 1 acre for 280k. Have been at a practice in an outlying rural area, about an hour from the "popular" areas where we live. Have taken advantage of this by living in very nice area with low cost of living but working in a less desirable area. I agree that comparing a salary in different geographic areas is not the best comparison.
  10. 85 per hour, GI practice. Worked 3 days per week, 95k per year. Now working one day per week.
  11. This is hilarious, so true and something I think to myself most days I practice....especially when I did Urgent Care, you have to have the patience of a saint to deal with cold season. Yes, I have had a couple senior moments at the old age of 41, charting in the wrong patient chart was one of them, I don't know who hasn't done that at some point?
  12. Cool to see like minded people on this forum and the great planning! I have seen so many docs in the mid to late 60s, that hate practicing medicine but cannot retire because they just live extravagantly, it is kind of sad. I think it's great if you WANT to continue to practice, but to be making a Physician's salary for over 30 years and not be able to retire has honestly been a great lesson for me. Husband is active duty Air National Guard, has 7 years left, will retire as an officer, so that has involved sacrifice on both of our parts, but will give us option to retire quite early. We also are maxing out my 401k, his TSP at 18k each per year, doing Roths and some into 529s for the kids. Just in the last 5 years our income has increased to where we can save this much. Trying to also budget for nice vacations with the kids, did Florida over Thanksgiving and Bahamas in a few weeks, using credit card points, etc.... The key has been for us as our income has grown we have not upsized our home or cars or bought a vacation home. It has been tempting, but so far I am so glad we have not. We have a very nice home on an acre, full brick in a low cost of living area, but at 2000 sq ft, I guarantee you that we have the smallest home of anyone in our income bracket. We are on track to be able to retire at around 50 if we want to. Of course the best laid plans, barring something catastrophic in health or a 10 year bear market.... cannot control these things though, so just staying the course, investing in low cost index funds and waiting for the magic of compounding to happen.
  13. You are definately on the low side, especially if you are working up to 50 hours per week at times. You do have benefits though, and I think most people who are making in the 75-85 per hour range may not have benefits. I can tell you in my experience you will not get a bump up in pay without asking. Knowing your production can be tremendously helpful if you can get in a practice that will share that with you. When you know what you are bringing into the practice it is easier to ask for more pay. Also sometimes it takes going out and getting another offer, and then seeing if they will match it if it is more in line with what you feel like you should be paid at. I am one of those 85 per hour people, but I bust my tail while I am in clinic, I have a ton of experience and I am very vocal about asking for raises based on the production numbers that I know.
  14. Agree with everything stated above. It may be a really good learning experience, but I would try to get a really good idea of how many patients they expect you to see a day and make sure someone is on site that you can ask questions. If you are limited in your offers it wouldn't necessarily be terrible to take as a new grad, just make sure you have support. That demographic is difficult, I have not done community health but see a very large percentage of that demographic and even for a seasoned provider it wears you down.
  15. I think just the fact that you will only work 5 hours per day on the days you do research, and then doing home health on other days will break up the monotony. I also felt like you did, the in and out of the office all day for 15 years in a high volume practice was leading to total burn out. I recently started working as an IC with no benefits. It was worth it for me to do something different, but if you look at it from a purely monetary standpoint being a W2 employee is almost always better unless you are at a really high rate of pay as an IC. It really makes contract and negotiations quite easy, I would just clarify if they will pay any vacation. Honestly this is somewhat of a luxury to be able to do, fortunately we have spouses/partner that have good medical benefits, my husband is career military so health insurance and most of our retirement funding once he retires from the military will be taken care of. The older I get the more I realize I really do not enjoy doing anything 40 hours per week in an office, and really like having a combination of different types of work or just more time off. I have an interesting mix of a little bit of clinical work with insurance work from home and I love it. I am also looking at possibly starting a side gig with my sister doing something completely out of the medical field. I would go for it, just do your research on being a 1099 employee, (I am assuming that is what you mean by IC) and timing of paying your own taxes and self employment tax amounts.
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